Mahamat O. O., Kempf M., Lounnas Manon, Tidjani A., Hide M., Benavides J. A., Carriere C., Banuls Anne-Laure, Jean-Pierre H., Ouedraogo A. S., Dumont Y., Godreuil S. (2021). Epidemiology and prevalence of extended-spectrum beta-lactamase- and carbapenemase-producing Enterobacteriaceae in humans, animals and the environment in West and Central Africa. International Journal of Antimicrobial Agents, 57 (1), p. 106203 [9 p.]. ISSN 0924-8579.
Titre du document
Epidemiology and prevalence of extended-spectrum beta-lactamase- and carbapenemase-producing Enterobacteriaceae in humans, animals and the environment in West and Central Africa
Année de publication
2021
Auteurs
Mahamat O. O., Kempf M., Lounnas Manon, Tidjani A., Hide M., Benavides J. A., Carriere C., Banuls Anne-Laure, Jean-Pierre H., Ouedraogo A. S., Dumont Y., Godreuil S.
Source
International Journal of Antimicrobial Agents, 2021,
57 (1), p. 106203 [9 p.] ISSN 0924-8579
Extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-E) and carbapenemase-producing Enterobacteriaceae (CPE) are widespread. Here we used the 'One Health' approach to determine knowledge gaps on ESBL-E and CPE in West and Central Africa. We searched all articles on ESBL-E and CPE in these African regions published in PubMed, African Journals Online and Google Scholar from 2000 onwards. Among the 1201 articles retrieved, we selected 165 studies (West Africa, 118; Central Africa, 47) with data from 22 of the 26 West and Central Africa countries. Regarding the settings, 136 articles focused only on humans (carriage and/or infection), 6 articles on humans and animals, 13 on animals, 1 on humans and the environment, 8 on the environment and 1 on humans, animals and environments. ESBL-E prevalence ranged from 11-72% in humans and 7-79% in aquatic environments (wastewater). In animals, ESBL-E prevalence hugely varied: 0% in cattle, 11-36% in chickens, 20% in rats, 21-71% in pigs and 32-75% in dogs. The blu(CTX-M-15) gene was the predominant ESBL-encoding gene and was associated with plasmids of incompatibility groups F, H, K, Y, N, II and R. CPE were studied only in humans. Class B metallo-beta-lactamases (NDM) and class D oxacillinases (OXA-48 and OXA-181) were the most common carbapenemases. Our results show major knowledge gaps, particularly on ESBL and CPE in animals and the environment, that might limit antimicrobial resistance management in these regions. The results also emphasise the urgent need to improve active surveillance programmes in each country and to support antimicrobial stewardship.
Plan de classement
Sciences fondamentales / Techniques d'analyse et de recherche [020]
;
Santé : généralités [050]
;
Sciences du monde animal [080]
;
Biotechnologies [084]
Description Géographique
AFRIQUE CENTRALE ; AFRIQUE DE L'OUESt
Localisation
Fonds IRD [F B010080616]
Identifiant IRD
fdi:010080616
