A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period

Elvira Garza-González, Rayo Morfín-Otero, Soraya Mendoza-Olazarán, Paola Bocanegra-Ibarias, Samantha Flores-Treviño, Eduardo Rodríguez-Noriega, Alfredo Ponce-de-León, Domingo Sanchez-Francia, Rafael Franco-Cendejas, Sara Arroyo-Escalante, Consuelo Velázquez-Acosta, Fabián Rojas-Larios, Luis J Quintanilla, Joyarit Y Maldonado-Anicacio, Rafael Martínez-Miranda, Heidy L Ostos-Cantú, Abraham Gomez-Choel, Juan L Jaime-Sanchez, Laura K Avilés-Benítez, José M Feliciano-Guzmán & 32 others Cynthia D Peña-López, Carlos A Couoh-May, Aaron Molina-Jaimes, Elda G Vázquez-Narvaez, Joaquín Rincón-Zuno, Raúl Rivera-Garay, Aurelio Galindo-Espinoza, Andrés Martínez-Ramirez, Javier P Mora, Reyna E Corte-Rojas, Ismelda López-Ovilla, Víctor A Monroy-Colin, Juan M Barajas-Magallón, Cecilia T Morales-De-la-Peña, Efrén Aguirre-Burciaga, Mabel Coronado-Ramírez, Alina A Rosales-García, María-de-J Ayala-Tarín, Silvia Sida-Rodríguez, Bertha A Pérez-Vega, América Navarro-Rodríguez, Gloria E Juárez-Velázquez, Carlos Miguel Cetina-Umaña, Juan P Mena-Ramírez, Jorge Canizales-Oviedo, Martha Irene Moreno-Méndez, Daniel Romero-Romero, Alejandra Arévalo-Mejía, Dulce Isabel Cobos-Canul, Gilberto Aguilar-Orozco, Jesús Silva-Sánchez, Adrián Camacho-Ortiz

Research output: Contribution to journalArticle

Abstract

AIM: We aimed to assess the resistance rates of antimicrobial-resistant, in bacterial pathogens of epidemiological importance in 47 Mexican centers.

MATERIAL AND METHODS: In this retrospective study, we included a stratified sample of 47 centers, covering 20 Mexican states. Selected isolates considered as potential causatives of disease collected over a 6-month period were included. Laboratories employed their usual methods to perform microbiological studies. The results were deposited into a database and analyzed with the WHONET 5.6 software.

RESULTS: In this 6-month study, a total of 22,943 strains were included. Regarding Gram-negatives, carbapenem resistance was detected in ≤ 3% in Escherichia coli, 12.5% in Klebsiella sp. and Enterobacter sp., and up to 40% in Pseudomonas aeruginosa; in the latter, the resistance rate for piperacillin-tazobactam (TZP) was as high as 19.1%. In Acinetobacter sp., resistance rates for cefepime, ciprofloxacin, meropenem, and TZP were higher than 50%. Regarding Gram-positives, methicillin resistance in Staphylococcus aureus (MRSA) was as high as 21.4%, and vancomycin (VAN) resistance reached up to 21% in Enterococcus faecium. Acinetobacter sp. presented the highest multidrug resistance (53%) followed by Klebsiella sp. (22.6%) and E. coli (19.4%).

CONCLUSION: The multidrug resistance of Acinetobacter sp., Klebsiella sp. and E. coli and the carbapenem resistance in specific groups of enterobacteria deserve special attention in Mexico. Vancomycin-resistant enterococci (VRE) and MRSA are common in our hospitals. Our results present valuable information for the implementation of measures to control drug resistance.

Original languageEnglish
Pages (from-to)e0209865
JournalPLoS One
Volume14
Issue number3
DOIs
Publication statusPublished - 2019
Externally publishedYes

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Acinetobacter
Klebsiella
Mexico
carbapenems
antibiotic resistance
Escherichia coli
Methicillin Resistance
Carbapenems
Methicillin
vancomycin
multiple drug resistance
methicillin
meropenem
Multiple Drug Resistance
Vancomycin
Staphylococcus aureus
piperacillin
Vancomycin Resistance
Negative resistance
Enterococcus faecium

