Perfil de susceptibilidad a los antimicrobianos en cepas de E coli productoras de Shiga toxina (STEC) aisladas de infecciones humanas y de alimentos

Background: Shiga toxin-producing E coli (STEC) are zoonotic pathogens associated to sporadic episodes of bloody diarrhea, foodborne outbreaks, and Hemolytic Uremic Syndrome (HUS), with worldwide public health impact. Antibiotic use in STEC infections is controversial because of the potential to inc...

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Autores principales: Reyes S,Marcelo, Durán T,Claudia, Prado J,Valeria
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2004
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001000008
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spelling oai:scielo:S0034-988720040010000082004-12-15Perfil de susceptibilidad a los antimicrobianos en cepas de E coli productoras de Shiga toxina (STEC) aisladas de infecciones humanas y de alimentosReyes S,MarceloDurán T,ClaudiaPrado J,Valeria Escherichia coli O157 Hemolytic-uremic syndrome Shiga toxin Background: Shiga toxin-producing E coli (STEC) are zoonotic pathogens associated to sporadic episodes of bloody diarrhea, foodborne outbreaks, and Hemolytic Uremic Syndrome (HUS), with worldwide public health impact. Antibiotic use in STEC infections is controversial because of the potential to increase production and secretion of Shiga toxins. Aim: To study the in vitro antimicrobial susceptibility profile of STEC. Material and methods: The in vitro susceptibility profile against 10 antimicrobials of STEC strains isolated from 29 meat products, 20 patients with diarrhea and 9 HUS patients was studied. Minimal Inhibitory Concentrations (µg/ml) by agar dilution method for ampicillin, cloramphenicol, ciprofloxacin, amikacin, gentamycin, cotrimoxazol, ceftriaxone, tetracycline, fosfomycin and azithromycin were measured according to NCCLS recommendations. Results: Strains from patients with diarrhea or HUS were all susceptible to the 10 antimicrobials and only 13.7% had intermediate resistance to cloramphenicol. Strains from meat products had a similar susceptibility profile, with only 3.5% resistance to tetracycline, 3.5% intermediate resistance to cloramphenicol and 7% to fosfomycin. All 58 strains were considered resistant to azithromycin (MIC >32 ug/ml). Conclusions: Similarity of susceptibility profiles between STEC strains from human and food origin suggests a role of food chain in transmission to humans (Rev Méd Chile 2004; 132: 1211-6)info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.132 n.10 20042004-10-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001000008es10.4067/S0034-98872004001000008
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Escherichia coli O157
Hemolytic-uremic syndrome
Shiga toxin
spellingShingle Escherichia coli O157
Hemolytic-uremic syndrome
Shiga toxin
Reyes S,Marcelo
Durán T,Claudia
Prado J,Valeria
Perfil de susceptibilidad a los antimicrobianos en cepas de E coli productoras de Shiga toxina (STEC) aisladas de infecciones humanas y de alimentos
description Background: Shiga toxin-producing E coli (STEC) are zoonotic pathogens associated to sporadic episodes of bloody diarrhea, foodborne outbreaks, and Hemolytic Uremic Syndrome (HUS), with worldwide public health impact. Antibiotic use in STEC infections is controversial because of the potential to increase production and secretion of Shiga toxins. Aim: To study the in vitro antimicrobial susceptibility profile of STEC. Material and methods: The in vitro susceptibility profile against 10 antimicrobials of STEC strains isolated from 29 meat products, 20 patients with diarrhea and 9 HUS patients was studied. Minimal Inhibitory Concentrations (µg/ml) by agar dilution method for ampicillin, cloramphenicol, ciprofloxacin, amikacin, gentamycin, cotrimoxazol, ceftriaxone, tetracycline, fosfomycin and azithromycin were measured according to NCCLS recommendations. Results: Strains from patients with diarrhea or HUS were all susceptible to the 10 antimicrobials and only 13.7% had intermediate resistance to cloramphenicol. Strains from meat products had a similar susceptibility profile, with only 3.5% resistance to tetracycline, 3.5% intermediate resistance to cloramphenicol and 7% to fosfomycin. All 58 strains were considered resistant to azithromycin (MIC >32 ug/ml). Conclusions: Similarity of susceptibility profiles between STEC strains from human and food origin suggests a role of food chain in transmission to humans (Rev Méd Chile 2004; 132: 1211-6)
author Reyes S,Marcelo
Durán T,Claudia
Prado J,Valeria
author_facet Reyes S,Marcelo
Durán T,Claudia
Prado J,Valeria
author_sort Reyes S,Marcelo
title Perfil de susceptibilidad a los antimicrobianos en cepas de E coli productoras de Shiga toxina (STEC) aisladas de infecciones humanas y de alimentos
title_short Perfil de susceptibilidad a los antimicrobianos en cepas de E coli productoras de Shiga toxina (STEC) aisladas de infecciones humanas y de alimentos
title_full Perfil de susceptibilidad a los antimicrobianos en cepas de E coli productoras de Shiga toxina (STEC) aisladas de infecciones humanas y de alimentos
title_fullStr Perfil de susceptibilidad a los antimicrobianos en cepas de E coli productoras de Shiga toxina (STEC) aisladas de infecciones humanas y de alimentos
title_full_unstemmed Perfil de susceptibilidad a los antimicrobianos en cepas de E coli productoras de Shiga toxina (STEC) aisladas de infecciones humanas y de alimentos
title_sort perfil de susceptibilidad a los antimicrobianos en cepas de e coli productoras de shiga toxina (stec) aisladas de infecciones humanas y de alimentos
publisher Sociedad Médica de Santiago
publishDate 2004
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001000008
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