Acinetobacter: an underrated foodborne pathogen?

Acinetobacter: an underrated foodborne pathogen?
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DOI:
10.3855/jidc.8418
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发表时间:
2017-02
影响因子:
1.9
通讯作者:
A. M. B. Amorim;J. S. Nascimento
A. M. B. Amorim;J. S. Nascimento
中科院分区:
医学4区
文献类型:
--
作者:
A. M. B. Amorim;J. S. Nascimento

文献摘要

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在发展中国家观察到的食源性疾病日益流行与生食消费的增加有关。然而,与通常与食源性疾病有关的经典病原体不同,不动杆菌属的成员很少与肠道疾病相关,可能是因为难以从食物来源中分离这些革兰氏阴性菌。然而,几种不动杆菌,尤其是A.鲍曼不动杆菌具有许多与成功的病原体相关的特征,并表现出获得多药耐药(MDR)表型的惊人能力。在这篇简短的综述中,我们总结了与MDR不动杆菌相关的流行病学数据,并考虑了证据表明,受污染的乳制品,沿着生水果和蔬菜,构成了这种被低估的病原体的医院外储存库,并可能增加免疫功能低下的个人和幼儿在医疗机构的风险。
The increasing prevalence of foodborne diseases observed in developing countries has been linked to a rise in the consumption of raw foods. However, unlike the classical pathogens that are commonly implicated in foodborne illnesses, members of the genus Acinetobacter are rarely associated with diarrheal disease, probably because of the difficulty in isolating these Gram-negative bacteria from food sources. Nevertheless, several species of Acinetobacter, especially A. baumannii, possess many of the characteristics associated with successful pathogens and exhibit a prodigious ability to acquire the multiple-drug resistance (MDR) phenotype. In this mini-review, we summarize the epidemiological data relating to MDR Acinetobacter and consider evidence suggesting that contaminated dairy products, along with raw fruit and vegetables, constitute extra-hospital reservoirs of this underrated pathogen, and may represent an increased risk to immunocompromised individuals and young children in healthcare settings.