학술논문

Active Surveillance of Antimicrobial Resistance and Carbapenemase-Encoding Genes According to Sites of Care and Age Groups in Mexico: Results from the INVIFAR Network
Document Type
Report
Author
Rojas-Larios, FabianMartínez-Guerra, Bernardo AlfonsoLópez-Jácome, Luis EsaúBolado-Martínez, EnriqueVázquez-Larios, María del RosarioVelázquez-Acosta, María del ConsueloRomero-Romero, DanielMireles-Dávalos, Christian DanielQuintana-Ponce, SandraFeliciano-Guzmán, José ManuelPérez-Hernandez, José MiguelCorrea-León, Yoselin PaolaLópez-Gutiérrez, EduardoRodriguez-Noriega, EduardoGonzález-Díaz, EstebanChoy-Chang, Elena VictoriaMena-Ramírez, Juan PabloMonroy-Colín, Víctor AntonioPonce-de-León-Garduño, AlfredoAlcaraz-Espejel, MargaritaAvilés-Benítez, Laura KarinaQuintanilla-Cazares, Luís JavierRamírez-Alanís, EloisaBarajas-Magallón, Juan ManuelPadilla-Ibarra, CeciliaBallesteros-Silva, Maria BerthaAtanacio-Sixto, Noe AntonioMorales-de-la-Peña, Cecilia TeresitaGalindo-Méndez, MarioPérez-Vicelis, TalíaJacobo-Baca, GuillermoMoreno-Méndez, Martha IreneMora-Pacheco, María de la LuzGutiérrez-Brito, MaricruzSánchez-Godínez, Xochitl YadiraNavarro-Vargas, Norberta VianeyMercado-Bravo, Luz ElenaDelgado-Barrientos, AlejandroSantiago-Calderón, María AsunciónLópez-Ovilla, IsmeldaMolina-Chavarria, AlejandroRincón-Zuno, JoaquínFranco-Cendejas, RafaelMiranda-Mauricio, SandraMárquez-Avalos, Isabel CristinaLópez-García, MaribelDuarte-Miranda, Lizbeth SorayaCetina-Umaña, Carlos MiguelBarroso-Herrera-y-Cairo, Irma ElenaLópez-Moreno, Laura IsabelGarza-González, Elvira
Source
Pathogens. September, 2023, Vol. 12 Issue 9
Subject
Mexico
Language
English
ISSN
2076-0817
Abstract
We analyzed the antimicrobial resistance (AMR) data of 6519 clinical isolates of Escherichia coli (n = 3985), Klebsiella pneumoniae (n = 775), Acinetobacter baumannii (n = 163), Pseudomonas aeruginosa (n = 781), Enterococcus faecium (n = 124), and Staphylococcus aureus (n = 691) from 43 centers in Mexico. AMR assays were performed using commercial microdilution systems (37/43) and the disk diffusion susceptibility method (6/43). The presence of carbapenemase-encoding genes was assessed using PCR. Data from centers regarding site of care, patient age, and clinical specimen were collected. According to the site of care, the highest AMR was observed in E. coli, K. pneumoniae, and P. aeruginosa isolates from ICU patients. In contrast, in A. baumannii, higher AMR was observed in isolates from hospitalized non-ICU patients. According to age group, the highest AMR was observed in the ≥60 years age group for E. coli, E. faecium, and S. aureus, and in the 19–59 years age group for A. baumannii and P. aeruginosa. According to clinical specimen type, a higher AMR was observed in E. coli, K. pneumoniae, and P. aeruginosa isolates from blood specimens. The most frequently detected carbapenemase-encoding gene in E. coli was bla[sub.NDM] (84%).
Author(s): Fabian Rojas-Larios [1]; Bernardo Alfonso Martínez-Guerra [2]; Luis Esaú López-Jácome [3]; Enrique Bolado-Martínez [4]; María del Rosario Vázquez-Larios [5]; María del Consuelo Velázquez-Acosta [6]; Daniel Romero-Romero [7]; Christian Daniel [...]