Retail Meat Consumption and the Acquisition of Antimicrobial Resistant<i>Escherichia coli</i>Causing Urinary Tract Infections: A Case–Control Study

Manges, Amee R.; Smith, Sherry P.; Lau, Briana J.; Nuval, Christaline J.; Eisenberg, Joseph N.S.; Dietrich, Peter S.; Riley, Lee W.

doi:10.1089/fpd.2007.0026

Cited by 141 publications

(117 citation statements)

References 29 publications

(37 reference statements)

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“…Exposure to commercial-scale farm raised chickens 17 and consumption of retail meat 19 have been shown to increase individuals' risk for carriage of and infection by antibioticresistant E. coli , and the causal link between the carriage of resistant fecal flora in human populations and the use of antibiotics in farm animals has been amply demonstrated. 15,18,21 Conditions of poor sanitation are thought to play an important role in the widespread dissemination of resistant fecal bacteria in developing countries, 25,26 but the degree of risk in such settings caused by medical versus agricultural use of antibiotics is unclear.…”

Section: Discussionmentioning

confidence: 99%

“…17 The spread of resistance factors from animal to human flora, including interbacterial species transmission, has been documented or is highly suspected in E. coli , Camphylobacter spp., 15 Enterococcus spp., 18 and other bacteria. Exposure to drug resistant animal flora can lead to disease 19,20 and prevalent carriage of resistant bacteria in human populations. 18,21 Low level antibiotics use also may contribute to resistance, by selecting low-level resistance strains.…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors for Antibiotic-Resistant Escherichia coli Carriage in Young Children in Peru: Community-Based Cross-Sectional Prevalence Study

Kalter¹,

Gilman²,

Moulton³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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Abstract. Few studies have examined the influence of individual-, household-, and community-scale risk factors on carriage of resistant commensal bacteria. We determined children's medical, agricultural, and environmental exposures by household, pharmacy, and health facility surveys and Escherichia coli cultures of children, mothers' hands, household animals, and market chickens in Peru. Among 522 children with a positive stool culture, by log-binomial regression, using "any antibiotic" and 1-14 (versus 0) sulfa doses in the past 3 months increased children's risk, respectively, for ampicillin-and sulfamethoxazole-resistant E. coli carriage ( P = 0.01-0.02). Each household member taking "any antibiotic" increased children's risk for sulfamethoxazole-and multidrug-resistant E. coli carriage ( P < 0.0001). Residence in a zone where a larger proportion of households served home-raised chicken (as contrasted with intensively antibiotic-raised market chicken) protected against carrying E. coli resistant to all drugs ( P = 0.0004-0.04). Environmental contamination with drug-resistant bacteria appeared to significantly contribute to children's carriage of antibiotic-resistant E. coli .

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk Factors for Antibiotic-Resistant Escherichia coli Carriage in Young Children in Peru: Community-Based Cross-Sectional Prevalence Study

Kalter¹,

Gilman²,

Moulton³

et al. 2010

The American Society of Tropical Medicine and Hygiene

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“…Therefore, detection of a specifi c transmission route (e.g., foodborne) could not be directly addressed in this study. However, an earlier study, on the basis of epidemiologic data, has implicated frequent consumption of chicken and pork in the development of drug-resistant UTIs (31). Also, limited reproducibility of the ERIC2 PCR may have contributed to an underestimation of the number of clonal groups, particularly those clonal groups with only a few members (32).…”

Section: Discussionmentioning

confidence: 99%

Endemic and Epidemic Lineages ofEscherichia colithat Cause Urinary Tract Infections

Manges

Tabor²,

Tellis³

et al. 2008

Emerg. Infect. Dis.

