Human Salmonella Infection Yielding CTX-M β-Lactamase, United States
2008

Human Salmonella Infection with CTX-M β-Lactamase

Sample size: 1864 publication Evidence: moderate

Author Information

Author(s): Sjölund Maria, Yam Jennifer, Schwenk Jillian, Joyce Kevin, Medalla Felicita, Barzilay Ezra, Whichard Jean M.

Primary Institution: Centers for Disease Control and Prevention

Hypothesis

Is there a domestically acquired CTX-M–producing Salmonella isolate in the United States?

Conclusion

A domestically acquired CTX-M–producing Salmonella isolate was identified in a 3-month-old boy in Georgia.

Supporting Evidence

  • Among 1,864 human NTS isolates, 105 displayed elevated MICs to ceftriaxone or ceftiofur.
  • The isolate was confirmed to be a CTX-M–producing Salmonella ser. Typhimurium.
  • The patient had diarrhea and fever but recovered without complications.

Takeaway

Doctors found a type of Salmonella that is resistant to some antibiotics in a baby from Georgia, and it didn't come from outside the country.

Methodology

The study involved testing Salmonella isolates submitted to the CDC for antibiotic resistance using broth microdilution.

Limitations

The study only reports on one case and does not provide a broader analysis of CTX-M prevalence.

Participant Demographics

The patient was a 3-month-old white, non-Hispanic boy from Georgia.

Digital Object Identifier (DOI)

10.3201/eid1412.080494

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