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Community-Acquired Antimicrobial Resistant Enterobacteriaceae in Central America: A One Health Systematic Review

Author

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  • Lauren O’Neal

    (School of Public Health, University of California, Berkeley, CA 94720, USA)

  • Danilo Alvarez

    (Center for Health Studies, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala)

  • Renata Mendizábal-Cabrera

    (Center for Health Studies, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala)

  • Brooke M. Ramay

    (Center for Health Studies, Universidad del Valle de Guatemala, Guatemala City 01015, Guatemala
    Paul G. Allen School for Global Animal Health, Washington State University, Pullman, WA 99164, USA)

  • Jay Graham

    (School of Public Health, University of California, Berkeley, CA 94720, USA)

Abstract

Community-acquired antimicrobial resistant Enterobacteriaceae (CA-ARE) are an increasingly important issue around the world. Characterizing the distribution of regionally specific patterns of resistance is important to contextualize and develop locally relevant interventions. This systematic review adopts a One Health framework considering the health of humans, animals, and the environment to describe CA-ARE in Central America. Twenty studies were identified that focused on antimicrobial resistance (AMR) in Enterobacteriaceae. Studies on CA-ARE in Central America characterized resistance from diverse sources, including humans ( n = 12), animals ( n = 4), the environment ( n = 2), and combinations of these categories ( n = 2). A limited number of studies assessed prevalence of clinically important AMR, including carbapenem resistance ( n = 3), third generation cephalosporin resistance ( n = 7), colistin resistance ( n = 2), extended spectrum beta-lactamase (ESBL) production ( n = 4), or multidrug resistance ( n = 4). This review highlights significant gaps in our current understanding of CA-ARE in Central America, most notably a general dearth of research, which requires increased investment and research on CA-ARE as well as AMR more broadly.

Suggested Citation

  • Lauren O’Neal & Danilo Alvarez & Renata Mendizábal-Cabrera & Brooke M. Ramay & Jay Graham, 2020. "Community-Acquired Antimicrobial Resistant Enterobacteriaceae in Central America: A One Health Systematic Review," IJERPH, MDPI, vol. 17(20), pages 1-14, October.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:20:p:7622-:d:431423
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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