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Prevalence of current patterns and predictive trends of multidrug-resistant Salmonella Typhi in Sudan

机译:苏丹多重耐药性沙门氏菌的流行趋势和预测趋势

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Enteric fever has persistence of great impact in Sudanese public health especially during rainy season when the causative agent Salmonella enterica serovar Typhi possesses pan endemic patterns in most regions of Sudan?- Khartoum. The present study aims to assess the recent state of antibiotics susceptibility of Salmonella Typhi with special concern to multidrug resistance strains and predict the emergence of new resistant patterns and outbreaks. Salmonella Typhi strains were isolated and identified according to the guidelines of the International Standardization Organization and the World Health Organization. The antibiotics susceptibilities were tested using the recommendations of the Clinical Laboratories Standards Institute. Predictions of emerging resistant bacteria patterns and outbreaks in Sudan were done using logistic regression, forecasting linear equations and in silico simulations models. A total of 124 antibiotics resistant Salmonella Typhi strains categorized in 12 average groups were isolated, different patterns of resistance statistically calculated by (y?=?ax???b). Minimum bactericidal concentration’s predication of resistance was given the exponential trend (y?=?n ex) and the predictive coefficient R2?>?0?
机译:肠热一直对苏丹的公共卫生产生重大影响,特别是在雨季,在苏丹的大多数地区,肠炎沙门氏菌血清型伤寒沙门氏菌都具有泛流行性。本研究旨在评估伤寒沙门氏菌对多药耐药菌株特别关注的近期抗生素敏感性状况,并预测新的耐药模式和暴发的出现。根据国际标准化组织和世界卫生组织的指导原则,分离并鉴定了伤寒沙门氏菌菌株。使用临床实验室标准协会的建议测试了抗生素的敏感性。使用对数回归,线性方程组预测和计算机模拟模型对苏丹出现的抗药性细菌类型和爆发进行了预测。分离出总共分为12个平均组的124株耐药性鼠伤寒沙门氏菌菌株,统计地计算出不同的耐药性模式(y?=?ax ??? b)。最小杀菌浓度对耐药性的预测具有指数趋势(y?=?n ex),预测系数R2?>?0?<?1大致相同。假定在整个实验期间,耐药菌以恒定的抗生素剂量发生。因此,敏感细菌的数量减少的速度与对经过计算解决的修改后的预测模型产生抗药性的发生率相同。这项研究通过应用低成本材料和适用于最常用抗生素作为伤寒经验疗法的简单统计方法,评估了伤寒沙门氏菌分离株对多药耐药性的预测。因此,应该实施细菌监测系统,以提供有关引起暴发的社区获得性病原的病因学和当前抗菌药物耐药性模式的数据。

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