Abstract
[EXSCINDED]
Abstract
Background
Understanding potential risks of multi-drug resistant (MDR) pathogens from the booming poultry sector is a crucial public health concern, particularly for developing countries. Campylobacter spp. are among the most important zoonotic pathogens associated with MDR infections in poultry and human. This study systematically examined potential risks and associated socio-environmental factors of MDR Campylobacter spp. in poultry farms and live bird markets (LBMs) of Bangladesh.Methods
Microbial culture and PCR-based methods were applied to examine the occurrence and MDR patterns of Campylobacter spp. at hatcheries, broiler farms and LBMs. Antimicrobial residues in broiler meat and liver samples were detected by advanced chromatogrhaphic techniques. A questionnaire based cross-sectional survey was conducted on socio-environmental factors.Results
In poultry farms, Campylobacter spp. was primarily found in broiler cloacal swabs (21/49, 43%), followed by water (8/24, 33%) and broiler meat (8/28, 29%). Remarkably, in live bird markets, Campylobacter spp. was detected in higher prevalence in broiler meat (14/26, 54%), which could have an association with bacterial contamination in water sources (11/21, 52%) and floor (9/21, 43%). Majority isolates of the predominant species, i.e., Campylobacter jejuni (33/47, 70%) and Campylobacter coli (14/24, 58%), were observed to be MDR, showing resistance to amoxycilin, tetracycline and erythromycin, and additionally ciprofloxacin, norfloxacin, streptomycin, and azithromycin. Residual antimicrobials, including oxytetracycline, ciprofloxacin and enrofloxacin, were detected in majority of broiler liver (79%) and meat (62%) samples; and alarmingly, 33% and 19%, respectively, with concentration above acceptable limit. Inadequate personal and environmental hygiene, unscrupulously use of antimicrobials, improper waste disposal, and lack of health surveillance and quarantine facilities of diseased birds were distinguishable anthropogenic risk factors, with local diversity and compound influences on MDR pathogens.Conclusion
The observed large-scale occurrence of MDR C. jejuni and C. coli and residual antimicrobials in poultry value chain reflects an alarming situation for public health in Bangladesh. Potential contamination sources of MDR Campylobacter and the combined influences of diverse socio-environmental risk factors, noted in this study, would aid in developing interventions to minimize the increasing risks of poultry-associated MDR pathogens under ‘One Health’ banner that includes poultry, human and environment perspectives.