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. 2021 Aug 26;10(1):124.
doi: 10.1186/s13756-021-00991-y.

Animal source food eating habits of outpatients with antimicrobial resistance in Bukavu, D.R. Congo

Ghislain Bilamirwa Ngaruka  1 , Brigitte Bora Neema  1 , Theophile Kashosi Mitima  1 , Antoine Sadiki Kishabongo  1   2 , Olivier Basole Kashongwe  3   4   5
Affiliations

Animal source food eating habits of outpatients with antimicrobial resistance in Bukavu, D.R. Congo

Ghislain Bilamirwa Ngaruka et al. Antimicrob Resist Infect Control. .

Abstract

Background: Antibiotic resistance is a public health concern in Democratic Republic Congo and worldwide. It is usually caused by antibiotic over prescription or dispensing practices. The consumption of animal source food (ASF) could be another source of antibiotic resistance but is rarely studied. The objective of the study was to evaluate the eating habits of ASF by outpatients with antimicrobial resistance through an analysis of (i) the association of their antimicrobial resistance with ASF consumption; (ii) the influence of the types of ASF on their antimicrobial resistance.

Methods: This is a retrospective analytical study conducted at three major Hospitals in Bukavu City (D. R. Congo). A total number of 210 patients, whose samples (mainly faeces and urine) had been subjected to bacterial examination, was included in this study. Morphological, biochemical and antibiotic susceptibility (using disc diffusion method) tests were performed on the samples. This served to isolate and identify resistant bacteria. Afterwards, patients responded to questions about the types and quantity of ASF eaten in the last week. We analysed data using descriptive statistics, logistic regression and non-parametric ranking tests.

Results: Escherichia coli (37.1%), Klebsiella pneumonae (14.7%), and Staphylococcus aureus (13.8%) were the most prevalent bacteria. E. coli (68.4%) and K. pneumonae (87.5%) were multidrug resistant (MDR), while S. aureus (7.7%) was minor. Low beef (O.R. 0.737, C.I. 0.542-1.002) and pork (O.R. 0.743, C.I. 0.560 - 0.985) consumption led to significantly (p < 0.05) lower risks of resistance to ciprofloxacin. Patients eating three different ASF per week had the highest resistance score (20.67) and high consumption rates of goat meat, pork and milk (41.5%).

Conclusion: The findings of this study suggest a contribution of human nutrition to antimicrobial resistance frequency. Our results show the existence of a high prevalence of multi-drug resistant bacteria in patients for which eating beef, pork and drinking milk are major risk factors. Therefore, a stricter control of antibiotic usage in livestock production and of their presence in ASF is recommended.

Keywords: Animal Source Foods; Antibiotic resistance; Escherichia coli.

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Conflict of interest statement

Authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Consumption trends of animal Source Food (ASF) in Bukavu City. Milk consumption values are expressed in 10 × grams
See this image and copyright information in PMC

References

    1. Maass BL, Musale DK, Chiuri WL, Gassner A, Peters M. Challenges and opportunities for smallholder livestock production in post-conflict South Kivu, eastern DR Congo. Trop Anim Health and Prod. 2012;44(6):1221–1232. doi: 10.1007/s11250-011-0061-5. - DOI - PMC - PubMed
    1. Robinson, T. P., & Pozzi, F. Mapping supply and demand for animal-source food to 2030. FAO, Animal production and health working paper. 2011; 2, 1–154.
    1. Udomkun P, Ilukor J, Mockshell J, Mujawamariya G, Okafor C, Bullock R, Vanlauwe B. What are the key factors influencing consumers’ preference and willingness to pay for meat products in Eastern DRC? Food Sci and Nutr. 2018;6(8):2321–2336. doi: 10.1002/fsn3.813. - DOI - PMC - PubMed
    1. Appiah GD, Chung A, Bentsi-Enchill AD, Kim S, Crump JA, Mogasale V, Mintz ED. Typhoid outbreaks, 1989–2018: implications for prevention and control. AM J Trop Med Hyg. 2020;102(6):1296–1305. doi: 10.4269/ajtmh.19-0624. - DOI - PMC - PubMed
    1. Amicizia, D., Micale, R. T., Pennati, B. M., Zangrillo, F., Iovine, M., Lecini, E., Panatto, D. Burden of typhoid fever and cholera: similarities and differences. Prevention strategies for European travelers to endemic/epidemic areas. J Prev Med Public Health. 2019; 60(4), E271. - PMC - PubMed

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