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Antibiotic Resistant E. Coli Could Soon Become Prevalent, Similar To MRSA
It is possible that hospital types of antibiotic resistant Escherichia
coli (E. coli) bacteria may soon infect patients in
community settings. This would be a situation similar to that of
community-acquired meticillin-resistant Staphylococcus aureus
(MRSA), according to a Review published in March in The
Lancet Infectious Diseases.
Often, these E. coli infections manifest themselves
as urinary tract infections. Recent reports have also described
antibiotic resistant E. coli strains in bloodstream
infections. The authors of the report, Dr Johann Pitout, Calgary
Laboratory Services, Calgary, and University
of Calgary, Alberta, Canada and Dr Kevin Laupland, University of
Calgary, Alberta, Canada, state that the antibiotic resistant E.
coli bacteria that cause these infections should be
identified soon to prevent their transmission and help select more
effective antibiotics.
This Review focused on types of E. coli that produce β-lactamases --
these enzymes help give E. coli their
antibiotic resistance. Notably, many surveys since 2000 from various
European countries (including UK,
Spain, Italy, Greece, and Canada) have shown a trend of resistance to
various antibiotics in E. coli. According to the
authors, "Infection control practitioners and clinicians need
the clinical laboratory to rapidly identify and characterize different
types of resistant bacteria
efficiently to minimize the spread of these bacteria and help select
more appropriate
antibiotics...these bacteria have become widely prevalent in the
community setting in certain areas
of the world and they are most likely being imported into the hospital
setting."
They recommend that funding be directed internationally to follow and
monitor the propagation of these resistant E. coli
in hospital and community settings. Their conclusion is that the risk
of bloodstream infections in the community caused by this bacteria,
while currently low, may in the future become a regular clinical
problem, especially in the β-lactamase producing E. coli.
These infections are
currently rare, but it is possible that, in the near future, clinicians
will be regularly
confronted with hospital types of bacteria causing infections in
patients from the community, a scenario
very similar to that of community-acquired MRSA."
Extended-spectrum β-lactamase-producing Enterobacteriaceae: an
emerging
public-health concern
Johann D D Pitout, Kevin B Laupland
The Lancet Infectious Diseases 2008; 8:159-166
DOI:10.1016/S1473-3099(08)70041-0
Click
Here For Abstract
Written By Anna Sophia McKenney
Copyright: Start Sanatate
Not to be reproduced without permission of Start Sanatate
Rezistente la antibiotice e. Coli ar putea deveni în curând de rãspânditã, similar cu SAMR - Antibiotic Resistant E. Coli Could Soon Become Prevalent, Similar To MRSA - articole medicale engleza - startsanatate