我国动物源细菌耐药性监测及预警的研究进展

利用调查和数据统计报道我国近年来的兽用抗生素使用、养殖业用药背景、抗菌药物耐药、动物源细菌耐药性监测、动物源细菌耐药监测数据库研究及国家制定的相关政策等现状,并针对我国动物源细菌的耐药和监测现状,提出了我国政府与各地区相关部门应科学评估分析动物源细菌耐药性监测数据及变化趋势;借鉴发达国家的经验和方法,完善我国动物源细菌耐药性监测网络和监测体系;加强教育和宣传等应对措施,为解决全球动物源细菌耐药性问题作出贡献。     

2020年动物源细菌耐药性监测工作总结会在京召开

近日,中国兽医药品监察所在北京召开2020年动物源细菌耐药性监测工作总结会。中国兽医药品监察所副所长高光、农业农村部畜牧兽医局药政药械处副处长冯华兵及相关专家出席会议。会议总结了2020年全国动物源细菌耐药性监测工作情况,全面分析了我国动物源细菌耐药性变化趋势,讨论了耐药性监测工作中存在的问题及改进措施,研究制定了2021年动物源细菌耐药性监测计划。     

我国动物源细菌耐药状况、存在问题和对策

动物源细菌耐药性问题不仅关系到动物的用药安全,也与公共卫生安全密切相关,日益引起各国的关注。中国兽医药品监察所从事动物源细菌耐药性检测工作10余年,对我国动物源细菌的耐药性状况进行了系统的调查。本文从动物源细菌耐药性监测工作的重要性、我国动物源细菌的耐药性状况、存在的问题以及应对策略四个方面进行了综述,以期对我国的动物源细菌耐药性监测工作起一定的参考作用。     

我国动物源细菌耐药性数据库的建立与应用

为加强全国动物源细菌耐药性监测数据统一管理,实时掌握我国动物源细菌耐药性的流行动态,中国兽医药品监察所联合多家国内细菌耐药性监测单位,开发了我国的动物源细菌耐药性监测数据库。该数据库为B/S架构,全国不同地区动物源细菌耐药性监测实验室均可通过网页浏览器连接服务器,实现了监测数据即时储存、统计分析和上报,为我国兽医临床细菌耐药性监测提供了重要的技术支持。     

要闻

农业部印发《2013年动物源细菌耐药性监测计划》根据《兽药管理条例》规定,为做好2013年度动物源细菌耐药性监测工作,进一步提高我国细菌耐药性监测能力,农业部特制定《2013年动物源细菌耐药性监测计划》。各监测任务承担单位的采样、细菌分离和鉴定、耐药性检测和结果上报等活动要按照《动物源细菌耐药性检测采样、检测技术要点》;样品应从畜禽养殖场、屠宰     

我国动物源细菌耐药性监测系统简介

本文介绍了我国动物源细菌耐药性监测网络的组成和主要内容,详细阐述了其过程控制,包括采样、细菌分离鉴定和耐药性检测、耐药性检测结果汇总分析等,并介绍了我国取得的成就,如建立了动物源细菌耐药性监测技术平台和耐药性细菌资源库、创建了具有自主知识产权的动物源细菌耐药性数据库、摸清了我国动物源细菌的耐药性状况等。针对我国动物源细菌的耐药现状,提出了应对措施,包括规范我国兽用抗菌药物饲料添加剂的使用、加强动物处方药的管理并建立治疗用抗菌药物的分级管理制度、持续开展畜禽细菌耐药性动态监测等。     

兽药

正农业部印发《2017年动物源细菌耐药性监测计划》2月9日,农业部印发《2017年动物源细菌耐药性监测计划》(以下简称《监测计划》),至此动物源细菌耐药性监测工作正式展开。此次公布的动物源细菌耐药性监测计划中就要求各地兽医行政管理部门对辖区内动物肠道菌群血清     

农业部印发通知要求加强动物源细菌耐药性监测工作

正为贯彻落实《遏制细菌耐药性国家行动计划(2016年~2020年)》,进一步加强动物源细菌耐药性监测工作,保证动物源性食品安全和公共卫生安全,农业部近日发布了关于印发《2017年动物源细菌耐药性监测计划》的通知。通知对动物源细菌耐药性监测工作任务分工作了规定。农业部负责组织全国动物源细菌耐药性监测工作。各省(自治区、直辖市)兽医行政管理部门负责选定连续定点监测养殖场(猪场、肉鸡场、蛋鸡场或奶牛场各1个,共3个),     

国家动物源细菌耐药性监测工作的探讨和建议

介绍了国外动物源细菌耐药性监测工作的情况及目标,对我国的动物源细菌耐药性监测工作需考虑的许多因素进行了介绍和讨论,包括动物品种、食品、采样方法、样本的收集、细菌品种、抗菌药物、标准药敏试验法、质控、结果记录和数据库设计、报告和结果分析等,并对今后的动物源细菌耐药性监测工作提出了建议。     

