“…Previously, high resistance levels were also found in Campylobacter strains isolated from chicken livers disposed for human consumption in this same region (Simaluiza et al 2015). However we could not obtain information from the owners about the use of antibiotics, we believe that as occurs in other places of the developing world, this probably reflects an overuse of these antibiotics in backyard chickens in this region, something that could represent an epidemiological problem with implications for treatment in human beings (WHO 2013, Whitehead andRoberts 2014). This is particularly important in backyard chickens because i) exposure of children to infected backyard poultry may represent another route of transmission for Campylobacter infection (Anderson et al 2012, Whitehead and Roberts 2014, El-Tras et al 2015, on which there are not sufficient epidemiological studies and ii) there is a lack of good biosecurity and good management practices applicable to reduce the risk of infection and antimicrobial resistance levels in backyard chickens (Whitehead andRoberts 2014, El-Tras et al 2015).…”