2014
DOI: 10.3201/eid2007.131744
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Cefotaxime-ResistantSalmonella entericain Travelers Returning from Thailand to Finland

Abstract: During 1993–2011, cefotaxime resistance among Salmonella enterica isolates from patients in Finland increased substantially. Most of these infections originated in Thailand; many were qnr positive and belonged to S. enterica serovar Typhimurium and S. enterica monophasic serovar 4,[5],12:i:-. Although cefotaxime-resistant salmonellae mainly originate in discrete geographic areas, they represent a global threat.

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Cited by 17 publications
(15 citation statements)
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“…The occurrence of Salmonella serovar 4,[5],12:i:- constitutes an animal husbandry and public hygiene concern because the pathogenicity of these strains in farm animals and humans is considered to be comparable to that of Salmonella serovar Typhimurium [13, 19]. Additionally, resistance to antimicrobials, including third-generation cephalosporins and plasmid- mediated quinolone resistance (PMQR) genes, have been reported in Salmonella serovar 4,[5],12:i:- strains [18]. It is generally believed that one of the reasons for the increased prevalence of antimicrobial-resistant strains in food-producing animals is the usage of antimicrobials in rearing practices [43].…”
mentioning
confidence: 99%
“…The occurrence of Salmonella serovar 4,[5],12:i:- constitutes an animal husbandry and public hygiene concern because the pathogenicity of these strains in farm animals and humans is considered to be comparable to that of Salmonella serovar Typhimurium [13, 19]. Additionally, resistance to antimicrobials, including third-generation cephalosporins and plasmid- mediated quinolone resistance (PMQR) genes, have been reported in Salmonella serovar 4,[5],12:i:- strains [18]. It is generally believed that one of the reasons for the increased prevalence of antimicrobial-resistant strains in food-producing animals is the usage of antimicrobials in rearing practices [43].…”
mentioning
confidence: 99%
“…Choleraesuis is reported to have evolved through gene deletion and sequence alternations to become a very efficient and successful pathogen among non-typhoidal Salmonella, particularly with regard to its pathogenicity and antimicrobial resistance [3,29]. These deletions and sequence alterations bring out ESBL and ampC genes, and qnr-related resistance due to their mobile nature, making the treatment for invasive Salmonella infections challenging [40]. The abundant use of antibiotics in human and veterinary medicine and in food production has led to antimicrobial drug resistance [41].…”
Section: Discussionmentioning
confidence: 99%
“…Salmonella are gram-negative bacteria and common causes of diarrheal diseases affecting millions of people all over the world, and notably some resistant serotypes have emerged. Salmonella enterica serovar Typhimurium ( S. enterica serovar Typhimurium) is the most frequently reported serovar causing human salmonellosis worldwide ( Bugarel et al, 2012 ; Gunell et al, 2014 ). In recent decades, a monophasic variant of S. enterica serovar Typhimurium (named S. enterica serovar 4,5,12:i:-) that is deficient in the expression of the phase-2 flagellar antigen has emerged.…”
Section: Introductionmentioning
confidence: 99%