Colonisation of antibiotic resistant bacteria in a cohort of HIV infected children in Ghana.
Identifieur interne : 000056 ( PubMed/Curation ); précédent : 000055; suivant : 000057Colonisation of antibiotic resistant bacteria in a cohort of HIV infected children in Ghana.
Auteurs : Eric Sampane-Donkor [Ghana] ; Ebenezer Vincent Badoe [Ghana] ; Jennifer Adoley Annan [Ghana] ; Nicholas Nii-Trebi [Ghana]Source :
- The Pan African medical journal [ 1937-8688 ] ; 2017.
Descripteurs français
- KwdFr :
- Adolescent, Antibactériens (pharmacologie), Bactéries (isolement et purification), Enfant, Enfant d'âge préscolaire, Femelle, Ghana (épidémiologie), Humains, Infections bactériennes (microbiologie), Infections bactériennes (épidémiologie), Infections à VIH (), Multirésistance bactérienne aux médicaments, Mâle, Partie nasale du pharynx (microbiologie), Prévalence, Résistance bactérienne aux médicaments, Tests de sensibilité microbienne.
- MESH :
- isolement et purification : Bactéries.
- microbiologie : Infections bactériennes, Partie nasale du pharynx.
- pharmacologie : Antibactériens.
- épidémiologie : Ghana, Infections bactériennes.
- Adolescent, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Infections à VIH, Multirésistance bactérienne aux médicaments, Mâle, Prévalence, Résistance bactérienne aux médicaments, Tests de sensibilité microbienne.
English descriptors
- KwdEn :
- Adolescent, Anti-Bacterial Agents (pharmacology), Bacteria (isolation & purification), Bacterial Infections (epidemiology), Bacterial Infections (microbiology), Child, Child, Preschool, Drug Resistance, Bacterial, Drug Resistance, Multiple, Bacterial, Female, Ghana (epidemiology), HIV Infections (complications), Humans, Male, Microbial Sensitivity Tests, Nasopharynx (microbiology), Prevalence.
- MESH :
- chemical , pharmacology : Anti-Bacterial Agents.
- complications : HIV Infections.
- epidemiology : Bacterial Infections, Ghana.
- isolation & purification : Bacteria.
- microbiology : Bacterial Infections, Nasopharynx.
- Adolescent, Child, Child, Preschool, Drug Resistance, Bacterial, Drug Resistance, Multiple, Bacterial, Female, Humans, Male, Microbial Sensitivity Tests, Prevalence.
Abstract
Antibiotic use not only selects for resistance in pathogenic bacteria, but also in commensal flora of exposed individuals. Little is known epidemiologically about antibiotic resistance in relation to people with HIV infection in sub-Saharan Africa. This study investigated the carriage of antibiotic resistant bacteria among HIV infected children at a tertiary hospital in Ghana. One hundred and eighteen HIV positive children were recruited at the Korle-Bu Teaching Hospital in Ghana and nasopharyngeal specimens were collected from them. The specimens were cultured for bacteria, and the isolates were identified by standard microbiological methods. Antibiotic susceptibility tests were carried out on selected bacterial organisms by the Kirby Bauer method. Bacteria isolated from the study subjects included Moraxella catarrhalis (39.8%), coagulase negative staphylococci (33.1%), Streptococcus pneumoniae (30.5%), diptheroids (29.7%), viridian streptococci (27.1%), Staphylococcus aureus (22.0%), Citrobacter spp. (4.2%) and Neisseria meningitidis (0.9%). Prevalence of antibiotic resistance of S. pneumoniae ranged from 5.6% (ceftriaxone) to 58.3% (cotrimoxazole), M. catarrhalis ranged from 2.1% (gentamicin) to 80.6% (ampicillin), and S. aureus ranged from 7.7% (cefoxitin) to 100% (penicillin). The prevalence of multiple drug resistance was 16.7% for S. pneumoniae, 57.4% for M. catarrhalis and 84.6% for S. aureus. HIV infected children in the study area commonly carry multi-drug resistant isolates of several pathogenic bacteria such as S. aureus and S. pneumoniae. Infections arising in these patients that are caused by S. aureus and S. pneumoniae could be treated with ceftriaxone and cefoxitin respectively.
