Campylobacter Jejuni As an Emerging Multidrug-Resistant (MDR) Pathogen

Authors

  • Nazia Naz center for advanced studies in vaccinology and biotechnology, (CASVAB), UoB, Quetta
  • Abdul Samad center for advanced studies in vaccinology and biotechnology, (CASVAB), UoB, Quetta
  • Sajjad Haider Department of Pharmacy

DOI:

https://doi.org/10.31580/pjmls.v4iSpecial%20Is.2632

Keywords:

Campylobacter jejuni, MDR Pathogen, Antibiotic resistance

Abstract

Antimicrobial resistance is a serious health problem? worldwide ,harming humans, environment and animals  due to  irrational and increase use of antibiotics in different  areas (agriculture, farming, and human medicine).There are several factors contributing to the spread of drug resistance including the movement of diseased humans and animals, improper use of antibiotics, ineffective infection control measures, agricultural waste and environmental contaminants. Humans who are exposed to the pathogen Campylobacter get gastroenteritis, it is a gram negative bacteria needs microaerophilic environment for growth. Antibiotics such as fluoroquinolones and macrolides are the preferred medication for treating campylobacteriosis are losing their effectiveness against  this food-borne zoonotic pathogen. As a zoonotic pathogen  the infection spread to humans  from animal reservior  by contaminated food, water and milk.  The use of antibiotics in agriculture, human medicine and in animals a   as growth promoters can result in the emergence of Campylobacter resistance but the clinically significant antibiotics are losing their effectiveness against Campylobacter and  the health of the general people is being harmed by this rising resistance. It is challenging to stop the the appearance and spread of Campylobacter that is resistant to antibiotics due to the zoonotic nature of the disease, which makes it susceptible to drugs utilised both in traditional remedy and livestock farming.The most common pathogen associated with human food-borne outbreaks is thought to be Campylobacter jejuni. Several studies conducted in the recent years have revealed antimicrobial resistance (AMR) in C. jejuni strains. Concerns are growing as a result of the WHO's current designation of C. jejuni as a "high priority pathogen" since it has become resistant to a number of medications, including fluoroquinolones, macrolides, and other groups which has limited the options for treatment.

