Detection of Rare Antimicrobial Resistance Profiles by Active and Passive Surveillance Approaches.

Antimicrobial resistance (AMR) surveillance systems are generally not specifically designed to detect emerging resistances and usually focus primarily on resistance to individual drugs. Evaluating the diversity of resistance, using ecological metrics, allows the assessment of sampling protocols with...

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Main Authors: Alison E Mather, Richard Reeve, Dominic J Mellor, Louise Matthews, Richard J Reid-Smith, Lucie Dutil, Daniel T Haydon, Stuart W J Reid
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2016-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0158515&type=printable
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author Alison E Mather
Richard Reeve
Dominic J Mellor
Louise Matthews
Richard J Reid-Smith
Lucie Dutil
Daniel T Haydon
Stuart W J Reid
author_facet Alison E Mather
Richard Reeve
Dominic J Mellor
Louise Matthews
Richard J Reid-Smith
Lucie Dutil
Daniel T Haydon
Stuart W J Reid
author_sort Alison E Mather
collection DOAJ
description Antimicrobial resistance (AMR) surveillance systems are generally not specifically designed to detect emerging resistances and usually focus primarily on resistance to individual drugs. Evaluating the diversity of resistance, using ecological metrics, allows the assessment of sampling protocols with regard to the detection of rare phenotypes, comprising combinations of resistances. Surveillance data of phenotypic AMR of Canadian poultry Salmonella Heidelberg and swine Salmonella Typhimurium var. 5- were used to contrast active (representative isolates derived from healthy animals) and passive (diagnostic isolates) surveillance and assess their suitability for detecting emerging resistance patterns. Although in both datasets the prevalences of resistance to individual antimicrobials were not significantly different between the two surveillance systems, analysis of the diversity of entire resistance phenotypes demonstrated that passive surveillance of diagnostic isolates detected more unique phenotypes. Whilst the most appropriate surveillance method will depend on the relevant objectives, under the conditions of this study, passive surveillance of diagnostic isolates was more effective for the detection of rare and therefore potentially emerging resistance phenotypes.
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spelling doaj-art-9f46df0a72de40d39672b05a856d22d22025-08-20T03:24:29ZengPublic Library of Science (PLoS)PLoS ONE1932-62032016-01-01117e015851510.1371/journal.pone.0158515Detection of Rare Antimicrobial Resistance Profiles by Active and Passive Surveillance Approaches.Alison E MatherRichard ReeveDominic J MellorLouise MatthewsRichard J Reid-SmithLucie DutilDaniel T HaydonStuart W J ReidAntimicrobial resistance (AMR) surveillance systems are generally not specifically designed to detect emerging resistances and usually focus primarily on resistance to individual drugs. Evaluating the diversity of resistance, using ecological metrics, allows the assessment of sampling protocols with regard to the detection of rare phenotypes, comprising combinations of resistances. Surveillance data of phenotypic AMR of Canadian poultry Salmonella Heidelberg and swine Salmonella Typhimurium var. 5- were used to contrast active (representative isolates derived from healthy animals) and passive (diagnostic isolates) surveillance and assess their suitability for detecting emerging resistance patterns. Although in both datasets the prevalences of resistance to individual antimicrobials were not significantly different between the two surveillance systems, analysis of the diversity of entire resistance phenotypes demonstrated that passive surveillance of diagnostic isolates detected more unique phenotypes. Whilst the most appropriate surveillance method will depend on the relevant objectives, under the conditions of this study, passive surveillance of diagnostic isolates was more effective for the detection of rare and therefore potentially emerging resistance phenotypes.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0158515&type=printable
spellingShingle Alison E Mather
Richard Reeve
Dominic J Mellor
Louise Matthews
Richard J Reid-Smith
Lucie Dutil
Daniel T Haydon
Stuart W J Reid
Detection of Rare Antimicrobial Resistance Profiles by Active and Passive Surveillance Approaches.
PLoS ONE
title Detection of Rare Antimicrobial Resistance Profiles by Active and Passive Surveillance Approaches.
title_full Detection of Rare Antimicrobial Resistance Profiles by Active and Passive Surveillance Approaches.
title_fullStr Detection of Rare Antimicrobial Resistance Profiles by Active and Passive Surveillance Approaches.
title_full_unstemmed Detection of Rare Antimicrobial Resistance Profiles by Active and Passive Surveillance Approaches.
title_short Detection of Rare Antimicrobial Resistance Profiles by Active and Passive Surveillance Approaches.
title_sort detection of rare antimicrobial resistance profiles by active and passive surveillance approaches
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0158515&type=printable
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