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布基纳法索纳诺罗5岁以下发热儿童鼻咽部分离株的抗生素敏感性

Antibiotic Susceptibility of and Isolates from the Nasopharynx of Febrile Children under 5 Years in Nanoro, Burkina Faso.

作者信息

Bonko Massa Dit Achille, Lompo Palpouguini, Tahita Marc Christian, Kiemde Francois, Karama Ibrahima, Somé Athanase M, Mens Petra F, Menting Sandra, Tinto Halidou, D F H Schallig Henk

机构信息

Institut de Recherche en Science de la Santé, Direction Régionale du Centre-Ouest/Unité de Recherche Clinique de Nanoro, Nanoro 18, Burkina Faso.

Amsterdam University Medical Centers, Department of Medical Microbiology, Experimental Parasitology Unit, Academic Medical Center at the University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.

出版信息

Antibiotics (Basel). 2021 Apr 15;10(4):444. doi: 10.3390/antibiotics10040444.

Abstract

(1) Background: nasopharynx colonization by resistant and can lead to serious diseases. Emerging resistance to antibiotics commonly used to treat infections due to these pathogens poses a serious threat to the health system. The present study aimed to determine the antibiotic susceptibility of and isolates from the febrile children's nasopharynx under 5 years in Nanoro (Burkina Faso). (2) Methods: bacterial isolates were identified from nasopharyngeal swabs prospectively collected from 629 febrile children. Antibiotic susceptibility of and isolates was assessed by Kirby-Bauer method and results were interpreted according to the Clinical and Laboratory Standard Institute guidelines. (3) Results: bacterial colonization was confirmed in 154 (24.5%) of children of whom 96.1% carried , 3.2% had , and 0.6% carried both bacteria. isolates showed alarming resistance to penicillin (96.0%) and was highly resistant to tetracycline (100%) and trimethoprim-sulfamethoxazole (83.3%), and moderately resistant to penicillin (50.0%). Furthermore, 4.0% of S. aureus identified were methicillin resistant. (4) Conclusion: this study showed concerning resistance rates to antibiotics to treat suspected bacterial respiratory tract infections. The work highlights the necessity to implement continuous antibiotic resistance surveillance.

摘要

(1) 背景:耐药菌在鼻咽部定植可导致严重疾病。常用于治疗这些病原体所致感染的抗生素出现的耐药性对卫生系统构成严重威胁。本研究旨在确定布基纳法索纳诺罗地区5岁以下发热儿童鼻咽部分离出的[具体细菌名称1]和[具体细菌名称2]的抗生素敏感性。(2) 方法:从629名发热儿童前瞻性采集的鼻咽拭子中鉴定细菌分离株。采用 Kirby-Bauer 法评估[具体细菌名称1]和[具体细菌名称2]分离株的抗生素敏感性,并根据临床和实验室标准协会指南解释结果。(3) 结果:154名(24.5%)儿童证实有细菌定植,其中96.1%携带[具体细菌名称1],3.2%携带[具体细菌名称2],0.6%同时携带这两种细菌。[具体细菌名称1]分离株对青霉素显示出惊人的耐药性(96.0%),[具体细菌名称2]对四环素高度耐药(100%),对甲氧苄啶-磺胺甲恶唑耐药(83.3%),对青霉素中度耐药(50.0%)。此外,鉴定出的金黄色葡萄球菌中有4.0%对甲氧西林耐药。(4) 结论:本研究显示了治疗疑似细菌性呼吸道感染的抗生素耐药率令人担忧。这项工作强调了实施持续抗生素耐药性监测的必要性。

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