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      Extended Spectrum β-Lactamase (ESBL) Producing Escherichia coli in Pigs and Pork Meat in the European Union

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          Abstract

          The aim of this article is to review the fast and worldwide distribution of ESBL enzymes and to describe the role of the pork production chain as a reservoir and transmission route of ESBL-producing Escherichia coli and ESBLs in the European Union (EU). The use of β-lactam antibiotics in swine production and the prevalence of ESBL producing E. coli in fattening pigs and pork meat across Europe is analyzed. Overall, an increasing trend in the prevalence of presumptive ESBL producing E. coli in fattening pigs in the EU has been observed in the last decade, although with major differences among countries, linked to different approaches in the use of antimicrobials in pork production within the EU. Moreover, the various dissemination pathways of these bacteria along the pork production chain are described, along with factors at farm and slaughterhouse level influencing the risk of introducing or spreading ESBL producing bacteria throughout the food chain.

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          Most cited references123

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          Molecular mechanisms of antibiotic resistance.

          Antibiotic-resistant bacteria that are difficult or impossible to treat are becoming increasingly common and are causing a global health crisis. Antibiotic resistance is encoded by several genes, many of which can transfer between bacteria. New resistance mechanisms are constantly being described, and new genes and vectors of transmission are identified on a regular basis. This article reviews recent advances in our understanding of the mechanisms by which bacteria are either intrinsically resistant or acquire resistance to antibiotics, including the prevention of access to drug targets, changes in the structure and protection of antibiotic targets and the direct modification or inactivation of antibiotics.
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            Extended-spectrum beta-lactamase-producing Enterobacteriaceae: an emerging public-health concern.

            The medical community relies on clinical expertise and published guidelines to assist physicians with choices in empirical therapy for system-based infectious syndromes, such as community-acquired pneumonia and urinary-tract infections (UTIs). From the late 1990s, multidrug-resistant Enterobacteriaceae (mostly Escherichia coli) that produce extended-spectrum beta lactamases (ESBLs), such as the CTX-M enzymes, have emerged within the community setting as an important cause of UTIs. Recent reports have also described ESBL-producing E coli as a cause of bloodstream infections associated with these community-onset UTIs. The carbapenems are widely regarded as the drugs of choice for the treatment of severe infections caused by ESBL-producing Enterobacteriaceae, although comparative clinical trials are scarce. Thus, more rapid diagnostic testing of ESBL-producing bacteria and the possible modification of guidelines for community-onset bacteraemia associated with UTIs are required.
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              Resistance plasmid families in Enterobacteriaceae.

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                Author and article information

                Journal
                Antibiotics (Basel)
                Antibiotics (Basel)
                antibiotics
                Antibiotics
                MDPI
                2079-6382
                07 October 2020
                October 2020
                : 9
                : 10
                : 678
                Affiliations
                [1 ]Department of Food Hygiene and Technology, Universidad de León, 24007 León, Spain; gdkaprou@ 123456gmail.com (G.K.); ealexandra.alexa@ 123456gmail.com (E.A.A.); miguel.prieto@ 123456unileon.es (M.P.)
                [2 ]Institute of Food Safety, Animal Health and Environment BIOR, LV-1076 Riga, Latvia
                [3 ]Institute of Food Science and Technology, Universidad de León, 24007 León, Spain
                Author notes
                [* ]Correspondence: ieva.bergspica@ 123456bior.lv (I.B.); aalvo@ 123456unileon.es (A.A.-O.)
                Author information
                https://orcid.org/0000-0002-2543-6287
                https://orcid.org/0000-0003-2833-2552
                https://orcid.org/0000-0001-9202-3856
                Article
                antibiotics-09-00678
                10.3390/antibiotics9100678
                7600538
                33036406
                03338268-f70f-450f-913a-f76f97dab261
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 10 September 2020
                : 03 October 2020
                Categories
                Review

                esbl,e. coli,prevalence,pigs,pork meat,eu
                esbl, e. coli, prevalence, pigs, pork meat, eu

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