Cite this

Garza-González, E., Morfín-Otero, R., Mendoza-Olazarán, S., Bocanegra-Ibarias, P., Flores-Treviño, S., Rodríguez-Noriega, E., ... Camacho-Ortiz, A. (2019). A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period. PLoS One, 14(3), e0209865. https://doi.org/10.1371/journal.pone.0209865
Garza-González, Elvira ; Morfín-Otero, Rayo ; Mendoza-Olazarán, Soraya ; Bocanegra-Ibarias, Paola ; Flores-Treviño, Samantha ; Rodríguez-Noriega, Eduardo ; Ponce-de-León, Alfredo ; Sanchez-Francia, Domingo ; Franco-Cendejas, Rafael ; Arroyo-Escalante, Sara ; Velázquez-Acosta, Consuelo ; Rojas-Larios, Fabián ; Quintanilla, Luis J ; Maldonado-Anicacio, Joyarit Y ; Martínez-Miranda, Rafael ; Ostos-Cantú, Heidy L ; Gomez-Choel, Abraham ; Jaime-Sanchez, Juan L ; Avilés-Benítez, Laura K ; Feliciano-Guzmán, José M ; Peña-López, Cynthia D ; Couoh-May, Carlos A ; Molina-Jaimes, Aaron ; Vázquez-Narvaez, Elda G ; Rincón-Zuno, Joaquín ; Rivera-Garay, Raúl ; Galindo-Espinoza, Aurelio ; Martínez-Ramirez, Andrés ; Mora, Javier P ; Corte-Rojas, Reyna E ; López-Ovilla, Ismelda ; Monroy-Colin, Víctor A ; Barajas-Magallón, Juan M ; Morales-De-la-Peña, Cecilia T ; Aguirre-Burciaga, Efrén ; Coronado-Ramírez, Mabel ; Rosales-García, Alina A ; Ayala-Tarín, María-de-J ; Sida-Rodríguez, Silvia ; Pérez-Vega, Bertha A ; Navarro-Rodríguez, América ; Juárez-Velázquez, Gloria E ; Cetina-Umaña, Carlos Miguel ; Mena-Ramírez, Juan P ; Canizales-Oviedo, Jorge ; Moreno-Méndez, Martha Irene ; Romero-Romero, Daniel ; Arévalo-Mejía, Alejandra ; Cobos-Canul, Dulce Isabel ; Aguilar-Orozco, Gilberto ; Silva-Sánchez, Jesús ; Camacho-Ortiz, Adrián. / A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period. In: PLoS One. 2019 ; Vol. 14, No. 3. pp. e0209865.
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abstract = "AIM: We aimed to assess the resistance rates of antimicrobial-resistant, in bacterial pathogens of epidemiological importance in 47 Mexican centers.MATERIAL AND METHODS: In this retrospective study, we included a stratified sample of 47 centers, covering 20 Mexican states. Selected isolates considered as potential causatives of disease collected over a 6-month period were included. Laboratories employed their usual methods to perform microbiological studies. The results were deposited into a database and analyzed with the WHONET 5.6 software.RESULTS: In this 6-month study, a total of 22,943 strains were included. Regarding Gram-negatives, carbapenem resistance was detected in ≤ 3{\%} in Escherichia coli, 12.5{\%} in Klebsiella sp. and Enterobacter sp., and up to 40{\%} in Pseudomonas aeruginosa; in the latter, the resistance rate for piperacillin-tazobactam (TZP) was as high as 19.1{\%}. In Acinetobacter sp., resistance rates for cefepime, ciprofloxacin, meropenem, and TZP were higher than 50{\%}. Regarding Gram-positives, methicillin resistance in Staphylococcus aureus (MRSA) was as high as 21.4{\%}, and vancomycin (VAN) resistance reached up to 21{\%} in Enterococcus faecium. Acinetobacter sp. presented the highest multidrug resistance (53{\%}) followed by Klebsiella sp. (22.6{\%}) and E. coli (19.4{\%}).CONCLUSION: The multidrug resistance of Acinetobacter sp., Klebsiella sp. and E. coli and the carbapenem resistance in specific groups of enterobacteria deserve special attention in Mexico. Vancomycin-resistant enterococci (VRE) and MRSA are common in our hospitals. Our results present valuable information for the implementation of measures to control drug resistance.",
