Prevalence of resistance to macrolides and aminoglycosides in Mycobacterium avium , M. abscessus, and M. chelonae identified in the Laboratorio Nacional de Referencia of Colombia from 2018 to 2022

被引:0
|
作者
Llerena, Claudia [1 ]
Valbuena, Yanely Angelica [1 ]
Zabaleta, Angie Paola [1 ]
Garcia, Angelica Nathalia [1 ]
机构
[1] Inst Nacl Salud, Grp Micobacterias, Lab Nacl Referencia, Ave Calle 26 N 51-20, Bogota, DC, Colombia
来源
BIOMEDICA | 2024年 / 44卷 / 02期
关键词
Non-tuberculous mycobacteria; Mycobacterium infections; Mycobacterium avium; Mycobacterium chelonae; Mycobacterium abscessus; macrolides; aminoglycosides; therapeutics; diagnosis; COMPLEX; PATTERNS;
D O I
10.7705/biomedica.7197
中图分类号
R188.11 [热带医学];
学科分类号
摘要
Introduction. The Mycobacterium chelonae species and the M. avium and M. abscessus complexes are emerging pathogens that cause mycobacteriosis. Treatment depends on the species and subspecies identified. The drugs of choice are macrolides and aminoglycosides. However, due to the resistance identified to these drugs, determining the microbe's sensitivity profile will allow clinicians to improve the understanding of the prognosis and evolution of these pathologies. Objective. To describe the macrolide and aminoglycoside susceptibility profile of cultures identified by Colombia's Laboratorio Nacional de Referencia de Mycobacteria from 2018 to 2022, as Mycobacterium avium complex , M. abscessus complex, and M. chelonae Materials and methods. This descriptive study exposes the susceptibility profile to macrolides and aminoglycosides of cultures identified as M. avium complex, M. abscessus complex, and M. chelonae using the GenoType (R) NTM-DR method. Results. We identified 159 (47.3 %) cultures as M. avium complex, of which 154 (96.9 %) were sensitive to macrolides, and 5 (3.1 %) were resistant; all were sensitive to aminoglycosides. From the 125 (37.2 %) cultures identified as M. abscessus complex, 68 (54.4 %) were sensitive to macrolides, 57 (45.6 %) were resistant to aminoglycosides, and just one (0.8 %) showed resistance to aminoglycosides. The 52 cultures (15.5 %) identified as M. chelonae were sensitive to macrolides and aminoglycosides. Conclusions. The three studied species of mycobacteria have the least resistance to Amikacin. Subspecies identification and their susceptibility profiles allow the establishment of appropriate treatment schemes, especially against M. abscessus .
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页码:182 / 190
页数:9
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