Local monitoring of antibiotic resistance in Escherichia coli in a rural area of Ecuador: beyond the biomedical model
Abstract
Objective: To analyze the patterns of resistance to antibiotics developed by Escherichia coli in a rural health establishment, and review the available medical literature about the factors that influence the development of antibacterial resistance.
Patients and methods: Antibiotic resistance measurements were compared in different groups of patients who attended the health services of a rural hospital in Santo Domingo de los Tsáchilas - Ecuador during the first quarter of 2015. 161 crop results were analyzed of urine that were positive for the Escherichia coli germ, as well as its resistance patterns.
Results: The antibiotics to which E. coli, development greater resistance were cefalotina (34.5%), ampicillin (51.1%), ampicillin-sulbactam (44.8%), ciprofloxacin (34.8%), norfloxacin (41.7%), nalidixic acid ( 41.7%) and cotrimoxazole (46.2%). In addition, 10% of the cases presented a pattern of resistance of beta-lactamase-forming bacteria of extended spectrum.
Conclusions: Local monitoring studies of antibiotic resistance are required for the rational selection of treatments. In rural areas, animal husbandry practices determine the development of resistance to antibiotics; and an eco-epidemiological approach is required for its understanding. National monitoring research is recommended on both medical and veterinary practices in order to better control the course of resistance.
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