Publicación:
Antibiotic resistance of Campylobacter species in a pediatric cohort study

dc.contributor.author Schiaffino F. es_PE
dc.contributor.author Colston J.M. es_PE
dc.contributor.author Paredes-Olortegui M. es_PE
dc.contributor.author François R. es_PE
dc.contributor.author Pisanic N. es_PE
dc.contributor.author Burga R. es_PE
dc.contributor.author Peñataro-Yori P. es_PE
dc.contributor.author Kosek M.N. es_PE
dc.date.accessioned 2024-05-30T23:13:38Z
dc.date.available 2024-05-30T23:13:38Z
dc.date.issued 2019
dc.description The Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) project was carried out as a collaborative project supported by the Bill & Melinda Gates Foundation (47075), the Foundation for the National Institutes of Health, and the National Institutes of Health, Fogarty International Center. M.N.K. was additionally supported by the Sherrilyn and Ken Fisher Center for Environmental Infectious Diseases of the Johns Hopkins School of Medicine (10POS2015). F.S. was supported by FONDECYT-CONCYTEC (grant contract number 246-2015-FONDECYT), and the National Institutes of Health Fogarty Global Health Fellows Consortium comprised of Johns Hopkins University, the University of North Carolina, Morehouse University, and Tulane University (grant no. D43TW009340). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. We declare no conflict of interest.
dc.description.abstract The objective of this study was to determine the phenotypic patterns of antibiotic resistance and the epidemiology of drug-resistant Campylobacter spp. from a low-resource setting. A birth cohort of 303 patients was followed until 5 years of age. Stool samples from asymptomatic children (n = 10,008) and those with diarrhea (n = 3,175) were cultured for Campylobacter Disk diffusion for ciprofloxacin (CIP), nalidixic acid (NAL), erythromycin (ERY), azithromycin (AZM), tetracycline (TE), gentamicin (GM), ampicillin (AMP), amoxicillin and clavulanic acid (AMC), ceftriaxone (CRO), chloramphenicol (C), and trimethoprim-sulfamethoxazole (TMS) was determined. Antibiotic resistances in Campylobacter jejuni and non-C. jejuni isolates from surveillance and diarrhea samples were compared, and the association between personal macrolide exposure and subsequent occurrence of a macrolide-resistant Campylobacter spp. was assessed. Of 917 Campylobacter isolates, 77.4% of C. jejuni isolates and 79.8% of non-C. jejuni isolates were resistant to ciprofloxacin, while 4.9% of C. jejuni isolates and 24.8% of non-C. jejuni isolates were not susceptible to azithromycin. Of the 303 children, 33.1% had been diagnosed with a Campylobacter strain nonsusceptible to both azithromycin and ciprofloxacin. Personal macrolide exposure did not affect the risk of macrolide-resistant Campylobacter Amoxicillin and clavulanic acid (94.0%) was one of the antibiotics with the highest rates of susceptibility. There is a high incidence of quinolone- and macrolide-resistant Campylobacter infections in infants under 24 months of age. Given the lack of association between personal exposure to macrolides and a subsequent Campylobacter infection resistant to macrolides, there is a need to evaluate the source of multidrug-resistant (MDR) Campylobacter This study provides compelling evidence to propose amoxicillin/clavulanic acid as a treatment for campylobacteriosis.
dc.description.sponsorship Consejo Nacional de Ciencia, Tecnología e Innovación Tecnológica - Concytec
dc.identifier.doi https://doi.org/10.1128/AAC.01911-18
dc.identifier.scopus 2-s2.0-85060794284
dc.identifier.uri https://hdl.handle.net/20.500.12390/516
dc.language.iso eng
dc.publisher American Society for Microbiology
dc.relation.ispartof Antimicrobial Agents and Chemotherapy
dc.rights info:eu-repo/semantics/openAccess
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.subject tetracycline
dc.subject ampicillin es_PE
dc.subject azithromycin es_PE
dc.subject ceftriaxone es_PE
dc.subject chloramphenicol es_PE
dc.subject ciprofloxacin es_PE
dc.subject clavulanic acid es_PE
dc.subject cotrimoxazole es_PE
dc.subject gentamicin es_PE
dc.subject macrolide es_PE
dc.subject nalidixic acid es_PE
dc.subject quinolone es_PE
dc.subject antibiotic resistance es_PE
dc.subject Article es_PE
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00
dc.title Antibiotic resistance of Campylobacter species in a pediatric cohort study
dc.type info:eu-repo/semantics/article
dspace.entity.type Publication
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