DOI: 10.11604/pamj.2017.26.60.10981
PubMed: 28451037
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Little is known epidemiologically about antibiotic resistance in relation to people with HIV infection in sub-Saharan Africa. This study investigated the carriage of antibiotic resistant bacteria among HIV infected children at a tertiary hospital in Ghana. One hundred and eighteen HIV positive children were recruited at the Korle-Bu Teaching Hospital in Ghana and nasopharyngeal specimens were collected from them. The specimens were cultured for bacteria, and the isolates were identified by standard microbiological methods. Antibiotic susceptibility tests were carried out on selected bacterial organisms by the Kirby Bauer method. Bacteria isolated from the study subjects included Moraxella catarrhalis (39.8%), coagulase negative staphylococci (33.1%), Streptococcus pneumoniae (30.5%), diptheroids (29.7%), viridian streptococci (27.1%), Staphylococcus aureus (22.0%), Citrobacter spp. (4.2%) and Neisseria meningitidis (0.9%). Prevalence of antibiotic resistance of S. pneumoniae ranged from 5.6% (ceftriaxone) to 58.3% (cotrimoxazole), M. catarrhalis ranged from 2.1% (gentamicin) to 80.6% (ampicillin), and S. aureus ranged from 7.7% (cefoxitin) to 100% (penicillin). The prevalence of multiple drug resistance was 16.7% for S. pneumoniae, 57.4% for M. catarrhalis and 84.6% for S. aureus. HIV infected children in the study area commonly carry multi-drug resistant isolates of several pathogenic bacteria such as S. aureus and S. pneumoniae. Infections arising in these patients that are caused by S. aureus and S. pneumoniae could be treated with ceftriaxone and cefoxitin respectively.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28451037</PMID><DateCreated><Year>2017</Year><Month>04</Month><Day>28</Day></DateCreated><DateCompleted><Year>2017</Year><Month>06</Month><Day>08</Day></DateCompleted><DateRevised><Year>2017</Year><Month>06</Month><Day>08</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Electronic">1937-8688</ISSN><JournalIssue CitedMedium="Internet"><Volume>26</Volume><PubDate><Year>2017</Year></PubDate></JournalIssue><Title>The Pan African medical journal</Title><ISOAbbreviation>Pan Afr Med J</ISOAbbreviation></Journal><ArticleTitle>Colonisation of antibiotic resistant bacteria in a cohort of HIV infected children in Ghana.</ArticleTitle><Pagination><MedlinePgn>60</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.11604/pamj.2017.26.60.10981</ELocationID><Abstract><AbstractText>Antibiotic use not only selects for resistance in pathogenic bacteria, but also in commensal flora of exposed individuals. Little is known epidemiologically about antibiotic resistance in relation to people with HIV infection in sub-Saharan Africa. This study investigated the carriage of antibiotic resistant bacteria among HIV infected children at a tertiary hospital in Ghana. One hundred and eighteen HIV positive children were recruited at the Korle-Bu Teaching Hospital in Ghana and nasopharyngeal specimens were collected from them. The specimens were cultured for bacteria, and the isolates were identified by standard microbiological methods. Antibiotic susceptibility tests were carried out on selected bacterial organisms by the Kirby Bauer method. Bacteria isolated from the study subjects included Moraxella catarrhalis (39.8%), coagulase negative staphylococci (33.1%), Streptococcus pneumoniae (30.5%), diptheroids (29.7%), viridian streptococci (27.1%), Staphylococcus aureus (22.0%), Citrobacter spp. (4.2%) and Neisseria meningitidis (0.9%). Prevalence of antibiotic resistance of S. pneumoniae ranged from 5.6% (ceftriaxone) to 58.3% (cotrimoxazole), M. catarrhalis ranged from 2.1% (gentamicin) to 80.6% (ampicillin), and S. aureus ranged from 7.7% (cefoxitin) to 100% (penicillin). The prevalence of multiple drug resistance was 16.7% for S. pneumoniae, 57.4% for M. catarrhalis and 84.6% for S. aureus. HIV infected children in the study area commonly carry multi-drug resistant isolates of several pathogenic bacteria such as S. aureus and S. pneumoniae. Infections arising in these patients that are caused by S. aureus and S. pneumoniae could be treated with ceftriaxone and cefoxitin respectively.