Antibiotic Use and Resistance Knowledge Assessment of Personnel on Chicken Farms with High Levels of Antimicrobial Resistance: A Cross-Sectional Survey in Ica, Peru

Poultry farming represents Peru’s primary food animal production industry, where antimicrobial growth promoters are still commonly used, exerting selective pressure on intestinal microbial populations. Consumption and direct animal-to-human transmission have been reported, and farmworkers are at hig...

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Main Authors: María Dávalos-Almeyda, Agustín Guerrero, Germán Medina, Alejandra Dávila-Barclay, Guillermo Salvatierra, Maritza Calderón, Robert H. Gilman, Pablo Tsukayama
Format: Article
Language:English
Published: MDPI AG 2022-02-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/11/2/190
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author María Dávalos-Almeyda
Agustín Guerrero
Germán Medina
Alejandra Dávila-Barclay
Guillermo Salvatierra
Maritza Calderón
Robert H. Gilman
Pablo Tsukayama
author_facet María Dávalos-Almeyda
Agustín Guerrero
Germán Medina
Alejandra Dávila-Barclay
Guillermo Salvatierra
Maritza Calderón
Robert H. Gilman
Pablo Tsukayama
author_sort María Dávalos-Almeyda
collection DOAJ
description Poultry farming represents Peru’s primary food animal production industry, where antimicrobial growth promoters are still commonly used, exerting selective pressure on intestinal microbial populations. Consumption and direct animal-to-human transmission have been reported, and farmworkers are at high risk of colonization with resistant bacteria. We conducted a cross-sectional survey among 54 farmworkers to understand their current antimicrobial resistance (AMR) awareness in Ica, Peru. To gain insight into the potential work-related risk of exposure to bacteria, we also measured the AMR rates in <i>Escherichia coli</i> isolated among 50 broiler chickens. Farmworkers were unaware of antimicrobial resistance (31.5%) or antibiotic resistance (16.7%) terms. Almost two-thirds (61%) consumed antibiotics during the previous month, and only 42.6% received a prescription from a healthcare professional. A total of 107 <i>E. coli</i> chicken isolates were obtained, showing a high frequency of multidrug-resistant (89.7%) and extended-spectrum beta-lactamase (ESBL) production (71.9%). Among ESBL-producer isolates, 84.4% carried the <i>bla</i><sub>CTX-M</sub> gene. Results identified gaps in knowledge that reflect the need for interventions to increase antimicrobial awareness among poultry farmworkers. The high AMR rates among <i>E. coli</i> isolates highlight the need to reduce antimicrobial use in poultry farms. Our findings reveal a critical need for effective policy development and antimicrobial stewardship interventions in poultry production in Ica, Peru.
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spelling doaj.art-f3e54cea6342456f9418e5bc5a4ab1e42023-11-23T18:27:57ZengMDPI AGAntibiotics2079-63822022-02-0111219010.3390/antibiotics11020190Antibiotic Use and Resistance Knowledge Assessment of Personnel on Chicken Farms with High Levels of Antimicrobial Resistance: A Cross-Sectional Survey in Ica, PeruMaría Dávalos-Almeyda0Agustín Guerrero1Germán Medina2Alejandra Dávila-Barclay3Guillermo Salvatierra4Maritza Calderón5Robert H. Gilman6Pablo Tsukayama7School of Veterinary Medicine, Universidad Nacional San Luis Gonzaga, Ica 11004, PeruSchool of Veterinary Medicine, Universidad Nacional San Luis Gonzaga, Ica 11004, PeruSchool of Veterinary Medicine, Universidad Nacional San Luis Gonzaga, Ica 11004, PeruMicrobial Genomics Laboratory, Department of Cellular and Molecular Sciences, Faculty of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, Lima 15102, PeruMicrobial Genomics Laboratory, Department of Cellular and Molecular Sciences, Faculty of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, Lima 15102, PeruInfectious Diseases Research Laboratories, Department of Cellular and Molecular Sciences, Faculty of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, Lima 15102, PeruDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21218, USAMicrobial Genomics Laboratory, Department of Cellular and Molecular Sciences, Faculty of Sciences and Philosophy, Universidad Peruana Cayetano Heredia, Lima 15102, PeruPoultry farming represents Peru’s primary food animal production industry, where antimicrobial growth promoters are still commonly used, exerting selective pressure on intestinal microbial populations. Consumption and direct animal-to-human transmission have been reported, and farmworkers are at high risk of colonization with resistant bacteria. We conducted a cross-sectional survey among 54 farmworkers to understand their current antimicrobial resistance (AMR) awareness in Ica, Peru. To gain insight into the potential work-related risk of exposure to bacteria, we also measured the AMR rates in <i>Escherichia coli</i> isolated among 50 broiler chickens. Farmworkers were unaware of antimicrobial resistance (31.5%) or antibiotic resistance (16.7%) terms. Almost two-thirds (61%) consumed antibiotics during the previous month, and only 42.6% received a prescription from a healthcare professional. A total of 107 <i>E. coli</i> chicken isolates were obtained, showing a high frequency of multidrug-resistant (89.7%) and extended-spectrum beta-lactamase (ESBL) production (71.9%). Among ESBL-producer isolates, 84.4% carried the <i>bla</i><sub>CTX-M</sub> gene. Results identified gaps in knowledge that reflect the need for interventions to increase antimicrobial awareness among poultry farmworkers. The high AMR rates among <i>E. coli</i> isolates highlight the need to reduce antimicrobial use in poultry farms. Our findings reveal a critical need for effective policy development and antimicrobial stewardship interventions in poultry production in Ica, Peru.https://www.mdpi.com/2079-6382/11/2/190AMRpublic awarenessfarmworkersESBLchickengrowth promoters
spellingShingle María Dávalos-Almeyda
Agustín Guerrero
Germán Medina
Alejandra Dávila-Barclay
Guillermo Salvatierra
Maritza Calderón
Robert H. Gilman
Pablo Tsukayama
Antibiotic Use and Resistance Knowledge Assessment of Personnel on Chicken Farms with High Levels of Antimicrobial Resistance: A Cross-Sectional Survey in Ica, Peru
Antibiotics
AMR
public awareness
farmworkers
ESBL
chicken
growth promoters
title Antibiotic Use and Resistance Knowledge Assessment of Personnel on Chicken Farms with High Levels of Antimicrobial Resistance: A Cross-Sectional Survey in Ica, Peru
title_full Antibiotic Use and Resistance Knowledge Assessment of Personnel on Chicken Farms with High Levels of Antimicrobial Resistance: A Cross-Sectional Survey in Ica, Peru
title_fullStr Antibiotic Use and Resistance Knowledge Assessment of Personnel on Chicken Farms with High Levels of Antimicrobial Resistance: A Cross-Sectional Survey in Ica, Peru
title_full_unstemmed Antibiotic Use and Resistance Knowledge Assessment of Personnel on Chicken Farms with High Levels of Antimicrobial Resistance: A Cross-Sectional Survey in Ica, Peru
title_short Antibiotic Use and Resistance Knowledge Assessment of Personnel on Chicken Farms with High Levels of Antimicrobial Resistance: A Cross-Sectional Survey in Ica, Peru
title_sort antibiotic use and resistance knowledge assessment of personnel on chicken farms with high levels of antimicrobial resistance a cross sectional survey in ica peru
topic AMR
public awareness
farmworkers
ESBL
chicken
growth promoters
url https://www.mdpi.com/2079-6382/11/2/190
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