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Métodos Terapêuticos e Terapias MTCI
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1.
Trans R Soc Trop Med Hyg ; 109(4): 275-9, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25416186

RESUMO

BACKGROUND: Shigella spp. dysentery is widespread in developing countries; the incidence is particularly high in children between 1-2 years of age. In sub-Saharan Africa, there is a paucity of epidemiological data on Shigella spp., with possible negative consequences for recognition and correct treatment choice for this life-threatening bacterial infection. We therefore characterized Shigella spp. isolates from Gabon. METHODS: The antimicrobial resistance, virulence factors, genotypes and mobile genetic elements of Shigella isolates (29 S. flexneri; 5 S. boydii; 3 S. sonnei) from a retrospective strain collection were analyzed. RESULTS: High resistance rates were found for gentamicin and tetracycline (100%, 37/37), cotrimoxazole (92%, 34/37) and ampicillin (84%, 31/37). All isolate harbored ial and ipaH; no isolate produced Shiga toxins (stx1/2); enterotoxins (set1A/B) were only found in S. flexneri (n=19). Multilocus sequence types (MLST) clustered with global clones. A high prevalence of atypical class 1 integrons harboring blaOXA30 and aadA1 were detected in S. flexneri, while all S. sonnei carried class 2 integrons. CONCLUSIONS: There is a strong link of Gabonese Shigella spp. isolates with pandemic lineages as they cluster with major global clones and frequently carry atypical class 1 integrons which are frequently reported in Shigella spp. from Asia.


Assuntos
Antibacterianos/uso terapêutico , Farmacorresistência Bacteriana Múltipla/genética , Shigella/genética , Pré-Escolar , DNA Bacteriano/isolamento & purificação , Farmacorresistência Bacteriana Múltipla/imunologia , Disenteria Bacilar/epidemiologia , Disenteria Bacilar/imunologia , Feminino , Gabão/epidemiologia , Humanos , Lactente , Integrons , Masculino , Testes de Sensibilidade Microbiana , Tipagem de Sequências Multilocus , Estudos Retrospectivos , Shigella/isolamento & purificação , Shigella dysenteriae/genética , Shigella flexneri/genética , Shigella sonnei/genética
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