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The prevalence of amphenicol resistance in Escherichia coli isolated from pigs in mainland China from 2000 to 2018: A systematic review and meta-analysis

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  • Zhe Du
  • Mengya Wang
  • Guanyi Cui
  • Xiangyang Zu
  • Zhanqin Zhao
  • Yun Xue

Abstract

Background: Amphenicols have been widely used in the pig industry in China, leading to varying degrees of drug resistance. Methods: The systematic review was performed according to PRISMA (Preferred Reported Items for Systematic Reviews and Meta-Analysis) recommendations on studies investigating the prevalence of amphenicol-resistant Escherichia coli (E. coli) isolated from pig in mainland China from 2000 to 2018, a random-effects model was selected, then followed by meta-analysis. Results: A total of 103 articles were included in the study. The results of the meta-analysis revealed that the pooled summarized prevalence of resistance to chloramphenicol (CAP) was 72.31% (95% confidence interval (95% CI) = 67.12%–77.23%) and to florfenicol (FF) was 58.64% (95% CI = 52.48%–64.67%). During the past 18 years, the resistance rate to CAP remained high initially but then declined rapidly after 2012, whereas the resistance rate to FF plateaued (54.13%–59.60%) from 2000–2018. In different parts of China, the rate of resistance to amphenicols among E. coli isolates was fairly consistent, with the exception of the north and northwest regions. Conclusions: In 2002, the veterinary use of CAP was prohibited and its resistance levels in E. coli isolated from pigs was initially maintained at a high level but then showed an obvious downward trend in recent years. Resistance to commonly used FF remained at a high but stable level.

Suggested Citation

  • Zhe Du & Mengya Wang & Guanyi Cui & Xiangyang Zu & Zhanqin Zhao & Yun Xue, 2020. "The prevalence of amphenicol resistance in Escherichia coli isolated from pigs in mainland China from 2000 to 2018: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(2), pages 1-12, February.
    • Handle: RePEc:plo:pone00:0228388
    DOI: 10.1371/journal.pone.0228388
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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