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

Lauren O’Neal, Danilo Alvarez, Renata Mendizábal-Cabrera, Brooke M. Ramay and Jay Graham
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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
Jay Graham: School of Public Health, University of California, Berkeley, CA 94720, USA

IJERPH, 2020, vol. 17, issue 20, 1-14

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.

Keywords: antimicrobial resistance; Enterobacteriaceae; Central America; One Health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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