农业农村部印发《2019年动物源细菌耐药性监测计划》

<正>近日,农业农村部发布关于印发《2019年动物源细菌耐药性监测计划》的通知。以进一步加强动物源细菌耐药性监测工作,促进养殖环节科学合理用药,保障动物源性食品安全和公共卫生安全。《2019年动物源细菌耐药性监测计划》(以下简称《计划》)中明确了监测范围和监测对象。监测范围:北京、天津、河北、山西、内蒙古、辽宁、吉林、黑龙江、上海、江苏、浙江、安徽、福建、江西、山东、河南、湖北、湖南、广东、     

Participatory epidemiology: approaches, methods, experiences

Participatory epidemiology (PE) is an evolving branch of veterinary epidemiology which uses a combination of practitioner communication skills and participatory methods to improve the involvement of animal keepers in the analysis of animal disease problems, and the design, implementation and evaluation of disease control programmes and policies. This review describes the origins of PE and how the application of PE requires attention to both a participatory approach and participatory methods, supported by triangulation of data with conventional veterinary diagnostic methods. The review summarizes the various adaptations and uses of PE, including the design of primary veterinary service delivery systems, veterinary research and disease surveillance. In contrast to conventional data collection methods, an integral aspect PE is the concept of applying and evaluating new disease control programmes or surveillance systems in partnership with animal owners. In the developing regions where PE has been most commonly used, this action-orientated approach raises important challenges for veterinary institutions with limited financial resources. Information derived from PE studies can also question longstanding disease control policies and norms, nationally and internationally.     

Epidemiology of animal diseases in Africa: approach strategies and role of veterinary laboratories

Study of the epidemiology of animal diseases in Africa should only be envisaged when the veterinary diagnosis laboratories and the cattle development structures in the field are fully operational. Veterinary epidemiology may be approached using all usual laboratory techniques. In spite of some limitations described by the author, current diagnosis, intervention in outbreaks, retrospective and prospective surveys all contribute to the knowledge of animal disease epidemiology. In fact, considering the difficulties met in Africa, it seems advisable to combine a mixed approach to maximise the use of field visits. The author concludes that until new techniques allow a decentralised diagnosis, the African veterinary laboratories must play a determinant part in the study of the epidemiology of animal diseases; furthermore current diagnosis, sanitary surveillance and epidemiological surveys have now become almost inseparable.     

The role of wildlife in transboundary animal diseases

This paper identifies some of the more important diseases at the wildlife-livestock interface and the role wildlife plays in disease transmission. Domestic livestock, wildlife and humans share many similar pathogens. Pathogens of wild or domestic animal origin that can cause infections in humans are known as zoonotic organisms and the converse are termed as anthroponotic organisms. Seventy-seven percent of livestock pathogens and 91% of domestic carnivore pathogens are known to infect multiple hosts, including wildlife. Understanding this group of pathogens is critical to public health safety, because they infect a wide range of hosts and are most likely to emerge as novel causes of infection in humans and domestic animals. Diseases at the wildlife-livestock interface, particularly those that are zoonotic, must be an area of focus for public health programs and surveillance for emerging infectious diseases. Additionally, understanding wildlife and their role is a vital part of understanding the epidemiology and ecology of diseases. To do this, a multi-faceted approach combining capacity building and training, wildlife disease surveillance, wildlife-livestock interface and disease ecology studies, data and information sharing and outbreak investigation are needed.     

Lessons from emergence of A/goose/Guangdong/1996-like H5N1 highly pathogenic avian influenza viruses and recent influenza surveillance efforts in southern China

Southern China is proposed as an influenza epicentre. At least two of the three pandemics in the last century, including 1957 and 1968 influenza pandemics, originated from this area. In 1996, A/goose/Guangdong/1/1996 (H5N1), the precursor of currently circulating highly pathogenic H5N1 avian influenza viruses (HPAIVs) was identified in farmed geese in southern China. These H5N1 HPAIVs have been spread across Asia, Europe and Africa and poses a continuous threat to both animal and human health. However, how and where this H5N1 HPAIV emerged are not fully understood. In the past decade, many influenza surveillance efforts have been carried out in southern China, and our understanding of the genetic diversity of non-human influenza A viruses in this area has been much better than ever. Here, the historical and first-hand experimental data on A/goose/Guangdong/1/1996(H5N1)-like HPAIVs are reviewed within the context of the findings from recent surveillance efforts on H5N1 HPAIVs and other non-human influenza A viruses. Such a retrospective recapitulation suggests that long-term and systematic surveillance programmes should continue to be implemented in southern China that the wet markets on the animal-human interface shall be the priority area and that the surveillance on the animal species bridging the interface between wildlife and domestic animal populations and the interface between the aquatics and territories shall be the strengthened.     

