Paula J. Fedorka Cary

Dr. Paula J. Fedorka Cary

Centre for Veterinary Medicine, North Carolina State University, Raleigh, NC, USA

Research Focus & Metrics

Academic Career Length

43Years (1984-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

View All Publications
1 June 2002 in Clinical Infectious Diseases
Verified
Journal Article
Closed access
PDF file
SMScott A. McEwen
Scott A. McEwen
PCPaula J. Fedorka Cary
Paula J. Fedorka Cary
Food animals in the United States are often exposed to antimicrobials to treat and prevent infectious disease or to promote growth. Many of these antimicrobials are identical to or closely resemble drugs used in humans. Precise figures for the quantity of antimicrobials used in animals are not publicly available in the United States, and estimates vary widely. Antimicrobial resistance has emerged in zoonotic enteropathogens (e.g., Salmonella spp., Campylobacter spp.), commensal bacteria (e.g., Escherichia coli, enterococci), and bacterial pathogens of animals (e.g., Pasteurella, Actinobacillus spp.), but the prevalence of resistance varies. Antimicrobial resistance emerges from the use of antimicrobials in animals and the subsequent transfer of resistance genes and bacteria among animals and animal products and the environment. To slow the development of resistance, some countries have restricted antimicrobial use in feed, and some groups advocate similar measures in the United States. Alternatives to growth-promoting and prophylactic uses of antimicrobials in agriculture include improved management practices, wider use of vaccines, and introduction of probiotics. Monitoring programs, prudent use guidelines, and educational campaigns provide approaches to minimize the further development of antimicrobial resistance.

1 August 2004 in Journal of Clinical Microbiology
Verified
Journal Article
Open access
PDF file
CJCharlene Jackson
Charlene Jackson
PCPaula J. Fedorka Cary
Paula J. Fedorka Cary
JBJohn B. Barrett
John B. Barrett
The 16S rRNA gene has previously been used to develop genus-specific PCR primers for identification of enterococci. In addition, the superoxide dismutase gene ( sodA ) has been identified as a potential target for species differentiation of enterococci. In this study, Enterococcus genus-specific primers developed by Deasy et al. (E1/E2) were incorporated with species-specific primers based upon the superoxide dismutase ( sodA ) gene for development of a multiplex PCR. This assay provides simultaneous genus and species identification of 23 species of enterococci using seven different reaction mixtures. Accuracy of identification of the multiplex PCR was determined by comparisons to standard biochemical testing, the BBL Crystal kit, VITEK, and API Rapid ID 32 Strep. Isolates from swine feces, poultry carcasses, environmental sources, and retail food were evaluated and, overall, results for 90% of the isolates tested by PCR agreed with results obtained using standard biochemical testing and VITEK. Eighty-five percent and 82% of PCR results agreed with results from the API Rapid ID 32 Strep and BBL Crystal tests, respectively. With the exception of concurrence between identification using standard biochemical testing and VITEK (85%) and between BBL Crystal and VITEK (83%), the percent agreement for PCR was higher than or equal to any other pairwise comparison. Multiplex PCR for genus and species determination of enterococci provides an improved, rapid method for identification of this group of bacteria.

20 July 2016 in Clinical Infectious Diseases
Verified
Journal Article
Open access
PDF file
PCPeter Collignon
Peter Collignon
JCJohn M. Conly
John M. Conly
AAAntoine Andremont
Antoine Andremont
SMScott A. McEwen
Scott A. McEwen
AAAwa Aidara-Kane
Awa Aidara-Kane
GWGun-Jo Woo
Gun-Jo Woo
Antimicrobial use in food animals selects for antimicrobial resistance in bacteria, which can spread to people. Reducing use of antimicrobials—particularly those deemed to be critically important for human medicine—in food production animals continues to be an important step for preserving the benefits of these antimicrobials for people. The World Health Organization ranking of antimicrobials according to their relative importance in human medicine was recently updated. Antimicrobials considered the highest priority among the critically important antimicrobials were quinolones, third- and fourth-generation cephalosporins, macrolides and ketolides, and glycopeptides. The updated ranking allows stakeholders in the agriculture sector and regulatory agencies to focus risk management efforts on drugs used in food animals that are the most important to human medicine. In particular, the current large-scale use of fluoroquinolones, macrolides, and third-generation cephalosporins and any potential use of glycopeptides and carbapenems need to be addressed urgently.

