Enteropathogens and antibiotics.
Infectious gastroenteritis remains a public health problem. The most severe cases are of bacterial origin. In Spain, Campylobacter and Salmonella are the most prevalent bacterial genus, while Yersinia and Shigella are much less frequent. Most cases are usually self-limiting and antibiotic therapy is not generally indicated, unless patients have risk factors for severe infection and shigellosis. Ciprofloxacin, third generation cephalosporins, azithromycin, ampicillin, cotrimoxazole and doxycycline are the most recommended drugs. The susceptibility pattern of the different bacteria determines the choice of the most appropriate treatment. The aim of this review is to analyse the current situation, developments, and evolution of resistance and multidrug resistance in these 4 enteric pathogens.
Servicio de Microbiología, Hospital Universitario de Getafe, Getafe, Madrid, España; Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, España.
Ana
A
González-Torralba
Servicio de Microbiología, Hospital Universitario de Getafe, Getafe, Madrid, España.
Coral
C
García-Esteban
Servicio de Microbiología, Hospital Universitario de Getafe, Getafe, Madrid, España; Facultad de Ciencias Biomédicas, Universidad Europea de Madrid, Villaviciosa de Odón, Madrid, España. Electronic address: nachoalos@telefonica.net.
Juan-Ignacio
JI
Alós
D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use*; D002167:Campylobacter / Q000187:drug effects; D002169:Campylobacter Infections / Q000188:drug therapy*; D024881:Drug Resistance, Bacterial; D004405:Dysentery, Bacillary / Q000188:drug therapy*; D005759:Gastroenteritis / Q000188:drug therapy* / Q000382:microbiology*; D006801:Humans; D012475:Salmonella / Q000187:drug effects; D012480:Salmonella Infections / Q000188:drug therapy*; D012760:Shigella / Q000187:drug effects; D015007:Yersinia / Q000187:drug effects; D015009:Yersinia Infections / Q000188:drug therapy*
D000900:Anti-Bacterial Agents
Antibiotic resistance; Antimicrobials; Antimicrobianos; Enteropathogens; Enteropatógenos; Resistencia antibiótica