Prevalence of faecal carriage of colistin-resistant Gram-negative rods in a university hospital in western France, 2016.

Details

Serval ID
serval:BIB_81B6A9F00814
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Prevalence of faecal carriage of colistin-resistant Gram-negative rods in a university hospital in western France, 2016.
Journal
Journal of medical microbiology
Author(s)
Saly M., Jayol A., Poirel L., Megraud F., Nordmann P., Dubois V.
ISSN
1473-5644 (Electronic)
ISSN-L
0022-2615
Publication state
Published
Issued date
06/2017
Peer-reviewed
Oui
Volume
66
Number
6
Pages
842-843
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Plasmid-mediated and chromosomally-encoded colistin resistance is increasingly being reported worldwide. We aimed to determine the prevalence of faecal carriage of colistin-resistant Gram-negative rod isolates in a university hospital in western France. From February to May 2016, rectal swabs from 653 patients hospitalized in various clinical settings were recovered and subsequently screened for colistin resistance using the SuperPolymyxin medium. Antimicrobial susceptibilities were determined according to EUCAST guidelines. Genetic detection of plasmid-mediated colistin resistance was performed by PCR. The faecal carriage with intrinsic colistin-resistant isolates was high (23 %), while the faecal carriage with Gram-negative rods showing acquired resistance was low (1.4 %). No isolate carried the plasmid-mediated mcr-1/mcr-2 genes. It was noteworthy that none of the patients carrying isolates with acquired colistin resistance had previously received a colistin-based treatment, while these isolates were not multidrug resistant.

Keywords
Anti-Bacterial Agents/pharmacology, Carrier State/epidemiology, Carrier State/microbiology, Colistin/pharmacology, Drug Resistance, Bacterial/genetics, Feces/microbiology, France/epidemiology, Gram-Negative Bacteria/drug effects, Gram-Negative Bacteria/genetics, Gram-Negative Bacteria/isolation & purification, Gram-Negative Bacterial Infections/epidemiology, Gram-Negative Bacterial Infections/microbiology, Hospitals, University, Humans, Microbial Sensitivity Tests, Polymerase Chain Reaction, Prevalence
Pubmed
Web of science
Open Access
Yes
Create date
22/06/2017 18:49
Last modification date
20/08/2019 14:42
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