Epidemiology of bacterial resistance at the Grand Magal of Touba in Senegal.
Travel Med Infect Dis
; 59: 102709, 2024.
Article
em En
| MEDLINE
| ID: mdl-38479605
ABSTRACT
BACKGROUND:
The Grand Magal of Touba (GMT) associates with risks of infection, but no study on the circulation of resistant bacteria has yet been conducted. MATERIALS ANDMETHODS:
qPCR was performed on rectal samples from GMT pilgrims between 2018 and 2021, before and after their participation in the gathering. Rectal samples from between 2018 and 2020 were also cultured on specific media, and antibiotic susceptibility testing was performed.RESULTS:
Forty-one of the 296 (13.8%) pilgrims had at least one gastrointestinal symptom and 91/290 (31.4%) acquired pathogenic bacteria, mostly Escherichia coli. A total of 54.7% of pilgrims reported washing their hands more frequently than usual and 89.2% used soap. One hundred and five (36.2%) acquired at least one resistance gene, notably CTX-M A (21.0%), SHV (16.5%) and TEM (8.2%). The strains isolated by culture were mostly E. coli. These bacteria were found to be sensitive to carbapenems and resistant to amoxicillin and amoxicillin-clavulanic acid. The acquisition of enteroaggregative E. coli was independently associated with CTX-M A and TEM acquisition.CONCLUSION:
Pilgrims presented a risk for acquisition of CTX-M A after the GMT. Surveillance of the prevalence of resistant bacteria and the occurrence of associated clinical infections among pilgrims are necessary in the future.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Farmacorresistência Bacteriana
/
Antibacterianos
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article