阿拉伯海湾地区铜绿假单胞菌 12 年间(2010-2021 年)的抗菌药耐药性概况。

IF 3.8 4区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
A Alatoom, M Alattas, B Alraddadi, C Ayoub Moubareck, A Hassanien, W Jamal, A Kurdi, N Mohamed, A Senok, A M Somily, H Ziglam
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引用次数: 0

摘要

目的评估阿拉伯海湾国家(巴林、科威特、阿曼、卡塔尔、沙特阿拉伯和阿拉伯联合酋长国)12 年间(2010-2021 年)铜绿假单胞菌抗菌药耐药性概况的文献:对 2010 年 1 月 1 日至 2021 年 12 月 1 日期间有关铜绿假单胞菌抗菌药耐药性及相关表型的文章进行了电子文献检索:结果:在阿拉伯海湾地区的抗菌药耐药性测试中,美罗培南的耐药性最高(10.3-45.7%),而可乐定的耐药性最低(0.0-0.8%)。年度数据显示,头孢他啶耐药性(科威特)、哌拉西林-他唑巴坦非敏感性(卡塔尔)、阿曲南、亚胺培南和美罗培南耐药性(沙特阿拉伯)增加了 12-17%。确定了碳青霉烯耐药的多种机制,并检测到多种克隆,包括 ST235 等高风险克隆。最常见的碳青霉烯酶是 VIM 型金属-β-内酰胺酶:结论:在阿拉伯海湾国家的铜绿假单胞菌中,对美罗培南的耐药性高于对其他测试药物的耐药性,在研究期间,沙特阿拉伯对美罗培南的耐药性有所增加。对可乐定(一种用于治疗假单胞菌属感染的经典抗生素)的耐药性仍然很低。VIM 型 β 内酰胺酶基因占主导地位。我们建议开展地方和区域抗菌药耐药性监测计划,以检测耐药基因的出现并监测铜绿假单胞菌的抗菌药耐药性趋势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Antimicrobial Resistance Profiles of Pseudomonas aeruginosa in the Arabian Gulf Region Over a 12-Year Period (2010-2021).

Objectives: To evaluate literature from a 12-year period (2010-2021) on the antimicrobial resistance profile of Pseudomonas aeruginosa from the Arabian Gulf countries (Bahrain, Kuwait, Oman, Qatar, Saudi Arabia, and the United Arab Emirates).

Methods: An electronic literature search was conducted for articles on antimicrobial resistance in P. aeruginosa and associated phenotypes, covering the period of 1st January 2010 to 1st December 2021.

Results: Antimicrobial resistance in the Arabian Gulf was highest to meropenem (10.3-45.7%) and lowest to colistin (0.0-0.8%), among the agents tested. Annual data showed that ceftazidime resistance (Kuwait), piperacillin-tazobactam non-susceptibility (Qatar), and aztreonam, imipenem, and meropenem resistance (Saudi Arabia) increased by 12-17%. Multiple mechanisms of carbapenem resistance were identified and multiple clones were detected, including high-risk clones such as ST235. The most common carbapenemases detected were the VIM-type metallo-β-lactamases.

Conclusions: Among P. aeruginosa in the Arabian Gulf countries, resistance to meropenem was higher than to the other agents tested, and meropenem resistance increased in Saudi Arabia during the study period. Resistance to colistin, a classic antibiotic used to treat Pseudomonas spp. infections, remained low. The VIM-type β-lactamase genes were dominant. We recommend local and regional antimicrobial resistance surveillance programs to detect the emergence of resistance genes and to monitor antimicrobial resistance trends in P. aeruginosa.

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来源期刊
CiteScore
10.70
自引率
1.40%
发文量
57
审稿时长
19 weeks
期刊介绍: The Journal of Epidemiology and Global Health is an esteemed international publication, offering a platform for peer-reviewed articles that drive advancements in global epidemiology and international health. Our mission is to shape global health policy by showcasing cutting-edge scholarship and innovative strategies.
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