Author Biographies

  • Nazia Naz, center for advanced studies in vaccinology and biotechnology, (CASVAB), UoB, Quetta
    Antimicrobial resistance is a serious health problem? worldwide ,harming humans, environment and animals  due to  irrational and increase use of antibiotics in different  areas (agriculture, farming, and human medicine).There are several factors contributing to the spread of drug resistance including the movement of diseased humans and animals, improper use of antibiotics, ineffective infection control measures, agricultural waste and environmental contaminants. Humans who are exposed to the pathogen <em>Campylobacter </em>get gastroenteritis, it is a gram negative bacteria needs microaerophilic environment for growth. Antibiotics such as fluoroquinolones and macrolides are the preferred medication for treating campylobacteriosis are losing their effectiveness against  this food-borne zoonotic pathogen. As a zoonotic pathogen  the infection spread to humans  from animal reservior  by contaminated food, water and milk.  The use of antibiotics in agriculture, human medicine and in animals a   as growth promoters can result in the emergence of <em>Campylobacter</em> resistance but the clinically significant antibiotics are losing their effectiveness against <em>Campylobacter</em> and  the health of the general people is being harmed by this rising resistance. It is challenging to stop the the appearance and spread of <em>Campylobacter</em> that is resistant to antibiotics due to the zoonotic nature of the disease, which makes it susceptible to drugs utilised both in traditional remedy and livestock farming.The most common pathogen associated with human food-borne outbreaks is thought to be<em> Campylobacter jejuni</em>. Several studies conducted in the recent years have revealed antimicrobial resistance (AMR) in <em>C. jejuni</em> strains. Concerns are growing as a result of the WHO's current designation of <em>C. jejuni</em> as a "high priority pathogen" since it has become resistant to a number of medications, including fluoroquinolones, macrolides, and other groups which has limited the options for treatment.
  • Abdul Samad, center for advanced studies in vaccinology and biotechnology, (CASVAB), UoB, Quetta
    Antimicrobial resistance is a serious health problem? worldwide ,harming humans, environment and animals  due to  irrational and increase use of antibiotics in different  areas (agriculture, farming, and human medicine).There are several factors contributing to the spread of drug resistance including the movement of diseased humans and animals, improper use of antibiotics, ineffective infection control measures, agricultural waste and environmental contaminants. Humans who are exposed to the pathogen <em>Campylobacter </em>get gastroenteritis, it is a gram negative bacteria needs microaerophilic environment for growth. Antibiotics such as fluoroquinolones and macrolides are the preferred medication for treating campylobacteriosis are losing their effectiveness against  this food-borne zoonotic pathogen. As a zoonotic pathogen  the infection spread to humans  from animal reservior  by contaminated food, water and milk.  The use of antibiotics in agriculture, human medicine and in animals a   as growth promoters can result in the emergence of <em>Campylobacter</em> resistance but the clinically significant antibiotics are losing their effectiveness against <em>Campylobacter</em> and  the health of the general people is being harmed by this rising resistance. It is challenging to stop the the appearance and spread of <em>Campylobacter</em> that is resistant to antibiotics due to the zoonotic nature of the disease, which makes it susceptible to drugs utilised both in traditional remedy and livestock farming.The most common pathogen associated with human food-borne outbreaks is thought to be<em> Campylobacter jejuni</em>. Several studies conducted in the recent years have revealed antimicrobial resistance (AMR) in <em>C. jejuni</em> strains. Concerns are growing as a result of the WHO's current designation of <em>C. jejuni</em> as a "high priority pathogen" since it has become resistant to a number of medications, including fluoroquinolones, macrolides, and other groups which has limited the options for treatment.
  • Sajjad Haider, Department of Pharmacy
    Antimicrobial resistance is a serious health problem? worldwide ,harming humans, environment and animals  due to  irrational and increase use of antibiotics in different  areas (agriculture, farming, and human medicine).There are several factors contributing to the spread of drug resistance including the movement of diseased humans and animals, improper use of antibiotics, ineffective infection control measures, agricultural waste and environmental contaminants. Humans who are exposed to the pathogen <em>Campylobacter </em>get gastroenteritis, it is a gram negative bacteria needs microaerophilic environment for growth. Antibiotics such as fluoroquinolones and macrolides are the preferred medication for treating campylobacteriosis are losing their effectiveness against  this food-borne zoonotic pathogen. As a zoonotic pathogen  the infection spread to humans  from animal reservior  by contaminated food, water and milk.  The use of antibiotics in agriculture, human medicine and in animals a   as growth promoters can result in the emergence of <em>Campylobacter</em> resistance but the clinically significant antibiotics are losing their effectiveness against <em>Campylobacter</em> and  the health of the general people is being harmed by this rising resistance. It is challenging to stop the the appearance and spread of <em>Campylobacter</em> that is resistant to antibiotics due to the zoonotic nature of the disease, which makes it susceptible to drugs utilised both in traditional remedy and livestock farming.The most common pathogen associated with human food-borne outbreaks is thought to be<em> Campylobacter jejuni</em>. Several studies conducted in the recent years have revealed antimicrobial resistance (AMR) in <em>C. jejuni</em> strains. Concerns are growing as a result of the WHO's current designation of <em>C. jejuni</em> as a "high priority pathogen" since it has become resistant to a number of medications, including fluoroquinolones, macrolides, and other groups which has limited the options for treatment.

References

Organization WH. Antimicrobial resistance: global report on surveillance: World Health Organization; 2014.

