Increased incidence of Campylobacter enteritis and their quinolone resistance between 2010 and 2015: Results of a French national observatory conducted in 21 general hospitals (CHG) - 18/06/19
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Highlights |
• | This is a multicentric study carried out in 21 general hospitals (CHG) representing 14 French regions with a prospective collection of the results of coprocultures from 2010 to 2015. |
• | We report the epidemiologic data of Campylobacter and Salmonella enteritis in adult and paediatric populations, region by region, since 2010 to 2015. |
• | We compare the evolution of epidemiologic data of Campylobacter and Salmonella enteritis in adult and pediatric populations since 2010 to 2015. |
• | We report the rates of quinolone resistance of Campylobacter in adult and pediatric populations, region by region, since 2010 to 2015. |
• | We compare the rates of quinolone resistance of Campylobacter in adult and pediatric populations, since 2010 to 2015. |
• | The results of our study confirm the predominance of Campylobater-related enterocolitis in all French regions and the relative decline in the prevalence of salmonella-related colitis. |
• | The resistance of Campylobacter to quinolones is greater than 50% on the whole territory, in adults and children. This high rate of resistance in our paediatric population is in favour of resistance linked to the use of antibiotics in industrial farms and not to prior exposure of patients. These results should motivate to enhance the education of the population, farmers and veterinarians on hygiene measures at each stage of the food chain and to ensure good practices for the appropriate use of antibiotics in animal husbandry. |
Summary |
Introduction |
In Europe, the number of cases of Campylobacter enteritis and their quinolone resistance is increasing. The aims of this work were to evaluate: (1) the hospital epidemiology of bacterial enteritis between 2010 and 2015. (2) The proportion of Campylobacter and Salmonella enteritis. (3) Resistance to quinolones in adult and paediatric populations. (4) To investigate possible regional epidemiological and bacteriological disparities.
Patients and methods |
This is a multicentric study carried out in 21 general hospitals (CHG) representing 14 French regions with a prospective collection of the results of coprocultures from 2010 to 2015 in adult and paediatric populations (children < 15 years old not exposed to quinolones). The epidemiological and bacteriological data were collected from software laboratory for positive stool cultures for Campylobacter and Salmonella. The results were compared year by year and by a period of 2 years.
Results |
In adults, Campylobacter enteritis was each year significantly more frequent than Salmonella (P < 0.001), with a significant increase from 2010 to 2015 (P < 0.05). In children, there was also a significant and stable predominance of Campylobacter enteritis over the study period (P = 0.002). The quinolone resistance of Campylobacter was greater than 50% on the whole territory, with no North-South difference over the three periods studied. It increased significantly from 2012 to 2015 in adults (48% to 55%, P < 0.05) and in children (54% to 61%, P = 0.04).
Conclusion |
Our results confirm the increase in the prevalence of Campylobacter enteritis compared to Salmonella between 2010 and 2015. The quinolone resistance of Campylobacter is greater than 50% on the whole territory, stable between 2010 and 2015 in adults and significantly increased in children.
Le texte complet de cet article est disponible en PDF.Keywords : Campylobacter enteritis, Salmonella enteritis, French epidemiology
Plan
Vol 43 - N° 3
P. 338-345 - juin 2019 Retour au numéro
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