The first description of the extended-spectrum beta-lactamase blaSHV-12 gene in a Salmonella monophasic Typhimurium strain isolated from acute gastroenteritis in a kidney transplant recipient in Southeast Spain

Aparicio-Gómez, José Antonio; Herrera-López, Silvia; Gutiérrez‐Fernández, José

doi:10.17235/reed.2017.4617/2016

Cited by 2 publications

(1 citation statement)

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“…Todo lo contrario, ocurre con el resto de patógenos bacterianos, donde la mayor parte de ellos presenta un carácter invasor intestinal, considerándose primordial conocer su presencia para la orientación diagnóstica y el tratamiento. En especial, para los cuadros de enteritis causados por bacterias multirresistentes, que lamentablemente son cada vez más frecuentes en nuestro medio [ 3 , 4 ].…”

Section: Introductionunclassified

Shigellosis attended in the emergency department of a regional hospital in southeastern Spain: from their presence to multiresistance

Rodríguez-Guerrero¹,

Herrera-León²,

Gómez-Vicente³

et al. 2023

Rev Esp Quimioter

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Introduction. In the bacterial etiology of severe acute infectious diarrhea, except that caused by Clostridioides difficile, most of them have an invasive character and antibiotic treatment will be necessary in specific situations. Shigella is a classic pathogen, in which it is crucial to know the sensitivity to different classic and alternative antimicrobials. The objective of this work was to analyze the presence of shigellosis and the rate of antibiotic resistance. Methods. A descriptive-retrospective study of the reports of shigellosis of stool cultures issued between January 2016 and April 2022 was conducted. Results. A total of 34 episodes (16 -47.1%- by Shigella sonnei) were observed, as of 2018. There were only 2 pediatric cases. The overall resistance rate to azithromycin, trimethoprim-sulfamethoxazole and ciprofloxacin was 52.9%, 64.7% and 44.1%, respectively. 26.5% were resistant to the 3 groups of antibiotics. There was a higher rate of resistance for S. sonnei. The emergence of resistance to cephalosporins in recent years stands out. Episodes of multidrug-resistant shigellosis were detected between 2020 (1 by S. flexneri) and 2022 (4 by S. sonnei). Conclusions. The episodes of shigellosis are emerging in our environment with a higher rate of multi-resistance. In this context, current empirical treatments for acute enteroinvasive enteritis are at risk of failure, if necessary.

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Section: Introductionunclassified