Laxminarayan R, Duse A, Wattal C, Zaidi AK, Wertheim HF, Sumpradit N, Vlieghe E, Hara GL, Gould IM, Goossens H, Greko C. Antibiotic resistance—the need for global solutions. The Lancet infectious diseases. 2013;13(12):1057-98.

O'Neill J. Tackling drug-resistant infections globally: final report and recommendations. 2016.

Collignon P, Beggs JJ, Walsh TR, Gandra S, Laxminarayan R. Anthropological and socioeconomic factors contributing to global antimicrobial resistance: a univariate and multivariable analysis. The Lancet Planetary Health. 2018;2(9):e398-e405.

Bürgmann H, Frigon D, H Gaze W, M Manaia C, Pruden A, Singer AC, F Smets B, Zhang T. Water and sanitation: an essential battlefront in the war on antimicrobial resistance. FEMS microbiology ecology. 2018;94(9):fiy101.

Collignon PJ, McEwen SA. One health—its importance in helping to better control antimicrobial resistance. Tropical medicine and infectious disease. 2019;4(1):22.

Shrestha K, Acharya KP, Shrestha S. One health: The interface between veterinary and human health. International Journal of One Health. 2018;4(47):8-14.

Organization WH. Global diffusion of eHealth: making universal health coverage achievable: report of the third global survey on eHealth: World Health Organization; 2017.

Natsos G, Koutoulis K, Sossidou E, Chemaly M, Mouttotou N. Campylobacter spp. infection in humans and poultry. Journal of the Hellenic Veterinary Medical Society. 2016;67(2):65-82.

Pedersen SK, Wagenaar JA, Vigre H, Roer L, Mikoleit M, Aidara-Kane A, Cawthorne AL, Aarestrup FM, Hendriksen RS. Proficiency of WHO global foodborne infections network external quality assurance system participants in identification and susceptibility testing of thermotolerant Campylobacter spp. from 2003 to 2012. Journal of Clinical Microbiology. 2018;56(11):e01066-18.

Kaakoush NO, Castaño-Rodríguez N, Mitchell HM, Man SM. Global epidemiology of Campylobacter infection. Clinical microbiology reviews. 2015;28(3):687-720.

Boelaert F, Amore G, Van der Stede Y, Hugas M. EU-wide monitoring of biological hazards along the food chain: achievements, challenges and EFSA vision for the future. Current Opinion in Food Science. 2016;12:52-62.

Steiner TJ, Birbeck GL, Jensen R, Katsarava Z, Martelletti P, Stovner LJ. The global campaign, world health organization and lifting the burden: collaboration in action. Springer; 2011. p. 273-4.

Wieczorek MA, Neumann GA, Nimmo F, Kiefer WS, Taylor GJ, Melosh HJ, Phillips RJ, Solomon SC, Andrews-Hanna JC, Asmar SW, Konopliv AS. The crust of the Moon as seen by GRAIL. Science. 2013;339(6120):671-5.

Radostits OM, Rubinstein E. The therapeutic use of fluoroquinolones in poultry: the effect on Campylobacter and the potential human health consequences. International journal of infectious diseases. 2002;6:S49-S52.

Ventola CL. The antibiotic resistance crisis: part 1: causes and threats. Pharmacy and therapeutics. 2015;40(4):277.

Johnson NB, Hayes LD, Brown K, Hoo EC, Ethier KA. CDC National Health Report: leading causes of morbidity and mortality and associated behavioral risk and protective factors—United States, 2005–2013. 2014.

Wilson M, O'Hanlon R, Prasad S, Deighan A, MacMillan P, Oxborough D, Godfrey R, Smith G, Maceira A, Sharma S, George K. Diverse patterns of myocardial fibrosis in lifelong, veteran endurance athletes. Journal of applied physiology. 2011.

Selinger E, Whyte K. Is there a right way to nudge? The practice and ethics of choice architecture. Sociology Compass. 2011;5(10):923-35.

