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

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.

Microbial contamination in 20-peso banknotes in Monterrey, Mexico

The authors' aim was to isolate and identify bacteria or yeast that may be present on the surface of 20-peso banknotes from the metropolitan area of Monterrey, Mexico. They randomly studied a total of 70 20-peso banknotes for the presence of bacteria and species of Candida by conventional methods. Out of the 70 banknotes, 48 (69%) were found to be contaminated. The most prevalent species observed was Candida kruseii (19 bills, 27%) followed by Burkholderia cepacia (9 bills, 13%); 22 (31%) bills showed no growth. Of the 48 contaminated bills, four (5.7%) yielded bacteria considered pathogenic and the other 44 bills (63%) yielded bacteria considered potentially pathogenic. Eleven bills showed more than one microbial species. The results of the authors' study show that contamination occurs on paper currency in the metropolitan area of Monterrey. The authors' findings provide evidence that currency banknotes may represent a threat to human health.