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Related Experiment Videos

Antimicrobial resistance among enteric pathogens.

Larry K Pickering1

  • 1National Immunization Program, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Mailstop E05, Atlanta, GA 30333, USA.

Seminars in Pediatric Infectious Diseases
|June 9, 2004
PubMed
Summary
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Antimicrobial resistance in bacterial diarrhea pathogens is increasing globally. Monitoring resistance patterns is crucial for selecting effective treatments in children worldwide.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Microbiology

Background:

  • Diarrhea significantly contributes to child morbidity and mortality globally.
  • Antimicrobial therapy is used for bacterial diarrhea, but resistance is a growing concern.
  • Understanding resistance patterns is vital for appropriate treatment selection.

Purpose of the Study:

  • To review the challenges and considerations for antimicrobial therapy in pediatric bacterial diarrhea.
  • To highlight the increasing issue of antimicrobial resistance in common enteric pathogens.
  • To emphasize the need for ongoing surveillance of antimicrobial susceptibility patterns.

Main Methods:

  • Review of studies reporting antimicrobial resistance in bacterial diarrhea pathogens.
  • Analysis of resistance patterns in Campylobacter jejuni, Campylobacter coli, Shigella, Salmonella, and E. coli.

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  • Examination of factors influencing resistance, including geography and antimicrobial use.

    • Main Results:

    • Widespread antimicrobial resistance is reported in key enteric pathogens globally.
    • Resistance has increased over time across multiple classes of antimicrobial agents.
    • Resistance patterns vary significantly by geographic location, year, and isolate source.

    Conclusions:

    • Antimicrobial resistance in pediatric bacterial diarrhea pathogens is a common and increasing problem.
    • Effective treatment selection requires a thorough understanding of local and temporal resistance patterns.
    • Continuous monitoring of antimicrobial susceptibility is essential for guiding therapy choices.