author = "Elvira Garza-Gonz{\'a}lez and Rayo Morf{\'i}n-Otero and Soraya Mendoza-Olazar{\'a}n and Paola Bocanegra-Ibarias and Samantha Flores-Trevi{\~n}o and Eduardo Rodr{\'i}guez-Noriega and Alfredo Ponce-de-Le{\'o}n and Domingo Sanchez-Francia and Rafael Franco-Cendejas and Sara Arroyo-Escalante and Consuelo Vel{\'a}zquez-Acosta and Fabi{\'a}n Rojas-Larios and Quintanilla, {Luis J} and Maldonado-Anicacio, {Joyarit Y} and Rafael Mart{\'i}nez-Miranda and Ostos-Cant{\'u}, {Heidy L} and Abraham Gomez-Choel and Jaime-Sanchez, {Juan L} and Avil{\'e}s-Ben{\'i}tez, {Laura K} and Feliciano-Guzm{\'a}n, {Jos{\'e} M} and Pe{\~n}a-L{\'o}pez, {Cynthia D} and Couoh-May, {Carlos A} and Aaron Molina-Jaimes and V{\'a}zquez-Narvaez, {Elda G} and Joaqu{\'i}n Rinc{\'o}n-Zuno and Ra{\'u}l Rivera-Garay and Aurelio Galindo-Espinoza and Andr{\'e}s Mart{\'i}nez-Ramirez and Mora, {Javier P} and Corte-Rojas, {Reyna E} and Ismelda L{\'o}pez-Ovilla and Monroy-Colin, {V{\'i}ctor A} and Barajas-Magall{\'o}n, {Juan M} and Morales-De-la-Pe{\~n}a, {Cecilia T} and Efr{\'e}n Aguirre-Burciaga and Mabel Coronado-Ram{\'i}rez and Rosales-Garc{\'i}a, {Alina A} and Mar{\'i}a-de-J Ayala-Tar{\'i}n and Silvia Sida-Rodr{\'i}guez and P{\'e}rez-Vega, {Bertha A} and Am{\'e}rica Navarro-Rodr{\'i}guez and Ju{\'a}rez-Vel{\'a}zquez, {Gloria E} and Cetina-Uma{\~n}a, {Carlos Miguel} and Mena-Ram{\'i}rez, {Juan P} and Jorge Canizales-Oviedo and Moreno-M{\'e}ndez, {Martha Irene} and Daniel Romero-Romero and Alejandra Ar{\'e}valo-Mej{\'i}a and Cobos-Canul, {Dulce Isabel} and Gilberto Aguilar-Orozco and Jes{\'u}s Silva-S{\'a}nchez and Adri{\'a}n Camacho-Ortiz",
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Garza-González, E, Morfín-Otero, R, Mendoza-Olazarán, S, Bocanegra-Ibarias, P, Flores-Treviño, S, Rodríguez-Noriega, E, Ponce-de-León, A, Sanchez-Francia, D, Franco-Cendejas, R, Arroyo-Escalante, S, Velázquez-Acosta, C, Rojas-Larios, F, Quintanilla, LJ, Maldonado-Anicacio, JY, Martínez-Miranda, R, Ostos-Cantú, HL, Gomez-Choel, A, Jaime-Sanchez, JL, Avilés-Benítez, LK, Feliciano-Guzmán, JM, Peña-López, CD, Couoh-May, CA, Molina-Jaimes, A, Vázquez-Narvaez, EG, Rincón-Zuno, J, Rivera-Garay, R, Galindo-Espinoza, A, Martínez-Ramirez, A, Mora, JP, Corte-Rojas, RE, López-Ovilla, I, Monroy-Colin, VA, Barajas-Magallón, JM, Morales-De-la-Peña, CT, Aguirre-Burciaga, E, Coronado-Ramírez, M, Rosales-García, AA, Ayala-Tarín, M-J, Sida-Rodríguez, S, Pérez-Vega, BA, Navarro-Rodríguez, A, Juárez-Velázquez, GE, Cetina-Umaña, CM, Mena-Ramírez, JP, Canizales-Oviedo, J, Moreno-Méndez, MI, Romero-Romero, D, Arévalo-Mejía, A, Cobos-Canul, DI, Aguilar-Orozco, G, Silva-Sánchez, J & Camacho-Ortiz, A 2019, 'A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period', PLoS One, vol. 14, no. 3, pp. e0209865. https://doi.org/10.1371/journal.pone.0209865

