The Public health problem and resistant bacteria in lowand middle-income countries

Introduction. Antimicrobial resistance has been declared a major public health problem. As a result of excessive antibiotic usage, it became an environmental issue. This problem is now more visible in Low-and Middle-Income Countries, where it increases the social burden. One of the newest methods to...

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Main Authors: Alina FERDOHLEB, Oana-Simina IACONI, Greta BALAN, Lucia GALBEN, Lukasz DZIEWIT, Carles M. BORREGO
Format: Article
Language:English
Published: Asociatia de Biosiguranta si Biosecuritate 2024-01-01
Series:One Health & Risk Management
Subjects:
Online Access:https://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/570
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author Alina FERDOHLEB
Oana-Simina IACONI
Greta BALAN
Lucia GALBEN
Lukasz DZIEWIT
Carles M. BORREGO
author_facet Alina FERDOHLEB
Oana-Simina IACONI
Greta BALAN
Lucia GALBEN
Lukasz DZIEWIT
Carles M. BORREGO
author_sort Alina FERDOHLEB
collection DOAJ
description Introduction. Antimicrobial resistance has been declared a major public health problem. As a result of excessive antibiotic usage, it became an environmental issue. This problem is now more visible in Low-and Middle-Income Countries, where it increases the social burden. One of the newest methods to fight antimicrobial-resistant bacteria (ARB) is by using bacteriophages. Aim Identification and characterization of possible phage targets from waterland. Material and methods The strains were obtained from inpatients and identified using VITEK 2 Compact and culture. The resistance profiles were determined by the disk diffusion method and interpreted according to EUCAST methodology. The presence of resistance mechanisms was checked by phenotypic testing. 31 bacterial strains were selected for research. Results K. pneumoniae, P. aeruginosa, Acinetobacter spp., S. aureus, E. coli and Enterococcus spp. were identified. The resistance profile of the isolates showed: 61,5% of K. pneumoniae isolates were PDR, and 23,1% were susceptible only to Carbapenems. E. coli strains were XDR, 71,4% of P. aeruginosa and 75% of Acinetobacter spp. were PDR bacteria. The susceptibility profile of S. aureus strains showed that 3/4 were resistant to Cephalosporins and Fluoroquinolones. Conclusions. Combating the AMR phenomenon starts with knowing the pathogens present in the environment. This study is the cornerstone for further research that will ultimately lead to finding suitable phages for water treatment in Moldova, hoping they will reduce the economic and social burden and also, environmental contamination.
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spelling doaj.art-dece8f38661145d9a0f1bee50664bc9e2024-03-04T16:41:33ZengAsociatia de Biosiguranta si BiosecuritateOne Health & Risk Management2587-34582587-34662024-01-0151344210.38045/ohrm.2024.1.05The Public health problem and resistant bacteria in lowand middle-income countriesAlina FERDOHLEB 0https://orcid.org/0000-0003-1344-5466Oana-Simina IACONI 1https://orcid.org/0009-0003-3139-7004Greta BALAN2https://orcid.org/0000-0003-3704-3584Lucia GALBEN3https://orcid.org/0009-0005-3154-7193Lukasz DZIEWIT4https://orcid.org/0000-0002-5057-2811Carles M. BORREGO5https://orcid.org/0000-0002-2708-3753Nicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of MoldovaNicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of MoldovaNicolae Testemitanu State University of Medicine and Pharmacy, Chisinau, Republic of MoldovaTimofei Mosneaga Republican Clinical Hospital, Chisinau, Republic of MoldovaInstitute of Microbiology, Faculty of Biology, University of Warsaw, Warsaw, PolandCatalan Institute for Water Research (ICRA-CERCA), Institute of Aquatic Ecology, University of Gi-rona, Girona, SpainIntroduction. Antimicrobial resistance has been declared a major public health problem. As a result of excessive antibiotic usage, it became an environmental issue. This problem is now more visible in Low-and Middle-Income Countries, where it increases the social burden. One of the newest methods to fight antimicrobial-resistant bacteria (ARB) is by using bacteriophages. Aim Identification and characterization of possible phage targets from waterland. Material and methods The strains were obtained from inpatients and identified using VITEK 2 Compact and culture. The resistance profiles were determined by the disk diffusion method and interpreted according to EUCAST methodology. The presence of resistance mechanisms was checked by phenotypic testing. 31 bacterial strains were selected for research. Results K. pneumoniae, P. aeruginosa, Acinetobacter spp., S. aureus, E. coli and Enterococcus spp. were identified. The resistance profile of the isolates showed: 61,5% of K. pneumoniae isolates were PDR, and 23,1% were susceptible only to Carbapenems. E. coli strains were XDR, 71,4% of P. aeruginosa and 75% of Acinetobacter spp. were PDR bacteria. The susceptibility profile of S. aureus strains showed that 3/4 were resistant to Cephalosporins and Fluoroquinolones. Conclusions. Combating the AMR phenomenon starts with knowing the pathogens present in the environment. This study is the cornerstone for further research that will ultimately lead to finding suitable phages for water treatment in Moldova, hoping they will reduce the economic and social burden and also, environmental contamination.https://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/570antimicrobial resistancebacterialmicssusceptibility testingbacteriophageswater treatment
spellingShingle Alina FERDOHLEB
Oana-Simina IACONI
Greta BALAN
Lucia GALBEN
Lukasz DZIEWIT
Carles M. BORREGO
The Public health problem and resistant bacteria in lowand middle-income countries
One Health & Risk Management
antimicrobial resistance
bacteria
lmics
susceptibility testing
bacteriophages
water treatment
title The Public health problem and resistant bacteria in lowand middle-income countries
title_full The Public health problem and resistant bacteria in lowand middle-income countries
title_fullStr The Public health problem and resistant bacteria in lowand middle-income countries
title_full_unstemmed The Public health problem and resistant bacteria in lowand middle-income countries
title_short The Public health problem and resistant bacteria in lowand middle-income countries
title_sort public health problem and resistant bacteria in lowand middle income countries
topic antimicrobial resistance
bacteria
lmics
susceptibility testing
bacteriophages
water treatment
url https://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/570
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