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Background <p>Antimicrobial resistance (AMR) among foodborne and zoonotic bacteria has become a major public health challenge. Dairy farm milkers can harbor resistant bacteria, potentially contributing to raw milk contamination and posing a risk to the wider community. This study aimed to assess the occurrence of fecal carriage and associated factors of carbapenemase-producing (CP) <i>Escherichia coli</i> (<i>E. coli</i>) and <i>Klebsiella</i> spp among dairy farm milkers in the Tigray region, Northern Ethiopia.</p> Methods <p>A cross-sectional study was conducted from December 2024 to May 2025 among 178 dairy farm milkers. Stool samples were collected and analyzed for isolation and identification of <i>E. coli</i> and <i>Klebsiella</i> spp. using standard bacteriological methods. Antimicrobial susceptibility was determined using the Kirby–Bauer disk diffusion method. Carbapenemase production was confirmed phenotypically. Data on socio-demographics, hygiene practices, and food consumption were collected using a structured questionnaire. Firth’s penalized logistic regression was used to identify factors associated with fecal carriage of CP <i>E. coli</i> and <i>Klebsiella</i> spp.</p> Results <p><i>Escherichia coli</i> and <i>Klebsiella</i> spp were isolated from 121(68.0%) and 17(9.5%) of study participants. Carbapenemase-producing isolates were detected in 6 (3.4%) of the dairy farm milkers, all of which exhibited multidrug resistance. Multivariable analysis identified recent diarrhea (AOR = 23.02; 95% CI: 3.15–168.24) and raw milk consumption (AOR = 6.35; 95% CI: 1.07–37.46) as independent factors significantly associated with fecal carriage of CP <i>E. coli</i> and <i>Klebsiella</i> spp.</p> Conclusion <p>Fecal carriage of CP <i>E. coli</i> and <i>Klebsiella</i> spp. was observed among dairy farm milkers. These findings highlight the potential food safety and public health relevance of antimicrobial-resistant bacteria carriage in dairy farm workers and support the inclusion of milkers in One Health-oriented AMR surveillance and hygiene-focused interventions along the dairy value chain.</p>

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Fecal carriage of carbapenemase-producing Escherichia coli and Klebsiella spp. and associated factors among dairy farm milkers in Tigray Region, Northern Ethiopia

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月13日

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  • Goyitom Gebremedhn Gebru,
  • Saravanan Muthupandian,
  • Enquebaher Kassaye

摘要

Background

Antimicrobial resistance (AMR) among foodborne and zoonotic bacteria has become a major public health challenge. Dairy farm milkers can harbor resistant bacteria, potentially contributing to raw milk contamination and posing a risk to the wider community. This study aimed to assess the occurrence of fecal carriage and associated factors of carbapenemase-producing (CP) Escherichia coli (E. coli) and Klebsiella spp among dairy farm milkers in the Tigray region, Northern Ethiopia.

Methods

A cross-sectional study was conducted from December 2024 to May 2025 among 178 dairy farm milkers. Stool samples were collected and analyzed for isolation and identification of E. coli and Klebsiella spp. using standard bacteriological methods. Antimicrobial susceptibility was determined using the Kirby–Bauer disk diffusion method. Carbapenemase production was confirmed phenotypically. Data on socio-demographics, hygiene practices, and food consumption were collected using a structured questionnaire. Firth’s penalized logistic regression was used to identify factors associated with fecal carriage of CP E. coli and Klebsiella spp.

Results

Escherichia coli and Klebsiella spp were isolated from 121(68.0%) and 17(9.5%) of study participants. Carbapenemase-producing isolates were detected in 6 (3.4%) of the dairy farm milkers, all of which exhibited multidrug resistance. Multivariable analysis identified recent diarrhea (AOR = 23.02; 95% CI: 3.15–168.24) and raw milk consumption (AOR = 6.35; 95% CI: 1.07–37.46) as independent factors significantly associated with fecal carriage of CP E. coli and Klebsiella spp.

Conclusion

Fecal carriage of CP E. coli and Klebsiella spp. was observed among dairy farm milkers. These findings highlight the potential food safety and public health relevance of antimicrobial-resistant bacteria carriage in dairy farm workers and support the inclusion of milkers in One Health-oriented AMR surveillance and hygiene-focused interventions along the dairy value chain.