Ofri Tsafrir, Hanan Rohana, Lior Bousani, Khatib Orsan, Said Abozaid, Maya Azrad, Avi Peretz
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引用次数: 0
摘要
大肠杆菌是全球食源性胃肠炎的重要病因,大多数病例都是由空肠大肠杆菌引起的。虽然大多数临床实验室通常不对大肠杆菌进行抗菌药敏感性检测,但耐药菌株的增加凸显了此类检测和流行病学监测的必要性。本研究介绍了 2015 年至 2021 年期间以色列北部 221 名大肠杆菌(大肠杆菌和空肠)感染患者的临床分离特征和人口统计学特征。临床和人口统计学数据来自患者病历。使用标准 E 测试评估了患者对红霉素、四环素、环丙沙星和庆大霉素的敏感性。没有发现细菌种类与患者种族、性别或住院时间之间有明显的相关性。相反,感染细菌种类与患者年龄和年龄分组之间存在明显差异(大肠杆菌抗生素耐药性。
Clinical isolate characteristics and demographics of patients with C.jejuni and C.coli infections in Northern Israel, 2015-2021.
C.coli is a significant cause of foodborne gastroenteritis worldwide, with the majority of cases attributed to C.jejuni. Although most clinical laboratories do not typically conduct antimicrobial susceptibility testing for C.coli, the rise in resistant strains has underscored the necessity for such testing and epidemiological surveillance. The current study presents clinical isolate characteristics and demographics of 221 patients with C.coli (coli and jejuni) infections in Northern Israel, between 2015 and 2021. Clinical and demographic data were collected from patient medical records. Susceptibility to erythromycin, tetracycline, ciprofloxacin, and gentamicin was assessed using the standard E-test. No significant correlations were found between bacterial species and patient ethnicity, patient gender, or duration of hospitalization. In contrast, significant differences were found between infecting species and patient age and age subgroup (P < 0.001). Furthermore, erythromycin resistance was observed in only 0.5% of the study population, while resistance to ciprofloxacin, tetracycline, and gentamicin was observed in 95%, 93%, and 2.3% of the population, respectively. The presented study underscores the need for routine surveillance of C.coli antibiotic resistance.
期刊介绍:
Epidemiology & Infection publishes original reports and reviews on all aspects of infection in humans and animals. Particular emphasis is given to the epidemiology, prevention and control of infectious diseases. The scope covers the zoonoses, outbreaks, food hygiene, vaccine studies, statistics and the clinical, social and public-health aspects of infectious disease, as well as some tropical infections. It has become the key international periodical in which to find the latest reports on recently discovered infections and new technology. For those concerned with policy and planning for the control of infections, the papers on mathematical modelling of epidemics caused by historical, current and emergent infections are of particular value.