1. Trends in ESBLs and PABLs among enteric Salmonella isolates from children in Gwangju, Korea: 2014–2018
- Author
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Kwang Gon Kim, Jin Jung, Ji Hyun Shin, Hye Jung Park, Min Ji Kim, Jin Jong Seo, Young Ok Kim, Su-Ya Lee, Chang-Yee Cho, and Tae Sun Kim
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Enteric Salmonella ,Children ,ESBLs ,PABLs ,Antimicrobial resistance ,Microbiology ,QR1-502 - Abstract
Objectives: Non-typhoid Salmonella infection is a major agent of food-borne outbreaks as well as individual cases worldwide. However, few studies on drug-resistant Salmonella strains, especially those recovered from young children, are available. Therefore, we determined the prevalence and characteristics of cephalosporin-resistant Salmonella isolates in the south-west region of Korea over a five-year period. Methods: Non-duplicate Salmonella clinical isolates were recovered from diarrhoeagenic patient specimens at 12 hospitals in Gwangju, Korea between January 2014 and December 2018. Antimicrobial susceptibility testing and molecular features of cephalosporin-resistant isolates were determined. Results: A total of 652 Salmonella isolates were collected and 48 cefotaxime-resistant Salmonella isolates (7.4%), that belonged to nine Salmonella serovars, were identified. These were S. Enteritidis, S. Typhimurium, S. I 4,[5],12:i:-, S. Virchow, S. Agona, S. Bareilly, S. Infantis, S. Newport, and S. Schleissheim. The prevalence rate increased from 5.3% in 2014 to 10.3% in 2018. S. Virchow (44.4%) showed significantly high resistant rate compared to the other serovars. PGFE genotyping revealed high genetic homogeneities among each Salmonella serovars, suggesting clonal dissemination of cephalosporin-resistant strains. Conclusions: Progressive increases in carriage rates and the possibility of community outbreaks by cephalosporin-resistant Salmonella in young children may pose tangible public health threats.
- Published
- 2022
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