Details:

Alternative Title:
Emerg Infect Dis
Personal Author:
Barlow, Russell S. ; DeBess, Emilio E. ; Winthrop, Kevin L. ; Lapidus, Jodi A. ; Vega, Robert ; ... More +
Barlow, Russell S. ; DeBess, Emilio E. ; Winthrop, Kevin L. ; Lapidus, Jodi A. ; Vega, Robert ; Cieslak, Paul R. Less -
Description:
To evaluate trends in and risk factors for acquisition of antimicrobial-drug resistant nontyphoidal Salmonella infections, we searched Oregon surveillance data for 2004-2009 for all culture-confirmed cases of salmonellosis. We defined clinically important resistance (CIR) as decreased susceptibility to ampicillin, ceftriaxone, ciprofloxacin, gentamicin, or trimethoprim/sulfamethoxazole. Of 2,153 cases, 2,127 (99%) nontyphoidal Salmonella isolates were obtained from a specific source (e.g., feces, urine, blood, or other normally sterile tissue) and had been tested for drug susceptibility. Among these, 347 (16%) isolates had CIR. The odds of acquiring CIR infection significantly increased each year. Hospitalization was more likely for patients with than without CIR infections. Among patients with isolates that had been tested, we analyzed data from 1,813 (84%) who were interviewed. Travel to eastern or Southeast Asia was associated with increased CIR. Isolates associated with outbreaks were less likely to have CIR. Future surveillance activities should evaluate resistance with respect to international travel.
Subject:
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Adolescent
Adult
Anti-Infective Agents
Child
Drug Resistance, Multiple, Bacterial
Female
Hospitalization
Humans
Male
Microbial Sensitivity Tests
Middle Aged
Risk Factors
Salmonella
Salmonella Food Poisoning
Salmonella Infections
Travel
Young Adult

Source:
Emerg Infect Dis. 20(4):603-611.
Document Type:
Journal Article
Collection(s):
Emerging Infectious Diseases
Main Document Checksum:
[+]
urn:sha256:1571c54c1342a8a3793e393690433d344f0b59e0b278b447354f64574a0b4fcc
File Type:

Supporting Files

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