Cargando…
Antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections
Antimicrobial resistance (AMR) surveillance in bloodstream infections (BSIs) is challenging in low/middle-income countries (LMICs) given limited laboratory capacity. Other specimens are easier to collect and process and are more likely to be culture-positive. In 8102 E. coli BSIs, 322,087 E. coli ur...
Autores principales: | , , , , , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Nature Publishing Group UK
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8642463/ https://www.ncbi.nlm.nih.gov/pubmed/34862445 http://dx.doi.org/10.1038/s41598-021-02755-5 |
_version_ | 1784609689154093056 |
---|---|
author | Vihta, Karina-Doris Gordon, Nicola Claire Stoesser, Nicole Quan, T. Phuong Tyrrell, Carina S. B. Vongsouvath, Manivanh Ashley, Elizabeth A. Chansamouth, Vilada Turner, Paul Ling, Clare L. Eyre, David W. White, Nicholas J. Crook, Derrick Peto, Tim E. A. Walker, Ann Sarah |
author_facet | Vihta, Karina-Doris Gordon, Nicola Claire Stoesser, Nicole Quan, T. Phuong Tyrrell, Carina S. B. Vongsouvath, Manivanh Ashley, Elizabeth A. Chansamouth, Vilada Turner, Paul Ling, Clare L. Eyre, David W. White, Nicholas J. Crook, Derrick Peto, Tim E. A. Walker, Ann Sarah |
author_sort | Vihta, Karina-Doris |
collection | PubMed |
description | Antimicrobial resistance (AMR) surveillance in bloodstream infections (BSIs) is challenging in low/middle-income countries (LMICs) given limited laboratory capacity. Other specimens are easier to collect and process and are more likely to be culture-positive. In 8102 E. coli BSIs, 322,087 E. coli urinary tract infections, 6952 S. aureus BSIs and 112,074 S. aureus non-sterile site cultures from Oxfordshire (1998–2018), and other (55,296 isolates) rarer commensal opportunistic pathogens, antibiotic resistance trends over time in blood were strongly associated with those in other specimens (maximum cross-correlation per drug 0.51–0.99). Resistance prevalence was congruent across drug-years for each species (276/312 (88%) species-drug-years with prevalence within ± 10% between blood/other isolates). Results were similar across multiple countries in high/middle/low income-settings in the independent ATLAS dataset (103,559 isolates, 2004–2017) and three further LMIC hospitals/programmes (6154 isolates, 2008–2019). AMR in commensal opportunistic pathogens cultured from BSIs is strongly associated with AMR in commensal opportunistic pathogens cultured from non-sterile sites over calendar time, suggesting the latter could be used as an effective proxy for AMR surveillance in BSIs. |
format | Online Article Text |
id | pubmed-8642463 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Nature Publishing Group UK |
record_format | MEDLINE/PubMed |
spelling | pubmed-86424632021-12-06 Antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections Vihta, Karina-Doris Gordon, Nicola Claire Stoesser, Nicole Quan, T. Phuong Tyrrell, Carina S. B. Vongsouvath, Manivanh Ashley, Elizabeth A. Chansamouth, Vilada Turner, Paul Ling, Clare L. Eyre, David W. White, Nicholas J. Crook, Derrick Peto, Tim E. A. Walker, Ann Sarah Sci Rep Article Antimicrobial resistance (AMR) surveillance in bloodstream infections (BSIs) is challenging in low/middle-income countries (LMICs) given limited laboratory capacity. Other specimens are easier to collect and process and are more likely to be culture-positive. In 8102 E. coli BSIs, 322,087 E. coli urinary tract infections, 6952 S. aureus BSIs and 112,074 S. aureus non-sterile site cultures from Oxfordshire (1998–2018), and other (55,296 isolates) rarer commensal opportunistic pathogens, antibiotic resistance trends over time in blood were strongly associated with those in other specimens (maximum cross-correlation per drug 0.51–0.99). Resistance prevalence was congruent across drug-years for each species (276/312 (88%) species-drug-years with prevalence within ± 10% between blood/other isolates). Results were similar across multiple countries in high/middle/low income-settings in the independent ATLAS dataset (103,559 isolates, 2004–2017) and three further LMIC hospitals/programmes (6154 isolates, 2008–2019). AMR in commensal opportunistic pathogens cultured from BSIs is strongly associated with AMR in commensal opportunistic pathogens cultured from non-sterile sites over calendar time, suggesting the latter could be used as an effective proxy for AMR surveillance in BSIs. Nature Publishing Group UK 2021-12-03 /pmc/articles/PMC8642463/ /pubmed/34862445 http://dx.doi.org/10.1038/s41598-021-02755-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Article Vihta, Karina-Doris Gordon, Nicola Claire Stoesser, Nicole Quan, T. Phuong Tyrrell, Carina S. B. Vongsouvath, Manivanh Ashley, Elizabeth A. Chansamouth, Vilada Turner, Paul Ling, Clare L. Eyre, David W. White, Nicholas J. Crook, Derrick Peto, Tim E. A. Walker, Ann Sarah Antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections |
title | Antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections |
title_full | Antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections |
title_fullStr | Antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections |
title_full_unstemmed | Antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections |
title_short | Antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections |
title_sort | antimicrobial resistance in commensal opportunistic pathogens isolated from non-sterile sites can be an effective proxy for surveillance in bloodstream infections |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8642463/ https://www.ncbi.nlm.nih.gov/pubmed/34862445 http://dx.doi.org/10.1038/s41598-021-02755-5 |
work_keys_str_mv | AT vihtakarinadoris antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT gordonnicolaclaire antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT stoessernicole antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT quantphuong antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT tyrrellcarinasb antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT vongsouvathmanivanh antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT ashleyelizabetha antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT chansamouthvilada antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT turnerpaul antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT lingclarel antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT eyredavidw antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT whitenicholasj antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT crookderrick antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT petotimea antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections AT walkerannsarah antimicrobialresistanceincommensalopportunisticpathogensisolatedfromnonsterilesitescanbeaneffectiveproxyforsurveillanceinbloodstreaminfections |