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      <title>The emergence of carbapenem- and colistin-resistant enterobacteria in Senegal</title>
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    <abstract>Antibiotic resistance is a public health problem. The emergence of carbapenemase-producing Enterobacterales (CPE) infections is a concern, particularly in Senegal. (1) Methods: Between January 2019 and July 2022, 240 isolates of enterobacteria resistant to third-generation cephalosporins and imipenem from biological samples from Fann Hospital (Dakar) and Hopital Paix (Ziguinchor) were selected. The isolates were identified by MALDI-TOF mass spectrometry, and susceptibility tests were performed by the disk diffusion method. Antibiotic-resistance genes for class A beta-lactamases, carbapenemases, and plasmid resistance to colistin resistance (mcr-1-8) were screened by RT-PCR. (2) Results: The 240 enterobacteria were composed of: Escherichia coli (60.83%), Klebsiella pneumoniae (21.67%), Enterobacter cloacae (13.75%), Citrobacter freundii (2.08%), Serratia marcescens (0.83%), Klebsiella aerogenes (0.42%), and Proteus mirabilis (0.42%). Class A beta-lactamase genes were found in 229 isolates (70.41% bla(TEM), 37.5% bla(SHV), 83.75% bla(CTX-A), and 0.42% bla(CTX-B)). The carbapenemase genes bla(OXA-48) and bla(NDM) were found in 25 isolates, including 14 isolates with bla(OXA-48), 13 isolates with bla(NDM), and 2 isolates with both genes simultaneously. The mcr-8 gene was found in one isolate of E. cloacae. (3) Conclusions: The epidemiology of antibiotic-resistance genes in enterobacteria in Senegal shows the emergence of CPEs. This phenomenon is worrying, and rigorous surveillance is necessary to avoid further spread.</abstract>
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    <subject>
      <topic>enterobacteria</topic>
      <topic>carbapenemase</topic>
      <topic>colistin</topic>
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    <subject authority="local">
      <geographic>SENEGAL</geographic>
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    <classification authority="local">084</classification>
    <classification authority="local">050</classification>
    <classification authority="local">020</classification>
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      <titleInfo>
        <title>Pathogens</title>
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      <part>
        <detail type="volume">
          <number>12</number>
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        <detail type="volume">
          <number>8</number>
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          <list>974 [11 ]</list>
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        <dateIssued>2023</dateIssued>
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    <identifier type="uri">https://www.documentation.ird.fr/hor/fdi:010090174</identifier>
    <identifier type="doi">10.3390/pathogens12080974</identifier>
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