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Trends in antimicrobial susceptibility of Campylobacter isolates in Poland (2000-2007)
Elzbieta Rozynek1, Katarzyna Dzierzanowska-Fangrat, Bernadeta Szczepańska
1Department of Clinical Microbiology and Immunology, The Children's Memorial Health Institute, Warsaw, Poland.
Insights
Antibiotic resistance in Campylobacter strains from hospitalized children in Poland increased significantly. Ciprofloxacin resistance was highest, while macrolides remained effective. Multidrug resistance rose sharply between 2000-2007.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Campylobacter infections are a common cause of bacterial gastroenteritis in children.
- Antibiotic resistance in Campylobacter poses a significant public health threat.
- Monitoring resistance patterns is crucial for effective treatment strategies.
Purpose of the Study:
- To analyze the antibiotic resistance patterns of Campylobacter strains isolated from hospitalized children in Poland.
- To investigate the prevalence of multidrug resistance in these strains.
- To track changes in resistance over time.
Main Methods:
- Bacterial isolates: 251 Campylobacter strains (C. jejuni and C. coli) from symptomatic children.
- Study period: 2000–2007.
- Antimicrobial susceptibility testing was performed for various antibiotic classes.
Main Results:
- High resistance rates observed for ciprofloxacin (49.5-51.3%), tetracycline (17.5-18.0%), and ampicillin (10.2-13.2%).
- Most isolates remained susceptible to macrolides.
- Multidrug resistance increased dramatically from 5.1% (2000-2003) to 34.6% (2004-2007).
Conclusions:
- Significant increase in multidrug-resistant Campylobacter strains in hospitalized children in Poland.
- Ciprofloxacin and tetracycline resistance are major concerns.
- Continued surveillance and prudent antibiotic use are essential.
Abstract:
This study analysed the pattern of antibiotic resistance in 251 Campylobacter strains isolated from symptomatic children hospitalized in 4 large paediatric hospitals in Poland from 2000 through 2007. The highest resistance was found for ciprofloxacin (49.5% for C. jejuni and 51.3% for C. coli), followed by tetracycline (17.5% and 18.0%, respectively), and ampicillin (13.2% and 10.2%, respectively). Almost all isolates were susceptible to macrolides. As much as 22.6% of C. jejuni and 25.6% of C. coli were resistant to more than one class of antimicrobial agents. Multidrug resistance (defined as resistance to at least two classes of antimicrobials) rose significantly from 5.1% in 2000-2003 to 34.6% in 2004-2007.
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