Nguyen D, Rieu I, Mariani C, van Dam NM. How plants handle multiple stresses: hormonal interactions underlying responses to abiotic stress and insect herbivory. Plant Molecular Biology. 2016;91(6):727-40.

Tang KL, Caffrey NP, Nóbrega DB, Cork SC, Ronksley PE, Barkema HW, Polachek AJ, Ganshorn H, Sharma N, Kellner JD, Ghali WA. Restricting the use of antibiotics in food-producing animals and its associations with antibiotic resistance in food-producing animals and human beings: a systematic review and meta-analysis. The Lancet Planetary Health. 2017;1(8):e316-e27.

Iovine NM. Resistance mechanisms in Campylobacter jejuni. Virulence. 2013;4(3):230-40.

Payot S, Bolla J-M, Corcoran D, Fanning S, Mégraud F, Zhang Q. Mechanisms of fluoroquinolone and macrolide resistance in Campylobacter spp. Microbes and Infection. 2006;8(7):1967-71.

Nachamkin I, Szymanski CM, Blaser MJ. Campylobacter: ASM Press; 2008.

Payot S, Cloeckaert A, Chaslus-Dancla E. Selection and characterization of fluoroquinolone-resistant mutants of Campylobacter jejuni using enrofloxacin. Microbial drug resistance. 2002;8(4):335-43.

Bachoual R, Ouabdesselam S, Mory F, Lascols C, Soussy C-J, Tankovic J. Single or double mutational alterations of gyrA associated with fluoroquinolone resistance in Campylobacter jejuni and Campylobacter coli. Microbial drug resistance. 2001;7(3):257-61.

Parkhill J, Wren BW, Mungall K, Ketley JM, Churcher C, Basham D, Chillingworth T, Davies RM, Feltwell T, Holroyd S, Jagels K. The genome sequence of the food-borne pathogen Campylobacter jejuni reveals hypervariable sequences. Nature. 2000;403(6770):665-8.

Luo N, Sahin O, Lin J, Michel LO, Zhang Q. In vivo selection of Campylobacter isolates with high levels of fluoroquinolone resistance associated with gyrA mutations and the function of the CmeABC efflux pump. Antimicrobial agents and chemotherapy. 2003;47(1):390-4.

Ge B, McDermott PF, White DG, Meng J. Role of efflux pumps and topoisomerase mutations in fluoroquinolone resistance in Campylobacter jejuni and Campylobacter coli. Antimicrobial agents and chemotherapy. 2005;49(8):3347-54.

Engberg J, Aarestrup FM, Taylor DE, Gerner-Smidt P, Nachamkin I. Quinolone and macrolide resistance in Campylobacter jejuni and C. coli: resistance mechanisms and trends in human isolates. Emerging infectious diseases. 2001;7(1):24.

Lin J, Michel LO, Zhang Q. CmeABC functions as a multidrug efflux system in Campylobacter jejuni. Antimicrobial agents and chemotherapy. 2002;46(7):2124-31.

Prachantasena S, Charununtakorn P, Muangnoicharoen S, Hankla L, Techawal N, Chaveerach P, Tuitemwong P, Chokesajjawatee N, Williams N, Humphrey T, Luangtongkum T. Distribution and genetic profiles of Campylobacter in commercial broiler production from breeder to slaughter in Thailand. PLoS One. 2016;11(2):e0149585.

Corcoran D, Quinn T, Cotter L, Fanning S. An investigation of the molecular mechanisms contributing to high-level erythromycin resistance in Campylobacter. International journal of antimicrobial agents. 2006;27(1):40-5.

Gibreel A, Kos VN, Keelan M, Trieber CA, Levesque S, Michaud S, et al. Macrolide resistance in Campylobacter jejuni and Campylobacter coli: molecular mechanism and stability of the resistance phenotype. Antimicrobial agents and chemotherapy. 2005;49(7):2753-9.

