Objectives Data on baseline drug resistance is important in informing future antimicrobial stewardship programs. So far, no data on the antimicrobial drug resistance of clinical isolates was available for the African archipelago of Cabo Verde. Methods We have performed a retrospective analysis over five-years (2013-17) of the antimicrombial drug susceptibility profiles of clinical isolates in the two main hospitals of Cabo Verde. For Escherichia coli and Staphylococcus aureus, representing respectively 47% and 26% of all clinical isolates, the antimicrobial drug resistance profile was reported for six representative drugs. Results For E. coli we detected an increase in resistance to ampicillin, amoxicillin/clavulanic acid, ceftriaxone, ciprofloxacin, and trimethoprim-sulfamethoxazole and for S. aureus to methicillin, erythromycin and trimethoprim-sulfamethoxazole. This increase in both the most commonly isolated bacterial pathogens is of alarm as it might compromise empirical treatment in a setting with limited access to laboratory testing. Conclusions When compared to the published low resistance rates in carriage isolates, the more alarming situation in clinical isolates for S. aureus might encourage antimicrobial stewardship programs to reduce MRSA in the hospital settings, possibly as part of the Cabo Verdean national plan against antimicrobial drug resistance.
Authors
- Tamar Monteiro,
- Magdalena Wysocka link open in new tab ,
- Elena Tellez,
- Ofelia Monteiro,
- Luzia Spencer,
- Elisa Veiga,
- Sandra Monteiro,
- Carine De Pina,
- Deisy Goncalves,
- Sandrine De Pina,
- Ludgero Correia,
- Joao Moreno,
- Teresa Conceicao,
- Marta Aires De Sousa,
- Herminia De Lencastre,
- Laura J Gray,
- Manish Pareek,
- David R Jenkins,
- Sandra Beleza,
- prof. Marco R Oggioni,
- Isabel Ines Araujo
Additional information
- DOI
- Digital Object Identifier link open in new tab 10.1016/j.jgar.2020.04.002
- Category
- Publikacja w czasopiśmie
- Type
- artykuły w czasopismach
- Language
- angielski
- Publication year
- 2020
