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An Allelotyping PCR for Identifying Salmonella enterica serovars Enteritidis, Hadar, Heidelberg, and Typhimurium
Published on: July 22, 2011
Salmonella enterica serotype Paratyphi A carrying CTX-M-15 type extended-spectrum beta-lactamase isolated from a
M Mawatari1, Y Kato, K Hayakawa
1Disease Control and Prevention Center, National Center for Global Health and Medicine, Tokyo, Japan.
Abstract:
Emerging drug resistance in Salmonella Typhi and S. Paratyphi is a substantial public health concern. We report what appears to be the first case and isolation of multidrug resistant S. Paratyphi A carrying CTXM-15-type extended-spectrum beta-lactamase from a Japanese traveller returning from India.
Insights
Multidrug-resistant Salmonella Paratyphi A, a growing public health threat, was identified. This marks the first reported case of this specific resistant strain in a Japanese traveler returning from India.
Area of Science:
- Microbiology
- Infectious Diseases
- Antimicrobial Resistance
Background:
- Salmonella Typhi and Salmonella Paratyphi are significant causes of enteric fever globally.
- Emerging antimicrobial resistance in these pathogens poses a substantial public health challenge.
- The spread of drug-resistant bacteria is a critical concern for international travelers and public health surveillance.
Observation:
- A Japanese traveler returning from India was diagnosed with an infection.
- The causative agent was identified as Salmonella Paratyphi A.
- This isolate exhibited resistance to multiple antimicrobial drugs.
Findings:
- The study reports the first isolation of multidrug-resistant Salmonella Paratyphi A carrying the CTX-M-15 extended-spectrum beta-lactamase (ESBL) enzyme.
- The CTX-M-15 ESBL confers resistance to key antibiotics, including third-generation cephalosporins.
- This finding highlights the emergence of specific resistance mechanisms in Salmonella Paratyphi A.
Implications:
- This case underscores the importance of robust travel health screening and antimicrobial stewardship.
- The presence of CTX-M-15 in Salmonella Paratyphi A necessitates enhanced monitoring and diagnostic strategies.
- This highlights the potential for international spread of multidrug-resistant enteric fever pathogens.
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