Clinical Microbiology and Antimicrobial Chemotherapy,
Journal Year:
2024,
Volume and Issue:
26(4), P. 462 - 469
Published: Jan. 1, 2024
Objective.
Conduct
a
comparative
assessment
of
the
frequency
and
spectrum
antimicrobial
resistance
Mycobacterium
avium
isolated
from
patients
phthisiopulmonology
clinic
in
pre-Covid
period
(2018–2019)
during
COVID-19
pandemic
(2020–2023).
Materials
Methods.
The
sensitivity
M.
isolates
was
determined
to
8
drugs:
amikacin,
clarithromycin,
linezolid,
moxifloxacin,
ciprofloxacin,
doxycycline,
rifabutin,
rifampicin.
Drug
susceptibility
testing
performed
using
serial
broth
microdilution
method
according
published
CLSI
guidelines,
M24S,
2023.
Interpretation
results,
classifying
into
one
three
categories:
sensitive,
intermediate,
resistant,
carried
out
based
on
comparison
values
minimum
inhibitory
concentrations
(MIC)
drugs
with
breakpoint
these
parameters
complex
breakpoints
were
used
for
moxifloxacin.
For
rifampicin,
other
slow-growing
non-tuberculous
mycobacteria
(NTM)
(M.
kansasii
marinum)
rules
section
2023
“Non-species
related
breakpoints”.
Results.
A
analysis
(2018–
2019)
(2020–2023)
showed
an
increase
proportion
resistant
clarithromycin
(from
1.1%
20.1%,
p
<
0.0001),
moxifloxacin
11.0%
29.2%,
=
0.0007)
intermediate
drug
5.6%
17.6%,
0.0080)
pandemic.
opposite
trend
is
noteworthy
–
sensitive
amikacin
55.5%
79.6%,
0.0001)
decrease
36%
4.4%,
0.0001).
In
addition,
there
ciprofloxacin
18.8%
9.7%,
0.0288)
linezolid
27.7%
17.2%,
0.039).
Conclusions.
data
obtained
this
work
occurrence
main
reserve
antimicrobials
requires
search
new
that
are
effective
against
infection
caused
by
avium.
It
necessary
expand
MIC
existing
develop
reasonable
criterion
establishing
clinical
categories
resistance,
as
well
revise
recommendations
group
tested
NTM
determine
treatment
regimens.
Scientific Reports,
Journal Year:
2025,
Volume and Issue:
15(1)
Published: March 26, 2025
Objective:
To
analyze
and
compare
the
incidence
of
adverse
events
(AEs)
associated
with
different
administration
routes
colistin,
aim
providing
a
reference
for
its
safe
effective
clinical
use.
Methods:
Adverse
event
(AE)
reports
related
to
colistin
were
retrieved
from
FDA
Event
Reporting
System
(FAERS)
database.
The
reporting
trends
analyzed,
Odds
Ratio
(ROR)
Proportional
(PRR)
colistin-associated
AEs
calculated.
A
comparative
analysis
was
conducted
examine
occurrence
under
colistin.
Results:
total
13,043
AE
extracted
FAERS
Further
176
key
indicated
significant
increase
in
number
after
2021.
year
country
showed
heterogeneity
across
routes.
Intravenous
(IV)
highest
proportion
AEs,
also
observed
types
reported
inhaled
oral
(PO)
Conclusion:
Compared
PO
routes,
IV
is
more
likely
result
such
as
nephrotoxicity
drug
ineffectiveness.
Additionally,
there
are
differences
Toxics,
Journal Year:
2025,
Volume and Issue:
13(4), P. 263 - 263
Published: March 31, 2025
Antibiotic
resistance
is
a
global
environmental
and
health
threat.
Approximately
4.95
million
deaths
were
associated
with
antibiotic
in
2019,
including
1.27
that
directly
attributable
to
bacterial
antimicrobial
resistance.
Hospital
wastewater
one
of
the
key
sources
for
spread
clinically
relevant
genes
(ARGs)
into
environment.
Understanding
current
situation
ARGs
hospital
great
significance.
Here,
we
review
prevalence
antibiotic-resistant
bacteria
(ARB)
from
other
places
treatment
methods
used.
We
further
discuss
intersection
between
COVID-19
during
pandemic.
