Antimicrobial resistance of Campylobacter: prevalence and trends in Japan

S Igimi1, Y Okada, A Ishiwa

  • 1National Institute of Health Sciences, Tokyo, Japan. igimi@nihs.go.jp

Insights

Quinolone resistance in Campylobacter bacteria is a growing concern in Japan, impacting human gastroenteritis treatment. This study examines Campylobacter infections and antimicrobial resistance trends in Japan, particularly in poultry.

Area of Science:

  • Foodborne bacterial infections
  • Antimicrobial resistance
  • Veterinary medicine and public health

Background:

  • Campylobacter is a leading cause of bacterial gastroenteritis globally and in Japan.
  • Fluoroquinolones are primary treatments for bacterial gastroenteritis, leading to emerging resistance in Campylobacter jejuni and C. coli.
  • Antimicrobial use in food animals, especially poultry, is linked to increased quinolone-resistant Campylobacter strains in the food chain.

Purpose of the Study:

  • To summarize food-borne Campylobacter infections in Japan.
  • To analyze the prevalence and trends of antimicrobial resistance in Campylobacter.
  • To investigate quinolone resistance in Campylobacter spp. in Japan.

Main Methods:

  • Review of authors' data on Campylobacter isolates.
  • Analysis of published Japanese research on Campylobacter antimicrobial resistance.
  • Examination of trends in quinolone and macrolide resistance.

Main Results:

  • Quinolone-resistant Campylobacter strains have emerged in Japan, unlike stable low rates of macrolide resistance.
  • Concerns exist regarding the compromised treatment of human infections due to resistant strains in the food chain.
  • Poultry products are a suspected reservoir for quinolone-resistant Campylobacter.

Conclusions:

  • Emergence of quinolone resistance in Campylobacter in Japan poses a significant public health challenge.
  • Continued surveillance of antimicrobial resistance in Campylobacter within the food chain is crucial.
  • Understanding the link between veterinary antimicrobial use and resistance is vital for effective control strategies.

Related Concept Videos

Development of Antibiotic Resistance01:30

Development of Antibiotic Resistance

Antibiotic resistance is a major public health concern that arises when bacteria evolve mechanisms to withstand the effects of antibiotic treatments. This resistance can be intrinsic, acquired through genetic mutations, or transferred between bacteria via horizontal gene transfer. The development of antibiotic resistance poses significant challenges in treating bacterial infections and necessitates ongoing research to develop new therapeutic strategies.Intrinsic resistance occurs when bacterial...
Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Antimicrobial Effectiveness01:28

Antimicrobial Effectiveness

The effectiveness of antimicrobial agents depends on various factors influencing their ability to eliminate microbial populations. Larger microbial populations require more time for complete eradication, emphasizing the importance of population size analysis when evaluating antimicrobial efficacy.Microbial resistance to antimicrobial agents varies significantly. Highly resilient microorganisms include endospores, gram-negative bacteria, and non-enveloped viruses, while prions are exceptionally...
Antibiotic Selection00:57

Antibiotic Selection

Overview
Bacterial Gastroenteritis01:18

Bacterial Gastroenteritis

Bacterial gastroenteritis, characterized by diarrhea, abdominal cramps, and vomiting, is often caused by ingestion of contaminated food or water and is frequently associated with pathogenic Escherichia coli strains. These microbes exploit two principal mechanisms to inflict disease.Shiga toxin–producing E. coli, also referred to as STEC—notably O157:H7—release Shiga toxins that target ribosomes, blocking protein synthesis. The B subunit of the toxin binds the host glycolipid receptor...