Document Detail

The public health risks of enterobacterial isolates producing extended-spectrum β-lactamases (ESBL) or AmpC β-lactamases in food and food-producing animals: An EU perspective of epidemiology, analytical methods, risk factors and control options.
MedLine Citation:
PMID:  23243183     Owner:  NLM     Status:  Publisher    
bla(ESBL) and bla(AmpC) in Enterobacteriaceae are spread by plasmid-mediated integrons, insertion sequences and transposons, some of which are homologous in bacteria from food-animals, foods and humans. These genes have been frequently identified in Escherichia coli and Salmonella from food-animals; the most common genes being bla(CTX-M-1), bla(CTX-M-14), and bla(CMY-2).Identification of risk factors for their occurrence in food-animals is complex. As well as generic antimicrobial use, cephalosporin usage is an important risk factor for selection and spread of these genes. Extensive international trade of animals is a further risk factor.There are no data on the effectiveness of individual control options in reducing public health risks. A highly effective option would be to stop or restrict cephalosporin usage in food-animals. Decreasing total antimicrobial use is also of high priority. Implementation of measures to limit strain dissemination (increasing farm biosecurity, controls in animal trade, and other general post-harvest controls) are also important.
Ernesto Liebana; Alessandra Carattoli; Teresa M Coque; Henrik Hasman; Anna-Pelagia Magiorakos; Dik Mevius; Luisa Peixe; Laurent Poirel; Gertraud Schuepbach-Regula; Karolina Torneke; Jordi Torren-Edo; Carmen Torres; John Threlfall
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-14
Journal Detail:
Title:  Clinical infectious diseases : an official publication of the Infectious Diseases Society of America     Volume:  -     ISSN:  1537-6591     ISO Abbreviation:  Clin. Infect. Dis.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9203213     Medline TA:  Clin Infect Dis     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Scientific Unit on Biological Hazards, European Food Safety Authority (EFSA), Parma, Italy.
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