beta-Lactam resistance and beta-lactamases in bacteria of animal origin

beta-Lactams are among the most clinically important antimicrobials in both human and veterinary medicine. Bacterial resistance to beta-lactams has been increasingly observed in bacteria, including those of animal origin. The mechanisms of beta-lactam resistance include inaccessibility of the drugs to their target, target alterations and/or inactivation of the drugs by beta-lactamases. The latter contributes predominantly to beta-lactam resistance in Gram-negative bacteria. A variety of beta-lactamases have been identified in bacteria derived from food-producing and companion animals and may further serve as a reservoir for beta-lactamase-producing bacteria in humans. While this review mainly describes beta-lactamases from animal-derived Escherichia coli and Salmonella spp., beta-lactamases from animal-derived Campylobacter spp., Enterococcus spp., Staphylococcus spp. and other pathogens are also discussed. Of particular concern are the increasingly-isolated plasmid-encoded AmpC-type CMY and extended-spectrum CTX-M beta-lactamases, which mediate acquired resistance to extended-spectrum beta-lactams. The genes encoding these enzymes often coexist with other antimicrobial resistance determinants and can also be associated with transposons/integrons, increasing the potential enrichment of multidrug resistant bacteria by multiple antimicrobial agents as well as dissemination of the resistance determinants among bacterial species. Characterization of beta-lactam-resistant animal-derived bacteria warrants further investigation of the type and distribution of beta-lactamases in bacteria of animal origin and their potential impact on human medicine.     

Application of Campylobacter molecular classification and typing techniques in veterinary medicine: old-established methods and new perspectives

In this review the application and usefulness of Campylobacter genotypical classification and typing in veterinary medicine will be discussed.While there is a large area of overlapping applications between the veterinary and the medical field, several differences exist, as the spectrum of veterinary pathogens is different from the human and contaminated food of healthy animal origin may cause disease in man. In general, genotyping in the veterinary field can be applied in three different areas: (a) purely diagnostic purposes for classification of Campylobacter species and subspecies, (b) typing methods useful for monitoring or surveillance of animals as well as food products of animal origin, and (c) typing methods that can be applied during outbreaks and for source tracing. In addition, typing methods applied in areas (b) and (c) should be distinguished in regard to local short-term and global long-term epidemiology, respectively. While a whole plethora of discriminative typing methods are available, classification tools of certain species and subspecies are still missing. Perspectively, as the genomes of many relevant Campylobacter species have now been sequenced, this will help to identify several species specific loci, the products of which should be available to develop easy and fast applicable diagnostic tools. Global cooperation, sharing of strains and databases should close the currently existing gaps in Campylobacter identification tools.     

International trade, animal health and veterinary epidemiology: challenges and opportunities

The link between international trade, animal health and epidemiology has been recognized for a long time and has taken an additional importance in the aftermath of the Uruguay Round of Multilateral Trade Negotiations of the General Agreement on Tariffs and Trade (GATT) and of the inception of the World Trade Organization. The Agreement on the Application of Sanitary and Phytosanitary Measures of the World Trade Organization demands that sanitary and phytosanitary measures be scientifically based, placing epidemiology at the center of decisions related animal health and trade. This paper analyses the interactions between international trade of animals (and animal products) and epidemiology with discussion on the inputs of epidemiology in surveillance, risk analysis and regionalization.     

Towards the establishment and standardization of a veterinary antimicrobial resistance surveillance and monitoring programme in South Africa

The objective of this study was to establish a repeatable, standardized laboratory procedure for monitoring the development of antimicrobial resistance in bacteria isolated from animals and food of animal origin in South Africa, with reagents prepared in-house. The emergence of resistance and the spread of resistant bacteria can be limited by implementing a veterinary antimicrobial drug policy, in which inter alia systematic monitoring and prudent use play essential roles. The bacteria included in this study represented three different categories, namely zoonotic bacteria (Salmonella), indicator bacteria (Escherichia coli, Enterococcus faecalis and Enterococcus faecium) and veterinary pathogens (Mannheimia haemolytica). Thirty isolates of each species were collected with the aim of standardizing the laboratory methodology for a future national veterinary surveillance and monitoring programme. Susceptibility to ten selected antimicrobial drugs was determined by means of minimum inhibitory concentrations (MICs) using the microdilution method. The method according to the National Committee for Clinical Laboratory Standards was used as the standard. Multi-well plates containing varying dilutions of antimicrobial drugs and prepared in-house for MIC determinations, yielded repeatable results. Storage of plates for 2 months at -70 degrees C did not influence results meaningfully. Within this limited sample of bacteria, MIC results did not indicate meaningful resistance against any of the ten selected antimicrobial drugs. The findings of the study will be used to establish a national veterinary antimicrobial resistance surveillance and monitoring programme in South Africa. To allow for international comparison of data, harmonisation of the surveillance and monitoring programme in accordance with global trends is encouraged. Ideally it should be combined with a programme monitoring the quantities of antimicrobial drugs used. The aim is to contribute to slowing down the emergence of resistance and the problems associated with this phenomenon by means of the rational use of antimicrobial drugs.