期刊
CRITICAL REVIEWS IN FOOD SCIENCE AND NUTRITION
卷 -, 期 -, 页码 -出版社
TAYLOR & FRANCIS INC
DOI: 10.1080/10408398.2023.2284858
关键词
antimicrobial resistance; AmpC beta-lactamase; carbapenemase; ESBL; gram-negative bacteria
There is an increasing concern about the occurrence of antimicrobial-resistant Enterobacteriaceae in vegetables. Vegetables serve as vectors for the dissemination of resistance mechanisms previously observed in hospitals.
Vegetables are crucial for a healthy human diet due to their abundance of essential macronutrients and micronutrients. However, there have been increased reports of antimicrobial-resistant Enterobacteriaceae isolated from vegetables. Enterobacteriaceae is a large group of Gram-negative bacteria that can act as commensals, intestinal pathogens, or opportunistic extraintestinal pathogens. Extraintestinal infections caused by Enterobacteriaceae are a clinical concern due to antimicrobial resistance (AMR). beta-lactams have high efficacy against Gram-negative bacteria and low toxicity for eukaryotic cells. These antimicrobials are widely used in the treatment of Enterobacteriaceae extraintestinal infections. This review aimed to conduct a literature survey of the last five years (2018-2023) on the occurrence of beta-lactam-resistant Enterobacteriaceae in vegetables. Research was carried out in PubMed, Web of Science, Scopus, ScienceDirect, and LILACS (Latin American and Caribbean Health Sciences Literature) databases. After a careful evaluation, thirty-seven articles were selected. beta-lactam-resistant Enterobacteriaceae, including extended-spectrum beta-lactamases (ESBLs)-producing, AmpC beta-lactamases, and carbapenemases, have been isolated from a wide variety of vegetables. Vegetables are vectors of beta-lactam-resistant Enterobacteriaceae, contributing to the dissemination of resistance mechanisms previously observed only in the hospital environment.
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