This
highlights
issues
dissemination
critical
It
imperative
implement
more
effective
processes
eliminate
ARGs,
particularly
long
period.
Antibiotics,
Journal Year:
2025,
Volume and Issue:
14(3), P. 316 - 316
Published: March 18, 2025
Background:
Antimicrobial
consumption
(AMC)
patterns,
besides
prescribing
behaviors,
reflect
the
changing
epidemiology
of
infectious
diseases.
Routine
surveillance
data
have
been
used
to
investigate
development
AMC
from
2017
2023
and
impact
COVID-19
within
context
framing
time
periods.
Methods:
Data
112
hospitals,
continuously
participating
in
national
system
hospital
antimicrobial
based
at
Robert
Koch
Institute,
were
analyzed
according
WHO
ATC
(Anatomical
Therapeutic
Chemical)/DDD
(Defined
Daily
Dose)
method
categorized
AWaRe-classification.
was
quantified
by
density
(CD)
expressed
DDD/100
patient
days
(PD)
admissions
(AD).
The
period
subdivided
into
three
phases:
pre-pandemic
phase
(2017–2019),
main
pandemic
(2020–2021)
transition
(2022–2023).
Linear
regression
models
determine
presence
an
overall
trend,
change
intra-phasic
trends
phase-specific
mean
levels
over
time.
Results:
From
total
antibiotic
decreased
7%
57.1
52.9
PD.
Four
kinetic
patterns
emerged
across
different
classes:
Pattern
1
displays
a
decreasing
which
slowed
down
throughout
exhibited
second-generation
cephalosporins
fluoroquinolones.
2
reveals
rising
decelerated
accelerated
again
aminopenicillins/beta-lactamase
inhibitors,
beta-lactamase
sensitive
pencillins,
azithromycin
first-generation
cephalosporins.
3
shows
elevated
carbapenems,
glycopeptides,
linezolid
third-generation
4
trend
phase,
reversed
without
achieving
resistant
penicillins,
daptomycin,
fosfomycin
(parenteral)
ceftazidime/avibactam.
Conclusions:
Kinetic
classes
might
COVID-19-related
effects
associated
changes
co-circulating
pathogens
health
care
supply.
Broad-spectrum
antibiotics
with
persisting
require
special
attention
focused
stewardship
activities.
Antibiotics,
Journal Year:
2025,
Volume and Issue:
14(4), P. 411 - 411
Published: April 16, 2025
Background:
The
COVID-19
pandemic
in
Romania
exacerbated
pediatric
antimicrobial
resistance
(AMR).
Overuse
of
broad-spectrum
antibiotics
may
be
related
to
increased
multidrug-resistant
bacteria.
main
aim
this
study
was
assess
AMR
trends
and
phenotypes,
while
a
secondary
objective
investigate
the
potential
links
with
hospital
abandonment.
Methods:
This
retrospective
from
Children’s
Emergency
Hospital
“Louis
Țurcanu”,
Timișoara,
focused
on
patterns
2019
pre-pandemic,
2021
pandemic,
2023
post-pandemic.
following
phenotypes
were
assessed:
MRSA,
MRCoNS,
VRE,
ESBL,
CRO,
MDR,
XDR,
PDR.
Results:
There
3530
total
patients
6885
samples.
69.92%
samples
resistant
at
least
one
class,
(72.69%
2019,
67.05%
2021,
69.16%
2023).
Specifically,
towards
penicillins
remained
high
across
entire
period
(57.45–60.93%),
classes
presented
elevated
pandemic:
cephalosporins
(42.91%),
combination
therapies
(40.95%),
reserve
(38.89%),
cyclines
(13.83%).
As
for
MRSA
MRCoNS
peaked
during
(36.08%
81.43%,
respectively)
VRE
relatively
constant.
Overall
ESBL
declined
14.45%,
overall
CRO
(8.81%).
MDR
fell
(64.47%),
XDR
(9.87%).
No
PDR
cases
observed.
Pediatric
abandonment
an
increasing
concern,
regional
rising
5.42%
(2019)
9.83%
(2023).
Compared
general
population,
abandoned
observed
fluoroquinolones
(50.00%),
Aminogycolsides
(60.00%),
(70.00%),
urinary
(60.00%).
Resistance
(OR
=
5.17,
p
0.0304)
5.64,
0.0049)
key
predictors
risk.
Conclusions:
influenced
trends,
notable
peaks
CRO.
