Animal source food eating habits of outpatients with antimicrobial resistance in Bukavu, D.R. Congo
| Autor: | Theophile Kashosi Mitima, Brigitte Bora Neema, Olivier Basole Kashongwe, Ghislain Bilamirwa Ngaruka, Antoine Sadiki Kishabongo |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Male Microbiology (medical) Staphylococcus aureus Veterinary medicine medicine.medical_specialty Meat Adolescent Antibiotic resistance medicine.drug_class Antibiotics Infectious and parasitic diseases RC109-216 Microbial Sensitivity Tests Drug resistance Young Adult Medical microbiology Ciprofloxacin Drug Resistance Multiple Bacterial Outpatients Animal source foods Escherichia coli Animals Humans Medicine Pharmacology (medical) Feces Retrospective Studies business.industry Research Animal Source Foods Public Health Environmental and Occupational Health Diet Multiple drug resistance Klebsiella pneumoniae Cross-Sectional Studies Milk Infectious Diseases Democratic Republic of the Congo Female business medicine.drug |
| Zdroj: | Antimicrobial Resistance and Infection Control Antimicrobial Resistance and Infection Control, Vol 10, Iss 1, Pp 1-10 (2021) |
| ISSN: | 2047-2994 |
| Popis: | BackgroundAntibiotic resistance is a public health concern in Democratic Republic Congo and worldwide. It is usually caused by antibiotic over prescription or dispensing practices. The consumption of animal source food (ASF) could be another source of antibiotic resistance but is rarely studied. The objective of the study was to evaluate the eating habits of ASF by outpatients with antimicrobial resistance through an analysis of (i) the association of their antimicrobial resistance with ASF consumption; (ii) the influence of the types of ASF on their antimicrobial resistance.MethodsThis is a retrospective analytical study conducted at three major Hospitals in Bukavu City (D. R. Congo). A total number of 210 patients, whose samples (mainly faeces and urine) had been subjected to bacterial examination, was included in this study. Morphological, biochemical and antibiotic susceptibility (using disc diffusion method) tests were performed on the samples. This served to isolate and identify resistant bacteria. Afterwards, patients responded to questions about the types and quantity of ASF eaten in the last week. We analysed data using descriptive statistics, logistic regression and non-parametric ranking tests.ResultsEscherichia coli(37.1%),Klebsiella pneumonae(14.7%), andStaphylococcus aureus(13.8%) were the most prevalent bacteria.E. coli(68.4%) andK. pneumonae(87.5%) were multidrug resistant (MDR), whileS. aureus(7.7%) was minor. Low beef (O.R. 0.737, C.I. 0.542–1.002) and pork (O.R. 0.743, C.I. 0.560 – 0.985) consumption led to significantly (p ConclusionThe findings of this study suggest a contribution of human nutrition to antimicrobial resistance frequency. Our results show the existence of a high prevalence of multi-drug resistant bacteria in patients for which eating beef, pork and drinking milk are major risk factors. Therefore, a stricter control of antibiotic usage in livestock production and of their presence in ASF is recommended. |
| Databáze: | OpenAIRE |
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