High Prevalence of Acquired Antimicrobial Resistance Unrelated to Heavy Antimicrobial Consumption
Author(s) -
Alessandro Bartoloni,
Filippo Bartalesi,
Antonia Mantella,
Emanuela Dell’Amico,
Mimmo Roselli,
Marianne Strohmeyer,
Herlan Gamboa Barahona,
Virgilio Prieto Barrón,
Franco Paradisi,
Gian María Rossolini
Publication year - 2004
Publication title -
the journal of infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.69
H-Index - 252
eISSN - 1537-6613
pISSN - 0022-1899
DOI - 10.1086/382191
Subject(s) - antimicrobial , antibiotic resistance , microbiology and biotechnology , biology , consumption (sociology) , medicine , environmental health , antibiotics , social science , sociology
In a very remote rural Bolivian community where the use of antimicrobials has been minimal and where exchanges with the exterior are very limited, 67% of subjects were found to be carriers of fecal Escherichia coli with acquired resistance to >/=1 antimicrobial agent(s); the highest rates were observed for tetracycline (64%), ampicillin (58%), trimethoprim-sulfamethoxazole (50%), and chloramphenicol (41%). The most relevant implication of these findings is that, in certain settings, the spread and maintenance of antimicrobial resistance can occur, regardless of whether selective pressure generated by the use of antimicrobials is present.
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