Post-pandemic
suggest
continued
escalation
resistance.
association
between
infections
highlights
need
robust
stewardship
social
intervention
policies.
International Journal of Community Medicine and Public Health,
Journal Year:
2025,
Volume and Issue:
unknown
Published: May 6, 2025
Evidence
from
public
health
bodies
describes
extensive
overuse
of
antibiotics
during
the
COVID-19
pandemic
worldwide,
further
worsening
spread
antimicrobial
resistance
(AMR).
Umbrella
review
(CRD42024590181)
SRs
that
investigated
safety
and
efficacy
antibiotic
drug
therapies
for
treatment
in
patients
irrespective
disease
severity
age
was
conducted.
Comprehensive
searches
were
conducted
between
July
30,
2024,
October
26,
covering
PubMed
Cochrane
databases,
other
sources,
such
as,
Coronavirus
(COVID-19)
resources,
Google
Scholar.
The
AMSTAR2
tool
used
to
assess
methodological
quality
included
SRs.
Review
findings
synthesized
narratively.
systematic
search
yielded
a
total
3624
records
electronic
databases
search.
Ten
original
SRs,
with
1-42
studies
each
SR,
finally
included.
Sample
size
per
SR
ranged
665-37,429
patients.
Azithromycin
most
commonly
administered
therapy.
Overall,
this
reported
no
difference
all-cause
mortality,
time
clinical
recovery,
length
hospital
stay,
progression
severe
disease,
viral
clearance,
rate
co-infections
or
superinfections,
adverse
events
among
treated
compared
placebo/standard
care.
suggests
use
is
not
associated
better
outcomes.
Further
assessing
prevalence
AMR
usage
infection
could
aid
improving
stewardship
practice.
BioMed,
Journal Year:
2024,
Volume and Issue:
4(3), P. 277 - 292
Published: Aug. 26, 2024
Klebsiella
pneumoniae
is
an
opportunistic
Gram-negative
bacterium
in
the
Enterobacteriaceae
family
associated
with
a
wide
range
of
diseases,
such
as
pneumonia,
bloodstream
infections,
meningitis
and
urinary
tract
infections.
Infections
caused
by
drug-resistant
strains
pose
significant
threat
to
effectiveness
conventional
antibiotics.
Hence,
this
has
led
need
explore
alternative
antimicrobial
therapies,
especially
natural
products
derived
from
plant
sources.
This
study
assessed
phytochemical
composition
antibacterial
properties
performed
molecular
docking
analysis
Henna
leaves
(Lawsonia
inermis
L.)
extracts
on
pneumoniae.
Crude
ethanol
methanol
L.
were
prepared
at
different
concentrations
(25,
50,
75
100
mg/mL)
tested
extended
spectrum
beta-lactamases
(ESBLs)-producing
Phytocompounds
identified
using
gas
chromatography–mass
spectrometry
(GC-MS)
further
subjected
virtual
ligands
screening
DataWarrior
(v05.02.01)
AutoDock4.2
(v4.2.6).
The
active
compounds
determined
analysis,
including
phytochemical,
physicochemical,
pharmacokinetics
score.
GC-MS
27
phytoconstituents,
ethyl
acetate,
sclareol,
2-[1,2-dihydroxyethyl]-9-[β-d-ribofuranosyl]
hypoxanthine,
α-bisabolol
2-Isopropyl-5-methylcyclohexyl
3-(1-(4-chlorophenyl)-3-oxobutyl)-coumarin-4-yl
carbonate.
then
screened
for
their
physicochemical
pharmacokinetic
properties.
results
revealed
that
mg/mL
showed
significantly
higher
(p
<
0.05)
zones
inhibition
(13.7
±
1.2
mm),
while
50
lower
(6.3
0.6
mm)
compared
all
other
treatments.
out
identified,
only
twelve
(12)
have
drug-likeness
activity.
12
determine
binding
energies
CTX-M
protein
Only
one
compound
[CID_440869;
(2-[1,2-dihydroxyethyl]-9-[β-d-ribofuranosyl]
hypoxanthine)]
had
best
energy
−9.76
kcal/mol;
hence,
it
can
be
considered
potentially
suitable
treatment
infections
ESBLs-producing
demonstrated
effects.
Further
research
could
potential
applications
many
bacterial
strains.