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|Title:||Causative agents and antimicrobial resistance patterns of human skin and soft tissue infections in Bagamoyo, Tanzania|
von Müller, Lutz
Becker, Sören L.
|Year of Publication:||2018|
|Free key words:||Antibiotic resistance|
|DDC notations:||610 Medicine and health|
|Publikation type:||Journal Article|
|Abstract:||Few epidemiological studies have been carried out to assess the aetiology and antimicrobial susceptibility patterns of pathogens giving rise to skin and soft tissue infections (SSTIs) in sub-Saharan Africa. In the present study from six healthcare facilities in Bagamoyo, Tanzania, wound swabs from outpatients with SSTIs were analysed by a suite of methods, including microbiological culture techniques, matrix-assisted laser desorption/ionisation time-of-flight mass spectrometry and resistance testing. Among 185 patients with SSTIs, 179 (96.8%) swabs showed microbiological growth. In total, 327 organisms were found, of which 285 were of potential aetiological relevance. Staphylococcus aureus was the predominant pathogen (prevalence: 71.4%), followed by the Gram-negative bacteria Enterobacter cloacae complex (14.6%), Klebsiella pneumoniae (12.4%) and Pseudomonas aeruginosa (11.8%). While one out of three isolates of S. aureus showed resistance to macrolides, tetracyclines, cotrimoxazole and clindamycin, only a single methicillin-resistant S. aureus (MRSA) strain was found. In Gram-negative bacteria, resistance to ampicillin and cotrimoxazole was common, while extended-spectrum beta-lactamases were rarely detected (<1%). We conclude that S. aureus was the most frequently detected pathogen in community-acquired SSTIs in Bagamoyo, Tanzania. Resistance to commonly prescribed oral antibiotics was considerable, but multi-resistant strains were rarely encountered. Monitoring of antibiotic susceptibility patterns in SSTIs is important to provide specific data for tailoring treatment recommendations.|
|DOI of the first publication:||10.1016/j.actatropica.2018.07.007|
|URL of the first publication:||https://www.sciencedirect.com/science/article/abs/pii/S0001706X18305473|
|Link to this record:||urn:nbn:de:bsz:291--ds-365414|
|Date of registration:||22-Jun-2022|
|Faculty:||M - Medizinische Fakultät|
|Department:||M - Infektionsmedizin|
|Professorship:||M - Prof. Dr. Sören Becker|
|Collections:||SciDok - Der Wissenschaftsserver der Universität des Saarlandes|
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