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Sampane-Donkor</LastName><ForeName>Eric</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Medical Microbiology, School of Biomedical and Allied Health Sciences University of Ghana, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Badoe</LastName><ForeName>Ebenezer Vincent</ForeName><Initials>EV</Initials><AffiliationInfo><Affiliation>Department of Child Health, School of Medicine and Dentistry, University of Ghana Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Annan</LastName><ForeName>Jennifer Adoley</ForeName><Initials>JA</Initials><AffiliationInfo><Affiliation>Department of Medical Microbiology, School of Biomedical and Allied Health Sciences University of Ghana, Accra, Ghana.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Nii-Trebi</LastName><ForeName>Nicholas</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Medical Laboratory Science, School of Biomedical and Allied Health Sciences, University of Ghana, Accra, Ghana.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>02</Month><Day>02</Day></ArticleDate></Article><MedlineJournalInfo><Country>Uganda</Country><MedlineTA>Pan Afr Med J</MedlineTA><NlmUniqueID>101517926</NlmUniqueID></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000900">Anti-Bacterial Agents</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>BMC Infect Dis. 2013 Oct 22;13:490</RefSource><PMID Version="1">24148091</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>West Afr J Med. 2002 Jul-Sep;21(3):233-6</RefSource><PMID Version="1">12744576</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Clin Infect Dis. 2003 Jun 1;36(11):1433-7</RefSource><PMID Version="1">12766839</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Am J Clin Pathol. 1966 Apr;45(4):493-6</RefSource><PMID Version="1">5325707</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Infect Drug Resist. 2013 Jul 29;6:71-7</RefSource><PMID Version="1">23930075</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>P T. 2015 Apr;40(4):277-83</RefSource><PMID Version="1">25859123</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2014 Apr 23;9(4):e96119</RefSource><PMID Version="1">24760001</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Infect Dis (Lond). 2015 May;47(5):326-31</RefSource><PMID Version="1">25761718</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Scand J Infect Dis. 2010 Apr;42(4):254-9</RefSource><PMID Version="1">20085428</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Lancet. 1995 Oct 14;346(8981):1034-5</RefSource><PMID Version="1">7475565</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Microbiology. 2010 Nov;156(Pt 11):3216-23</RefSource><PMID Version="1">20705661</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trop Med Int Health. 2013 Oct;18(10):1267-8</RefSource><PMID Version="1">24016033</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Drugs. 1993 Jun;45(6):866-894</RefSource><PMID Version="1">7691496</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000900" MajorTopicYN="N">Anti-Bacterial Agents</DescriptorName><QualifierName UI="Q000494" MajorTopicYN="Y">pharmacology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001419" MajorTopicYN="N">Bacteria</DescriptorName><QualifierName UI="Q000302" MajorTopicYN="Y">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001424" MajorTopicYN="N">Bacterial Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002675" MajorTopicYN="N">Child, Preschool</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D024881" MajorTopicYN="N">Drug Resistance, Bacterial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D024901" MajorTopicYN="N">Drug Resistance, Multiple, Bacterial</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005869" MajorTopicYN="N">Ghana</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008826" MajorTopicYN="N">Microbial Sensitivity Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009305" MajorTopicYN="N">Nasopharynx</DescriptorName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Antibiotic resistance</Keyword><Keyword MajorTopicYN="N">Ghana</Keyword><Keyword MajorTopicYN="N">HIV</Keyword></KeywordList><CoiStatement>The authors declare no competing interests.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>10</Month><Day>16</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>01</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>4</Month><Day>29</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>4</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>9</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>epublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28451037</ArticleId><ArticleId IdType="doi">10.11604/pamj.2017.26.60.10981</ArticleId><ArticleId IdType="pii">PAMJ-26-60</ArticleId><ArticleId IdType="pmc">PMC5398869</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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