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109

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Women with urinary tract infections (UTIs) in California, USA (1999USA ( -2001, were infected with closely related or indistinguishable strains of Escherichia coli (clonal groups), which suggests point source dissemination. We compared strains of UTI-causing E. coli in California with strains causing such infections in Montréal, Québec, Canada. Urine specimens from women with community-acquired UTIs in Montréal (2006) were cultured for E. coli. Isolates that caused 256 consecutive episodes of UTI were characterized by antimicrobial drug susceptibility profi le, enterobacterial repetitive intergenic consensus 2 PCR, serotyping, XbaI and NotI pulsed-fi eld gel electrophoresis, multilocus sequence typing, and phylogenetic typing. We confi rmed the presence of drug-resistant, genetically related, and temporally clustered E. coli clonal groups that caused community-acquired UTIs in unrelated women in 2 locations and 2 different times. Two clonal groups were identifi ed in both locations. Epidemic transmission followed by endemic transmission of UTI-causing clonal groups may explain these clusters of UTI cases.

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“…Collaborative efforts have begun between the WHO-AGISAR and the FAO to implement integrated foodborne pathogen and AMR surveillance in the poultry, beef, pig and aquaculture value chains across Asia and Africa. The aim of these international collaborative efforts is to strengthen national capacities for AMR surveillance and to fill some of the data and information gaps to inform the development of appropriate national policies for several industries including good animal husbandry, health and hygiene [53].…”

Section: Animal Husbandry and Waste Managementmentioning

confidence: 99%

“…There are studies that cover a range of issues including but not limited to the uncertainties about the use of antibiotics in food animals and the risk posed to human health [62,63]; the epidemiological and molecular evidence for the spread of resistance from food animals to man [53,60,61,64]; and the benefits and risks of antimicrobial use in food-producing animals [65,66]. Despite the numerous studies focused on these issues, the WHO surveillance report (2014) indicated that there are major gaps associated with the surveillance and sharing of data around resistance in foodborne bacteria and its relationship with animal and human health [4].…”

Section: Food Safetymentioning

confidence: 99%

Understanding the contribution of environmental factors in the spread of antimicrobial resistance

Fletcher-Lartey

2015

Environ Health Prev Med

214

131

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The overuse and abuse of antibiotics have contributed to the global epidemic of antibiotic resistance. Current evidence suggests that widespread dependency on antibiotics and complex interactions between human health, animal husbandry and veterinary medicine, have contributed to the propagation and spread of resistant organisms. The lack of information on pathogens of major public health importance, limited surveillance, and paucity of standards for a harmonised and coordinated approach, further complicates the issue. Despite the widespread nature of antimicrobial resistance, limited focus has been placed on the role of environmental factors in propagating resistance. There are limited studies that examine the role of the environment, specifically water, sanitation and hygiene factors that contribute to the development of resistant pathogens. Understanding these elements is necessary to identify any modifiable interactions to reduce or interrupt the spread of resistance from the environment into clinical settings. This paper discusses some environmental issues that contribute to antimicrobial resistance, including soil related factors, animal husbandry and waste management, potable and wastewater, and food safety, with examples drawn mainly from the Asian region. The discussion concludes that some of the common issues are often overlooked and whilst there are numerous opportunities for environmental factors to contribute to the growing burden of antimicrobial resistance, a renewed focus on innovative and traditional environmental approaches is needed to tackle the problem.

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Retail Meat Consumption and the Acquisition of Antimicrobial ResistantEscherichia coliCausing Urinary Tract Infections: A Case–Control Study

Abstract: This study provides epidemiologic evidence that antimicrobial resistant, UTI-causing E. coli could have a food reservoir, possibly in poultry or pork.

Cited by 141 publications

References 29 publications

Risk Factors for Antibiotic-Resistant Escherichia coli Carriage in Young Children in Peru: Community-Based Cross-Sectional Prevalence Study

Risk Factors for Antibiotic-Resistant Escherichia coli Carriage in Young Children in Peru: Community-Based Cross-Sectional Prevalence Study

Endemic and Epidemic Lineages ofEscherichia colithat Cause Urinary Tract Infections

Understanding the contribution of environmental factors in the spread of antimicrobial resistance

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