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Escherichia coli fecal resistente a antibióticos en niños sanos. Inducción por uso de antibióticos? / Antibiotic-resistant fecal Escherichia coli in healthy children. Induced by the use of antibiotics?
Macías, Alejandro E; Herrera, Laura E; Muñoz, Juan M; Medina, Humberto.
Afiliação
  • Macías, Alejandro E; Universidad de Guanajuato. Facultad de Medicina de León.
  • Herrera, Laura E; Universidad de Guanajuato. Facultad de Medicina de León.
  • Muñoz, Juan M; Universidad de Guanajuato. Facultad de Medicina de León.
  • Medina, Humberto; Universidad de Guanajuato. Facultad de Medicina de León.
Rev. invest. clín ; 54(2): 108-112, Mar.-Abr. 2002.
Artigo em Espanhol | LILACS | ID: lil-332940
Biblioteca responsável: BR1.1
RESUMO

OBJECTIVE:

To determine the rate of antibiotic resistance of fecal E. coli from healthy children and to infer if it is acquired environmentally or induced by antibiotic use. MATERIAL AND

METHODS:

Cross sectional study in children from schools and day care centers in Leon, Mexico. Prior antibiotic use (60 days) was questioned to the parents. A single fecal sample was cultured and an isolated colony suggestive of E. coli was submitted to biochemical identification and testing of disk susceptibility to 12 antibiotics.

RESULTS:

Four hundred fifty-six isolates were studied from children of 10 institutions, with ages ranging from 3 to 72 months (mean, 42.41). Use of antibiotics was referred in 242 children (53.07). The antibiotics more commonly used were trimethoprim/sulfa, ampicillin, and penicillin (34, 20.5, and 18). The highest rate of resistance was found for tetracycline, ampicillin, and trimethoprim/sulfa (64.4, 52.63, and 46.05). The resistance to ciprofloxacin, amikacin, gentamicin, and ceftriaxone was less than 5. Resistance to five or more antimicrobials was found in 93 isolates (20.39); this rate was higher in isolates from children who received antibiotics (59/242, 24.38 vs. 34/214, 15.89) (p = .025; OR 1.71, IC 95 1.04-2.81).

CONCLUSIONS:

The study suggests that saprophyte bacteria acquires resistance through both, use of antibiotics and from the environment. These results support the concept that antimicrobial resistance must be considered as a public health problem.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Doenças Neglicenciadas Tema em saúde: Zoonoses Base de dados: LILACS Assunto principal: Farmacorresistência Bacteriana / Escherichia coli / Fezes / Antibacterianos Tipo de estudo: Estudo de prevalência Limite: Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino País/Região como assunto: Europa Idioma: Espanhol Revista: Rev. invest. clín Assunto da revista: Medicina Ano de publicação: 2002 Tipo de documento: Artigo País de afiliação: México

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Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Doenças Neglicenciadas Tema em saúde: Zoonoses Base de dados: LILACS Assunto principal: Farmacorresistência Bacteriana / Escherichia coli / Fezes / Antibacterianos Tipo de estudo: Estudo de prevalência Limite: Criança / Criança, pré-escolar / Feminino / Humanos / Lactente / Masculino País/Região como assunto: Europa Idioma: Espanhol Revista: Rev. invest. clín Assunto da revista: Medicina Ano de publicação: 2002 Tipo de documento: Artigo País de afiliação: México
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