Impacto de los movimientos migratorios en la resistencia bacteriana a los antibióticos

Montemayor, Juan Carlos Galán; Bofarull, Ana Moreno; Mochales, Fernando Baquero

doi:10.4321/s1135-57272014000600014

Cited by 11 publications

(8 citation statements)

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“…Search terms were identified from relevant research, systematic reviews, reports, experts in migrant health and AMR, and the 2014 WHO report on the surveillance of antimicrobial resistance. 6 , 30 , 31 , 32 , 33 A detailed summary of all search terms is provided in the appendix .…”

Section: Methodsmentioning

confidence: 99%

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

Nellums

Thompson

Holmes

et al. 2018

The Lancet Infectious Diseases

129

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SummaryBackgroundRates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings.MethodsFor this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681.FindingsWe identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1–31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8–10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6–36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3–47·6; I2 =98%) than in other migrant groups (6·6%, 1·8–11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1–55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1–32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations.InterpretationMigrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and...

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Section: Methodsmentioning

confidence: 99%

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

Nellums

Thompson

Holmes

et al. 2018

The Lancet Infectious Diseases

129

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“…Siglo y medio después de que Louis Pasteur elaborara su Teoría germinal de las enfermedades infecciosas, de que Joseph Lister descubriera los antisépticos, de que Semmelweis obligara a los obstetras que atendían a las parturientas en el hospital de Viena a lavarse las manos y 87 años después de que Alexander Fleming descubriera el primer antibiótico, la resistencia a estos fármacos desarrollada por los gérmenes patógenos es en la actualidad una de las principales amenazas para la salud humana y animal e incluso para la salud del planeta. La tuberculosis ultrarresistente se ha detectado en 84 países 4 , las infecciones gonocócicas no tratables podrían provocar un aumento de las tasas de enfermedad y defunción, lo que implicaría un retroceso de los logros alcanzados en el control de esta infección de transmisión sexual 4,5 , y las enfermedades debidas a Klebsiella pneumoniae 5 pueden ser muy graves incluso mortales porque sus agentes causales ya no son sensibles al tratamiento con los antibióticos y no existe alternativa terapéutica para las personas que las padecen.…”

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Dos planes mundiales para no morir de éxito a causa de una infección

Andrés¹

2015

Rev. Esp. Salud Publica

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En los últimos años del siglo diecinueve nadie habría creído que los asuntos humanos eran observados aguda y atentamente por inteligencias más desarrolladas que la del hombre y, sin embargo, tan mortales como él; que mientras los seres humanos se ocupaban de sus cosas eran estudiados quizá tan a fondo como el sabio estudia a través del microscopio las pasajeras criaturas que se agitan y multiplican en una gota de agua. Con infinita complacencia, la raza humana continuaba sus ocupaciones sobre este globo, abrigando la ilusión de su superioridad sobre la materia. Es muy posible que los infusorios que se hallan bajo el microscopio hagan lo mismo. La guerra de los mundos. HG Wells

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“…It is strongly recommended to give the health card to immigrants to improve treatment, control and prevent transmission. Multidrug resistance is also higher in immigrants; this fact in general is also addressed in another article of the series 12 (together with the drug resistance of other mircroorganisms), 13 as the molecular epidemiology of Micobacterium tuberculosis and other imported agents . 12 The epidemiology of hepatitis viruses is discussed in the next paper of the series.…”

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confidence: 99%

La salud de los inmigrantes en España

Delgado-Rodrı́guez

2014

Rev. Esp. Salud Publica

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Impacto de los movimientos migratorios en la resistencia bacteriana a los antibióticos

Abstract: The different rates of antibiotic resistance between native and immigrant populations in the studied models in this review, revealed as the migration can affect to emergence and re-emergence of infection diseases, but also the potential spreading of untreatable microorganisms.

Cited by 11 publications

References 34 publications

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

Dos planes mundiales para no morir de éxito a causa de una infección

La salud de los inmigrantes en España

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