
02.08.2020
Campylobacter antibiotic susceptibility
M-CG and J-JL wrote the manuscript. Two methods of MIC determination are routinely used, broth dilution and Although previous studies have indicated an increase in Cases of severe or invasive campylobacteriosis require the use of antibiotics; erythromycin is suitable as the first choice, and the ciprofloxacin and tetracycline are not suitable because of their high drug resistance (observed in more than 95% of cases in Taiwan). Introduction. Because of a high error rate (75%, 3/4), if the IZD is between 6 and 20 mm or if antibiotic treatment failed, the MIC method is recommended.Among the isolates, resistance to ciprofloxacin and tetracycline, regardless of the CLSI or EUCAST criteria, was high (>90%), thus indicating that these two antibiotics are not suitable for empirical treatment.
The error rate of disk diffusion method using CLSI M45-A3 criteria is only slightly higher than B, which is also a suitable criteria. Since this study only focuses on a bacterial isolate rather than patients, ethical approval was not necessary for the study according to the Swedish act concerning the ethical review of research involving humans, Etikprövningslagen (2003:460).Antibiotic sensitivity was analyzed using the MIC and disk diffusion methods.
Antibiotic treatment is suggested for patients with severe campylobacteriosis. Campylobacter is the world's leading cause of bacterial gastroenteritis, causing nearly 9 million cases of food poisoning in Europe every year.
Clinical isolates either from northern or southern Taiwan were used for analysis. The error rate of the combination method was only 3.5% (5/144).
In addition to CLSI, other reference standards, such as EUCAST, are used in Europe.
The sensitivity rate for erythromycin detected using the MIC assay was 119/148 (80.4%) (Table Several differences were observed in susceptibility to the nine antibiotics, namely erythromycin, azithromycin, telithromycin, clindamycin, tetracycline, nalidixic acid, ciprofloxacin, florfenicol, and gentamicin, between The MICs of three antibiotics, namely erythromycin, ciprofloxacin, and tetracycline, in 75 We further analyzed antibiotic resistance rates in three periods, namely 2001–2006 (The antibiotic resistance interpretive criteria in the CLSI M45-A2 guidelines suggest that erythromycin is resistant when an IZD (≤6 mm) is not observed in a 15-μg paper disk, and uncertain if the IZD exceeds 6 mm. S-CC performed the statistical analyses. Some people who have a Campylobacter infection have mild symptoms, such as a few loose stools per day. M-CG and S-FK participated in other experiments. Antimicrobial susceptibility testing for Campylobacter spp. Some people with serious illness or at risk of serious illness might need antibiotics, such as azithromycin and ciprofloxacin.However, some bacteria are resistant to these antibiotics commonly used to treat Thus, these infections can lead to greater healthcare costs and are a serious threat to public health.In 1986, fluoroquinolones were approved for use in humans. If antibiotic treatment fails or when the IZD is between 6 and 20 mm, the MIC method is recommended. For ciprofloxacin, the rate of non-compliance was 33.3% (3/9) based on the CLSI MIC criteria and >56% based on the EUCAST MIC criteria.
However, the interpretative criteria for antibiotic susceptibility are inconsistent between Clinical and Laboratory Standards Institute and European Committee on Antimicrobial Susceptibility Testing guidelines. View all Front. All authors discussed the results and implications and commented on the manuscript at all stages.This work was supported by the grants from Kaohsiung Chang Gung Memorial Hospital (CMRPG8D0361) and the Ministry of Science and Technology (MOST104-2320-B-182A-005-MY3 and MOST 107-2320-B-182A-021-MY3) of Taiwan.The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.The authors thank Melisa Andrews and Haerin Shin from Wallace Academic Editing Group (The Supplementary Material for this article can be found online at: The editor and reviewers' affiliations are the latest provided on their Loop research profiles and may not reflect their situation at the time of review.Analysis of the number of cases of campylobacteriosis in Chang Gung Memorial Hospital, Linkou, from 2005 to 2014 showed that the average number of cases of intestinal infection per year was 181.
Microbiol., 07 January 2019 | CDC twenty four seven.
The The raw data supporting the conclusions of this manuscript will be made available by the authors, without undue reservation, to any qualified researcher.M-CG, S-FK, and J-JL designed the experiments. Campylobacter spp.
Saving Lives, Protecting People Even if the IZD exceeded the “sensitive” criteria of EUCAST (≥26 mm for ciprofloxacin and ≥30 mm for tetracycline), a large proportion of the isolates were shown to be resistant according to the results of the MIC method.
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