A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period. / Garza-González, Elvira; Morfín-Otero, Rayo; Mendoza-Olazarán, Soraya; Bocanegra-Ibarias, Paola; Flores-Treviño, Samantha; Rodríguez-Noriega, Eduardo; Ponce-de-León, Alfredo; Sanchez-Francia, Domingo; Franco-Cendejas, Rafael; Arroyo-Escalante, Sara; Velázquez-Acosta, Consuelo; Rojas-Larios, Fabián; Quintanilla, Luis J; Maldonado-Anicacio, Joyarit Y; Martínez-Miranda, Rafael; Ostos-Cantú, Heidy L; Gomez-Choel, Abraham; Jaime-Sanchez, Juan L; Avilés-Benítez, Laura K; Feliciano-Guzmán, José M; Peña-López, Cynthia D; Couoh-May, Carlos A; Molina-Jaimes, Aaron; Vázquez-Narvaez, Elda G; Rincón-Zuno, Joaquín; Rivera-Garay, Raúl; Galindo-Espinoza, Aurelio; Martínez-Ramirez, Andrés; Mora, Javier P; Corte-Rojas, Reyna E; López-Ovilla, Ismelda; Monroy-Colin, Víctor A; Barajas-Magallón, Juan M; Morales-De-la-Peña, Cecilia T; Aguirre-Burciaga, Efrén; Coronado-Ramírez, Mabel; Rosales-García, Alina A; Ayala-Tarín, María-de-J; Sida-Rodríguez, Silvia; Pérez-Vega, Bertha A; Navarro-Rodríguez, América; Juárez-Velázquez, Gloria E; Cetina-Umaña, Carlos Miguel; Mena-Ramírez, Juan P; Canizales-Oviedo, Jorge; Moreno-Méndez, Martha Irene; Romero-Romero, Daniel; Arévalo-Mejía, Alejandra; Cobos-Canul, Dulce Isabel; Aguilar-Orozco, Gilberto; Silva-Sánchez, Jesús; Camacho-Ortiz, Adrián.

