Department of Clinical Microbiology, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
Department of Virus & Microbiological Special Diagnostics, Statens Serum Institut, Copenhagen, Denmark.
Microbiologyopen. 2019 Sep;8(9):e00816. doi: 10.1002/mbo3.816. Epub 2019 Feb 22.
The worldwide increase in infections caused by extended-spectrum beta-lactamase- (ESBL) and AmpC-producing Enterobacteriaceae (ESBL-E) is a concern. Surveillance is extensive in Europe, North America, and Asia. Yet, there is no summarizing surveillance in Africa. This study aimed to perform a preliminary investigation on the prevalence of ESBL-E in the northeastern part of Nigeria. However, of the 60 samples collected, we were able to culture 15 Escherichia coli and 7 Klebsiella spp. only. In the collection of clinical hospital samples, we found eight of 15 E. coli isolates to be ESBL (53%) and two out of seven Klebsiella spp. to be ESBL/AmpC (29%). Due to the limitations of this study, our findings cannot take a broad view on the prevalence of ESBL-E, in Nigeria and other parts of Africa. Yet, to know which genes encode ESBL in Nigeria, and to know exact prevalence of every ESBL gene would be of importance.
全球范围内由产超广谱β-内酰胺酶(ESBL)和产 AmpC 酶肠杆菌科细菌(ESBL-E)引起的感染不断增加,令人担忧。欧洲、北美和亚洲已经广泛开展了监测工作。然而,非洲却没有进行总结性监测。本研究旨在对尼日利亚东北部地区 ESBL-E 的流行率进行初步调查。然而,在采集的 60 份样本中,我们仅培养出 15 株大肠埃希菌和 7 株克雷伯菌。在临床医院样本采集过程中,我们发现 15 株大肠埃希菌中有 8 株为 ESBL(53%),7 株克雷伯菌中有 2 株为 ESBL/AmpC(29%)。由于本研究的局限性,我们的发现不能广泛反映尼日利亚和非洲其他地区 ESBL-E 的流行率。然而,了解尼日利亚的哪些基因编码 ESBL,以及确切的每一种 ESBL 基因的流行率将是很重要的。