1 January 2001 in Journal of Food Protection
Verified
Journal Article
Closed access
SWS. J. Wells
S. J. Wells
PCPaula J. Fedorka Cary
Paula J. Fedorka Cary
DDD. A. Dargatz
D. A. Dargatz
KFK. Ferris
K. Ferris
AGA. Green
A. Green
As part of a national study of the U.S. dairy cow population, fecal samples were collected from representative cows on 91 dairies and 97 cull dairy cow markets in 19 states. Salmonella spp. were re...

15 September 2009 in Applied and Environmental Microbiology
Verified
Journal Article
Closed access
WFW. Florian Fricke
W. Florian Fricke
PMPatrick F. McDermott
Patrick F. McDermott
MMMark K. Mammel
Mark K. Mammel
SZShaohua Zhao
Shaohua Zhao
TJTim Johnson
Tim Johnson
JRJacques Ravel
Jacques Ravel
Salmonella enterica , a leading cause of food-borne gastroenteritis worldwide, may be found in any raw food of animal, vegetable, or fruit origin. Salmonella serovars differ in distribution, virulence, and host specificity. S almonella enterica serovar Kentucky, though often found in the food supply, is less commonly isolated from ill humans. The multidrug-resistant isolate S . Kentucky CVM29188, isolated from a chicken breast sample in 2003, contains three plasmids (146,811 bp, 101,461 bp, and 46,121 bp), two of which carry resistance determinants (pCVM29188_146 [ strAB and tetRA ] and pCVM29188_101 [ bla CMY-2 and sugE ]). Both resistance plasmids were transferable by conjugation, alone or in combination, to S. Kentucky, S almonella enterica serovar Newport, and E scherichia coli recipients. pCVM29188_146 shares a highly conserved plasmid backbone of 106 kb (>90% nucleotide identity) with two virulence plasmids from a vian p athogenic E scherichia c oli strains (pAPEC-O1-ColBM and pAPEC-O2-ColV). Shared avian pathogenic E. coli (APEC) virulence factors include iutA iucABCD , sitABCD , etsABC , iss , and iroBCDEN. PCR analyses of recent (1997 to 2005) S. Kentucky isolates from food animal, retail meat, and human sources revealed that 172 (60%) contained similar APEC-like plasmid backbones. Notably, though rare in human- and cattle-derived isolates, this plasmid backbone was found at a high frequency (50 to 100%) among S. Kentucky isolates from chickens within the same time span. Ninety-four percent of the APEC-positive isolates showed resistance to tetracycline and streptomycin. Together, our findings of a resistance-conferring APEC virulence plasmid in a poultry-derived S. Kentucky isolate and of similar resistance/virulence plasmids in most recent S. Kentucky isolates from chickens and, to lesser degree, from humans and cattle highlight the need for additional research in order to examine the prevalence and spread of combined virulence and resistance plasmids in bacteria in agricultural, environmental, and clinical settings.

1 November 2001 in Journal of Food Protection
Verified
Journal Article
Closed access
NSN. J. Stern
N. J. Stern
PCPaula J. Fedorka Cary
Paula J. Fedorka Cary
JBJ. S. Bailey
J. S. Bailey
NCN. A. Cox
N. A. Cox
SCS. E. Craven
S. E. Craven
GMG. C. Mead
G. C. Mead
A study was conducted of 32 broiler flocks on eight different farms, belonging to four major U.S. producers. The farms were studied over 1 complete calendar year. Overall, 28 (87.5%) of the flocks ...