In: PLoS One, Vol. 14, No. 3, 2019, p. e0209865.

Research output: Contribution to journalArticle

TY - JOUR

T1 - A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period

AU - Garza-González, Elvira

AU - Morfín-Otero, Rayo

AU - Mendoza-Olazarán, Soraya

AU - Bocanegra-Ibarias, Paola

AU - Flores-Treviño, Samantha

AU - Rodríguez-Noriega, Eduardo

AU - Ponce-de-León, Alfredo

AU - Sanchez-Francia, Domingo

AU - Franco-Cendejas, Rafael

AU - Arroyo-Escalante, Sara

AU - Velázquez-Acosta, Consuelo

AU - Rojas-Larios, Fabián

AU - Quintanilla, Luis J

AU - Maldonado-Anicacio, Joyarit Y

AU - Martínez-Miranda, Rafael

AU - Ostos-Cantú, Heidy L

AU - Gomez-Choel, Abraham

AU - Jaime-Sanchez, Juan L

AU - Avilés-Benítez, Laura K

AU - Feliciano-Guzmán, José M

AU - Peña-López, Cynthia D

AU - Couoh-May, Carlos A

AU - Molina-Jaimes, Aaron

AU - Vázquez-Narvaez, Elda G

AU - Rincón-Zuno, Joaquín

AU - Rivera-Garay, Raúl

AU - Galindo-Espinoza, Aurelio

AU - Martínez-Ramirez, Andrés

AU - Mora, Javier P

AU - Corte-Rojas, Reyna E

AU - López-Ovilla, Ismelda

AU - Monroy-Colin, Víctor A

AU - Barajas-Magallón, Juan M

AU - Morales-De-la-Peña, Cecilia T

AU - Aguirre-Burciaga, Efrén

AU - Coronado-Ramírez, Mabel

AU - Rosales-García, Alina A

AU - Ayala-Tarín, María-de-J

AU - Sida-Rodríguez, Silvia

AU - Pérez-Vega, Bertha A

AU - Navarro-Rodríguez, América

AU - Juárez-Velázquez, Gloria E

AU - Cetina-Umaña, Carlos Miguel

AU - Mena-Ramírez, Juan P

AU - Canizales-Oviedo, Jorge

AU - Moreno-Méndez, Martha Irene

AU - Romero-Romero, Daniel

AU - Arévalo-Mejía, Alejandra

AU - Cobos-Canul, Dulce Isabel

AU - Aguilar-Orozco, Gilberto

AU - Silva-Sánchez, Jesús

AU - Camacho-Ortiz, Adrián

PY - 2019

Y1 - 2019

N2 - AIM: We aimed to assess the resistance rates of antimicrobial-resistant, in bacterial pathogens of epidemiological importance in 47 Mexican centers.MATERIAL AND METHODS: In this retrospective study, we included a stratified sample of 47 centers, covering 20 Mexican states. Selected isolates considered as potential causatives of disease collected over a 6-month period were included. Laboratories employed their usual methods to perform microbiological studies. The results were deposited into a database and analyzed with the WHONET 5.6 software.RESULTS: In this 6-month study, a total of 22,943 strains were included. Regarding Gram-negatives, carbapenem resistance was detected in ≤ 3% in Escherichia coli, 12.5% in Klebsiella sp. and Enterobacter sp., and up to 40% in Pseudomonas aeruginosa; in the latter, the resistance rate for piperacillin-tazobactam (TZP) was as high as 19.1%. In Acinetobacter sp., resistance rates for cefepime, ciprofloxacin, meropenem, and TZP were higher than 50%. Regarding Gram-positives, methicillin resistance in Staphylococcus aureus (MRSA) was as high as 21.4%, and vancomycin (VAN) resistance reached up to 21% in Enterococcus faecium. Acinetobacter sp. presented the highest multidrug resistance (53%) followed by Klebsiella sp. (22.6%) and E. coli (19.4%).CONCLUSION: The multidrug resistance of Acinetobacter sp., Klebsiella sp. and E. coli and the carbapenem resistance in specific groups of enterobacteria deserve special attention in Mexico. Vancomycin-resistant enterococci (VRE) and MRSA are common in our hospitals. Our results present valuable information for the implementation of measures to control drug resistance.

AB - AIM: We aimed to assess the resistance rates of antimicrobial-resistant, in bacterial pathogens of epidemiological importance in 47 Mexican centers.MATERIAL AND METHODS: In this retrospective study, we included a stratified sample of 47 centers, covering 20 Mexican states. Selected isolates considered as potential causatives of disease collected over a 6-month period were included. Laboratories employed their usual methods to perform microbiological studies. The results were deposited into a database and analyzed with the WHONET 5.6 software.RESULTS: In this 6-month study, a total of 22,943 strains were included. Regarding Gram-negatives, carbapenem resistance was detected in ≤ 3% in Escherichia coli, 12.5% in Klebsiella sp. and Enterobacter sp., and up to 40% in Pseudomonas aeruginosa; in the latter, the resistance rate for piperacillin-tazobactam (TZP) was as high as 19.1%. In Acinetobacter sp., resistance rates for cefepime, ciprofloxacin, meropenem, and TZP were higher than 50%. Regarding Gram-positives, methicillin resistance in Staphylococcus aureus (MRSA) was as high as 21.4%, and vancomycin (VAN) resistance reached up to 21% in Enterococcus faecium. Acinetobacter sp. presented the highest multidrug resistance (53%) followed by Klebsiella sp. (22.6%) and E. coli (19.4%).CONCLUSION: The multidrug resistance of Acinetobacter sp., Klebsiella sp. and E. coli and the carbapenem resistance in specific groups of enterobacteria deserve special attention in Mexico. Vancomycin-resistant enterococci (VRE) and MRSA are common in our hospitals. Our results present valuable information for the implementation of measures to control drug resistance.

U2 - 10.1371/journal.pone.0209865

DO - 10.1371/journal.pone.0209865

M3 - Article

VL - 14

SP - e0209865

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 3

ER -

Garza-González E, Morfín-Otero R, Mendoza-Olazarán S, Bocanegra-Ibarias P, Flores-Treviño S, Rodríguez-Noriega E et al. A snapshot of antimicrobial resistance in Mexico. Results from 47 centers from 20 states during a six-month period. PLoS One. 2019;14(3):e0209865. https://doi.org/10.1371/journal.pone.0209865