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  • 1
    In: Antibiotics, MDPI AG, Vol. 12, No. 6 ( 2023-05-24), p. 954-
    Abstract: Linezolid is an antibiotic of last resort for the treatment of infections caused by Gram-positive bacteria, including vancomycin-resistant enterococci. Enterococcus faecalis, a member of enterococci, is a significant pathogen in nosocomial infections. E. faecalis resistance to linezolid is frequently related to the presence of optrA, which is often co-carried with fex, phenicol exporter genes, and erm genes encoding macrolide resistance. Therefore, the common use of antibiotics in veterinary might promote the occurrence of optrA in livestock settings. This is a cross-sectional study aiming to investigate the prevalence of optrA positive E. faecalis (OPEfs) in 6 reservoirs in farms in Ha Nam province, Vietnam, and its associated factors and to explore genetic relationships of OPEfs isolates. Among 639 collected samples, the prevalence of OPEfs was highest in flies, 46.8% (51/109), followed by chickens 37.3% (72/193), dogs 33.3% (17/51), humans 18.7% (26/139), wastewater 16.4% (11/67) and pigs 11.3%, (14/80). The total feeding area and total livestock unit of the farm were associated with the presence of OPEfs in chickens, flies, and wastewater. Among 186 OPEfs strains, 86% were resistant to linezolid. The presence of optrA was also related to the resistant phenotype against linezolid and levofloxacin of E. faecalis isolates. Close genotypic relationships identified by Pulsed Field Gel Electrophoresis between OPEfs isolates recovered from flies and other reservoirs including chickens, pigs, dogs, and wastewater suggested the role of flies in the transmission of antibiotic-resistant pathogens. These results provided warnings of linezolid resistance although it is not used in livestock.
    Type of Medium: Online Resource
    ISSN: 2079-6382
    Language: English
    Publisher: MDPI AG
    Publication Date: 2023
    detail.hit.zdb_id: 2681345-2
    SSG: 15,3
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  • 2
    Online Resource
    Online Resource
    Tap chi Y hoc du phong (Vietnam Journal of Preventive Medicine-VJPM) ; 2021
    In:  Tạp chí Y học Dự phòng Vol. 31, No. 4 ( 2021-06-18), p. 85-91
    In: Tạp chí Y học Dự phòng, Tap chi Y hoc du phong (Vietnam Journal of Preventive Medicine-VJPM), Vol. 31, No. 4 ( 2021-06-18), p. 85-91
    Abstract: A cross-sectional study using the take-all sampling method was conducted among patients in the unique MMT private clinic in Vietnam in 2018. The study aimed to describe treatment adherence status and related factors of the patients. Data on socioeconomic characteristics, behaviours, treatment process, level of social/family support were collected and analyzed. The results showed that 88.2% of MMT patients completely adhere to the treatment program. Factors positively related to treatment adherence of MMT patients were living with spouse/partner (OR = 3.02 95% CI: 1.11 – 8.19), not using illicit drugs during MMT treatment (OR = 5.88; 95% CI: 1.77 – 19.56). The methadone clinic should pay attention to the factors positively related to treatment adherence in the counselling and support process for the patients.
    Type of Medium: Online Resource
    ISSN: 0868-2836
    Language: Unknown
    Publisher: Tap chi Y hoc du phong (Vietnam Journal of Preventive Medicine-VJPM)
    Publication Date: 2021
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