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dc.contributor.author
Sandoval, María Macarena
dc.contributor.author
Bardach, Ariel Esteban
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dc.contributor.author
Rojas Roque, Carlos
dc.contributor.author
Alconada, Tomás
dc.contributor.author
Gomez, Jorge A.
dc.contributor.author
Pinto, Thatiana
dc.contributor.author
Palermo, Carolina
dc.contributor.author
Ciapponi, Agustín
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dc.date.available
2024-02-28T13:04:59Z
dc.date.issued
2023-06
dc.identifier.citation
Sandoval, María Macarena; Bardach, Ariel Esteban; Rojas Roque, Carlos; Alconada, Tomás; Gomez, Jorge A.; et al.; Antimicrobial resistance of Neisseria gonorrhoeae in Latin American countries: A systematic review; Oxford University Press; Journal of Antimicrobial Chemotherapy; 78; 6; 6-2023; 1322-1336
dc.identifier.issn
0305-7453
dc.identifier.uri
http://hdl.handle.net/11336/228780
dc.description.abstract
Background: Detailed information is needed on the dynamic pattern of antimicrobial resistance (AMR) in Neisseria gonorrhoeae in Latin America and the Caribbean (LAC). Objectives: To conduct a systematic review of AMR in N. gonorrhoeae in LAC. Methods: Electronic searches without language restrictions were conducted in PubMed, Embase, Cochrane Library, EconLIT, Cumulative Index of Nursing and Allied Health Literature, Centre for Reviews and Dissemination, and Latin American and Caribbean Literature in Health Sciences. Studies were eligible if published between 1 January 2011 and 13 February 2021, conducted in any LAC country (regardless of age, sex and population) and measured frequency and/or patterns of AMR to any antimicrobial in N. gonorrhoeae. The WHO Global Gonococcal Antimicrobial Surveillance Programme (WHO-GASP) for LAC countries and Latin American AMR Surveillance Network databases were searched. AMR study quality was evaluated according to WHO recommendations. Results: AMR data for 38, 417 isolates collected in 1990–2018 were included from 31 publications, reporting data from Argentina, Brazil, Colombia, Peru, Uruguay, Venezuela and WHO-GASP. Resistance to extended-spectrum cephalosporins was infrequent (0.09%–8.5%). Resistance to azithromycin was up to 32% in the published studies and up to 61% in WHO-GASP. Resistance to penicillin, tetracycline and ciprofloxacin was high (17.6%–98%, 20.7%–90% and 5.9%–89%, respectively). Resistance to gentamicin was not reported, and resistance to spectinomycin was reported in one study. Conclusions: This review provides data on resistance to azithromycin, potentially important given its use as first-line empirical treatment, and indicates the need for improved surveillance of gonococcal AMR in LAC.
dc.format
application/pdf
dc.language.iso
eng
dc.publisher
Oxford University Press
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dc.rights
info:eu-repo/semantics/openAccess
dc.rights.uri
https://creativecommons.org/licenses/by-nc/2.5/ar/
dc.subject
Neisseria gonorrhoeae
dc.subject
Antimicrobial resistance
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Latin America
dc.subject
Systematic review
dc.subject.classification
Enfermedades Infecciosas
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dc.subject.classification
Ciencias de la Salud
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dc.subject.classification
CIENCIAS MÉDICAS Y DE LA SALUD
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dc.title
Antimicrobial resistance of Neisseria gonorrhoeae in Latin American countries: A systematic review
dc.type
info:eu-repo/semantics/article
dc.type
info:ar-repo/semantics/artículo
dc.type
info:eu-repo/semantics/publishedVersion
dc.date.updated
2024-02-28T09:57:25Z
dc.journal.volume
78
dc.journal.number
6
dc.journal.pagination
1322-1336
dc.journal.pais
Reino Unido
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dc.journal.ciudad
Oxford
dc.description.fil
Fil: Sandoval, María Macarena. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Bardach, Ariel Esteban. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.description.fil
Fil: Rojas Roque, Carlos. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Alconada, Tomás. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Gomez, Jorge A.. Gsk; Argentina
dc.description.fil
Fil: Pinto, Thatiana. Glaxosmithkline Pharmaceuticals Sa/nv; Bélgica
dc.description.fil
Fil: Palermo, Carolina. Instituto de Efectividad Clínica y Sanitaria; Argentina
dc.description.fil
Fil: Ciapponi, Agustín. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
dc.journal.title
Journal of Antimicrobial Chemotherapy
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dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/doi/http://dx.doi.org/10.1093/jac/dkad071
dc.relation.alternativeid
info:eu-repo/semantics/altIdentifier/url/https://academic.oup.com/jac/article/78/6/1322/7165460
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