1. Trends in antimicrobial resistance among Escherichia coli from defined infections in humans and animals
- Author
-
Jean-Yves Madec, Clémence Bourély, Nathalie Jarrige, Jocelyne Caillon, Claire Chauvin, Géraldine Cazeau, Thomas Coeffic, Marisa Haenni, Eric Jouy, Agnès Leblond, S. Thibaut, École Nationale des Services Vétérinaires (ENSV), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS), Unité Mixte de Recherche d'Épidémiologie des maladies Animales et zoonotiques (UMR EPIA), VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), MedQual network, Centre hospitalier universitaire de Nantes (CHU Nantes), Laboratoire de Lyon [ANSES], Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), Unité Epidémiologie, Santé et Bien-être (EPISABE), Laboratoire de Ploufragan-Plouzané-Niort [ANSES], Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES)-Agence nationale de sécurité sanitaire de l'alimentation, de l'environnement et du travail (ANSES), and Unité Antibiorésistance et Virulence Bactériennes
- Subjects
0301 basic medicine ,Microbiology (medical) ,Veterinary medicine ,Food-producing animals ,Swine ,medicine.drug_class ,MESH: Dog Diseases ,[SDV]Life Sciences [q-bio] ,030106 microbiology ,Cephalosporin ,Antibiotics ,Microbial Sensitivity Tests ,Drug resistance ,Cat Diseases ,medicine.disease_cause ,Poultry ,03 medical and health sciences ,Dogs ,Antibiotic resistance ,Antibiogram ,MESH: Anti-Bacterial Agents ,Drug Resistance, Bacterial ,medicine ,Escherichia coli ,Animals ,Humans ,Pharmacology (medical) ,Dog Diseases ,Escherichia coli Infections ,MESH: Escherichia coli Infections ,Pharmacology ,MESH: Microbial Sensitivity Tests ,biology ,Resistance (ecology) ,medicine.diagnostic_test ,MESH: Cat Diseases ,biology.organism_classification ,Anti-Bacterial Agents ,3. Good health ,030104 developmental biology ,Infectious Diseases ,Cats ,Antibiotic use ,Cattle ,Bacteria - Abstract
Objectives To characterize and compare resistance trends in clinical Escherichia coli isolates from humans, food-producing animals (poultry, cattle and swine) and pets (dogs and cats). Methods Antibiogram results collected between January 2014 and December 2017 by MedQual [the French surveillance network for antimicrobial resistance (AMR) in bacteria isolated from the community] and RESAPATH (the French surveillance network for AMR in bacteria from diseased animals) were analysed, focusing on resistance to antibiotics of common interest to human and veterinary medicine. Resistance dynamics were investigated using generalized additive models. Results In total, 743 637 antibiograms from humans, 48 170 from food-producing animals and 7750 from pets were analysed. For each antibiotic investigated, the resistance proportions of isolates collected from humans were of the same order of magnitude as those from food-producing animals or pets. However, resistance trends in humans differed from those observed in pets and food-producing animals over the period studied. For example, resistance to third-generation cephalosporins and fluoroquinolones was almost always below 10% for both humans and animals. However, in contrast to the notable decreases in resistance observed in both food-producing animals and pets, resistance in humans decreased only slightly. Conclusions Despite several potential biases in the data, the resistance trends remain meaningful. The strength of the parallel is based on similar data collection in humans and animals and on a similar statistical methodology. Resistance dynamics seemed specific to each species, reflecting different antibiotic-use practices. These results advocate applying the efforts already being made to reduce antibiotic use to all sectors and all species, both in human and veterinary medicine.
- Published
- 2020
- Full Text
- View/download PDF