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...
Guardado en:
Autores principales: | , , |
---|---|
Lenguaje: | Spanish / Castilian |
Publicado: |
Sociedad Médica de Santiago
2004
|
Materias: | |
Acceso en línea: | http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872004001000008 |
Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
id |
oai:scielo:S0034-98872004001000008 |
---|---|
record_format |
dspace |
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 |
work_keys_str_mv |
AT reyessmarcelo perfildesusceptibilidadalosantimicrobianosencepasdeecoliproductorasdeshigatoxinastecaisladasdeinfeccioneshumanasydealimentos AT durantclaudia perfildesusceptibilidadalosantimicrobianosencepasdeecoliproductorasdeshigatoxinastecaisladasdeinfeccioneshumanasydealimentos AT pradojvaleria perfildesusceptibilidadalosantimicrobianosencepasdeecoliproductorasdeshigatoxinastecaisladasdeinfeccioneshumanasydealimentos |
_version_ |
1718436172293734400 |