A Race against Time: Reduced Azithromycin Susceptibility in Salmonella enterica Serovar Typhi in Pakistan

被引:0
作者
Iqbal, Junaid [1 ]
Dehraj, Irum F. [1 ]
Carey, Megan E. [2 ]
Dyson, Zoe A. [2 ,3 ,4 ]
Garrett, Denise [5 ]
Seidman, Jessica C. [5 ]
Kabir, Furqan [1 ]
Saha, Senjuti [6 ]
Baker, Stephen [2 ]
Qamar, Farah N. [1 ]
机构
[1] Aga Khan Univ, Dept Paediat & Child Hlth, Karachi, Pakistan
[2] Univ Cambridge, Cambridge Inst Therapeut Immunol & Infect Dis, Dept Med, Cambridge, England
[3] Monash Univ, Cent Clin Sch, Dept Infect Dis, Melbourne, Vic, Australia
[4] London Sch Hyg & Trop Med, London, England
[5] Sabin Vaccine Inst, Washington, DC USA
[6] Child Hlth Res Fdn, Dhaka, Bangladesh
关键词
Salmonella Typhi; typhoid fever; antimicrobial resistance; azithromycin higher MIC; Pakistan;
D O I
10.1128/msphere.00215-20
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
Antimicrobial resistance is an ongoing issue in the treatment of typhoid fever. Resistance to first-line antimicrobials and extensively drug resistant (XDR) Salmonella Typhi isolates in Pakistan have left azithromycin as the only remaining effective oral treatment. Here, we report the emergence of organisms with a single point mutation in acrB gene, implicated in azithromycin resistance, in a S. Typhi isolate from Pakistan. The isolation of this organism is worrisome and highlights the significance of the introduction of typhoid conjugate vaccine in South Asia.
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页数:4
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