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The Emergence of Carbapenem- and Colistin-Resistant Enterobacteria in Senegal
oleh: Habibou Sarr, Aissatou Ahmet Niang, Amadou Diop, Oleg Mediannikov, Hanane Zerrouki, Seydina M. Diene, Seynabou Lo, Mouhamadou Lamine Dia, Ahmad Iyane Sow, Florence Fenollar, Jean-Marc Rolain, Linda Hadjadj
Format: | Article |
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Diterbitkan: | MDPI AG 2023-07-01 |
Deskripsi
Antibiotic resistance is a public health problem. The emergence of carbapenemase-producing Enterobacterales (CPE) infections is a concern, particularly in Senegal. (1) Methods: Between January 2019 and July 2022, 240 isolates of enterobacteria resistant to third-generation cephalosporins and imipenem from biological samples from Fann Hospital (Dakar) and Hôpital Paix (Ziguinchor) were selected. The isolates were identified by MALDI-TOF mass spectrometry, and susceptibility tests were performed by the disk diffusion method. Antibiotic-resistance genes for class A beta-lactamases, carbapenemases, and plasmid resistance to colistin resistance (<i>mcr-1–8</i>) were screened by RT-PCR. (2) Results: The 240 enterobacteria were composed of: <i>Escherichia coli</i> (60.83%), <i>Klebsiella pneumoniae</i> (21.67%), <i>Enterobacter cloacae</i> (13.75%), <i>Citrobacter freundii</i> (2.08%), <i>Serratia marcescens</i> (0.83%), <i>Klebsiella aerogenes</i> (0.42%), and <i>Proteus mirabilis</i> (0.42%). Class A beta-lactamase genes were found in 229 isolates (70.41% <i>bla</i><sub>TEM</sub>, 37.5% <i>bla</i><sub>SHV</sub>, 83.75% <i>bla</i><sub>CTX-A</sub>, and 0.42% <i>bla</i><sub>CTX-B</sub>). The carbapenemase genes <i>bla</i><sub>OXA-48</sub> and <i>bla</i><sub>NDM</sub> were found in 25 isolates, including 14 isolates with <i>bla</i><sub>OXA-48</sub>, 13 isolates with <i>bla</i><sub>NDM</sub>, and 2 isolates with both genes simultaneously. The <i>mcr-8</i> gene was found in one isolate of <i>E. cloacae</i>. (3) Conclusions: The epidemiology of antibiotic-resistance genes in enterobacteria in Senegal shows the emergence of CPEs. This phenomenon is worrying, and rigorous surveillance is necessary to avoid further spread.