Mamelli L, Prouzet-Mauléon V, Pagès J-M, Mégraud F, Bolla J-M. Molecular basis of macrolide resistance in Campylobacter: role of efflux pumps and target mutations. Journal of Antimicrobial Chemotherapy. 2005;56(3):491-7.

Lin J, Yan M, Sahin O, Pereira S, Chang Y-J, Zhang Q. Effect of macrolide usage on emergence of erythromycin-resistant Campylobacter isolates in chickens. Antimicrobial agents and chemotherapy. 2007;51(5):1678-86.

Kurinčič M, Botteldoorn N, Herman L, Možina SS. Mechanisms of erythromycin resistance of Campylobacter spp. isolated from food, animals and humans. International Journal of Food Microbiology. 2007;120(1-2):186-90.

Fouts DE, Mongodin EF, Mandrell RE, Miller WG, Rasko DA, Ravel J, Brinkac LM, DeBoy RT, Parker CT, Daugherty SC, Dodson RJ. Major structural differences and novel potential virulence mechanisms from the genomes of multiple Campylobacter species. PLoS biology. 2005;3(1):e15.

Gibreel A, Wetsch NM, Taylor DE. Contribution of the CmeABC efflux pump to macrolide and tetracycline resistance in Campylobacter jejuni. Antimicrobial agents and chemotherapy. 2007;51(9):3212-6.

Payot S, Avrain L, Magras C, Praud K, Cloeckaert A, Chaslus-Dancla E. Relative contribution of target gene mutation and efflux to fluoroquinolone and erythromycin resistance, in French poultry and pig isolates of Campylobacter coli. International journal of antimicrobial agents. 2004;23(5):468-72.

Moore JE, Barton MD, Blair IS, Corcoran D, Dooley JS, Fanning S, et al. The epidemiology of antibiotic resistance in Campylobacter. Microbes and Infection. 2006;8(7):1955-66.

Taylor D, Hiratsuka K, Ray H, Manavathu EK. Characterization and expression of a cloned tetracycline resistance determinant from Campylobacter jejuni plasmid pUA466. Journal of bacteriology. 1987;169(7):2984-9.

Hashimi H, Kaltenbrunner S, Zíková A, Lukeš J. Trypanosome mitochondrial translation and tetracycline: no sweat about Tet. PLoS pathogens. 2016;12(4):e1005492.

Batchelor RA, Pearson BM, Friis LM, Guerry P, Wells JM. Nucleotide sequences and comparison of two large conjugative plasmids from different Campylobacter species. Microbiology. 2004;150(10):3507-17.

Taylor DE, Garner RS, Allan BJ. Characterization of tetracycline resistance plasmids from Campylobacter jejuni and Campylobacter coli. Antimicrobial agents and chemotherapy. 1983;24(6):930-5.

Dasti JI, Groß U, Pohl S, Lugert R, Weig M, Schmidt-Ott R. Role of the plasmid-encoded tet (O) gene in tetracycline-resistant clinical isolates of Campylobacter jejuni and Campylobacter coli. Journal of medical microbiology. 2007;56(6):833-7.

Pratt A, Korolik V. Tetracycline resistance of Australian Campylobacter jejuni and Campylobacter coli isolates. Journal of Antimicrobial Chemotherapy. 2005;55(4):452-60.

Tian GB, Wang HN, Zhang AY, Zhang Y, Fan WQ, Xu CW, Zeng B, Guan ZB, Zou LK. Detection of clinically important β-lactamases in commensal Escherichia coli of human and swine origin in western China. Journal of medical microbiology. 2012;61(2):233-8.

Taylor DE, Courvalin P. Mechanisms of antibiotic resistance in Campylobacter species. Antimicrobial agents and chemotherapy. 1988;32(8):1107-12.

Vieira A, Seddon AM, Karlyshev AV. Campylobacter–Acanthamoeba interactions. Microbiology. 2015;161(5):933-47.

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Published

2022-06-30