Characterization of ESBL-Producing Salmonella enterica Serovar Infantis Infection in Humans, Lima, Peru

Coralith Garcia Universidad Peruana Cayetano Heredia, Lima, Peru;
Hospital Nacional Cayetano Heredia, Lima, Peru;

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Noemí Hinostroza Universidad Peruana Cayetano Heredia, Lima, Peru;

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Lizeth Astocondor Universidad Peruana Cayetano Heredia, Lima, Peru;

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Theresa Ochoa Universidad Peruana Cayetano Heredia, Lima, Peru;

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Jan Jacobs Institute of Tropical Medicine Antwerp, Antwerp, Belgium

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for the Salmoiber CYTED Network Universidad Peruana Cayetano Heredia, Lima, Peru;
Hospital Nacional Cayetano Heredia, Lima, Peru;
Institute of Tropical Medicine Antwerp, Antwerp, Belgium

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Salmonella enterica serovar Infantis is causing an increasing number of infections worldwide. Our aim was to describe the characteristics of S. enterica serovar Infantis among patients attended in a hospital of Lima, Peru. Fifty cases of salmonellosis were seen during October 2015–May 2017; Salmonella Infantis was detected in 36% (n = 18) of them, displacing Enteritidis and Typhimurium (n = 13, 26%, each). Seventeen cases caused by Salmonella Infantis were presented as diarrheal illnesses; only one extraintestinal case (bacteremia) was seen in a 1-year-old infant. This serovar is resistant to multiple groups of antimicrobials, showing only fully susceptibility to carbapenems. Compared with Infantis, other serovars analyzed (mainly Enteritidis and Typhimurium) showed a lower frequency of resistance to antimicrobials such as trimethoprim–sulfamethoxazole, ampicillin, and chloramphenicol. The antibiotic with the highest frequency of resistance was ciprofloxacin. Further studies are needed to evaluate the routes of transmission and measures of control of this multidrug-resistant Salmonella.

Author Notes

Address correspondence to Coralith Garcia, Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia, Av. Honorio Delgado 430, San Martin de Porres, Lima 31, Peru. E-mail: coralith.garcia@upch.pe

Authors’ addresses: Coralith Garcia, Noemí Hinostroza, Lizeth Astocondor, and Theresa Ochoa, Universidad Peruana Cayetano Heredia, Instituto de Medicina Tropical Alexander von Humboldt, Lima, Peru, E-mails: coralith.garcia@upch.pe, noemi.hinostroza.s@gmail.com, lizeth1226@hotmail.com, and theresa.j.ochoa@uth.tmc.edu. Jan Jacobs, Department of Clinical Sciences, Institute of Tropical Medicine, Antwerp, Belgium, E-mail: jjacobs@itg.be.

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