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Has Retail Chicken Played a Role in the Decline of Human Campylobacteriosis?▿

机译:零售鸡肉在人类弯曲菌病的减少中发挥了作用吗?▿

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摘要

Between 2001 and 2006, the incidence of human Campylobacter infections decreased by 10 and 27% in Scotland and the Grampian region of Scotland, respectively. Contemporaneous collection and analyses of human and retail-chicken isolates from Grampian were carried out over a 10-week period in 2001 and again in 2006 in order to determine whether the fall in the incidence of human infections was related to the retail-chicken exposure route. Rates of carriage of Campylobacter on chicken carcasses from retail outlets in Grampian in 2001 and 2006 were estimated. Chicken-derived Campylobacter isolates from 2001 (n = 84) and 2006 (n = 105) and human-derived isolates from patients with clinical cases of infection in 2001 (n = 172) and 2006 (n = 119) were typed by multilocus sequence typing. We found no evidence for statistically significant changes in prevalence and counts per carcass. We found by rarefaction that although the degree of diversity in humans tended to be higher than that in chickens, these differences were not significant. The genetic distance between chicken and human isolates from 2001 according to sequence type, clonal complex (CC), or allele composition was not significant, whereas the distances between 2006 isolates at the CC and allele levels were significant. This difference was attributable to a lower proportion of CC-21's being found in retail-chicken isolates from 2006 than in chicken isolates from 2001. We conclude that human exposure to Campylobacter via retail chicken is important and that changes in the population structure of campylobacters in this reservoir need to be taken into account in investigating human infection.
机译:在2001年至2006年之间,苏格兰和苏格兰格兰屏地区的人弯曲杆菌感染发生率分别下降了10%和27%。为了确定人类感染发生率的下降是否与零售鸡接触途径有关,于2001年和2006年进行了为期10周的同期采集和分析来自格兰屏的人和零售鸡分离株的研究。 。估计了2001年和2006年从格兰屏市的零售商店中,弯曲杆菌在鸡体上的运输速率。使用多基因座序列对2001年(n = 84)和2006(n = 105)的鸡源弯曲杆菌分离株以及2001年(n = 172)和2006(n = 119)有临床感染病例的人源分离株进行分型打字。我们发现没有证据表明每个car体的患病率和计数有统计学上的显着变化。我们通过稀疏发现,尽管人类的多样性程度往往高于鸡,但是这些差异并不显着。根据序列类型,克隆复合物(CC)或等位基因组成,2001年的鸡与人分离株之间的遗传距离不显着,而CC和等位基因水平上的2006年分离株之间的距离则不显着。造成这种差异的原因是,2006年零售鸡分离株中CC-21的含量低于2001年鸡分离株。我们得出结论,人类通过零售鸡对弯曲杆菌的暴露很重要,而且弯曲杆菌的种群结构发生了变化。在调查人类感染时,必须考虑使用该水库。

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