SciELO - Scientific Electronic Library Online

 
vol.88 issue6Molecular epidemiology studies on the immigrant population in Spain author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand

Journal

Article

Indicators

Related links

  • On index processCited by Google
  • Have no similar articlesSimilars in SciELO
  • On index processSimilars in Google

Share


Revista Española de Salud Pública

On-line version ISSN 2173-9110Print version ISSN 1135-5727

Abstract

GALAN MONTEMAYOR, Juan Carlos; MORENO BOFARULL, Ana  and  BAQUERO MOCHALES, Fernando. Impact of the migratory movements in the bacterial resistance to antibiotics. Rev. Esp. Salud Publica [online]. 2014, vol.88, n.6, pp.829-837. ISSN 2173-9110.  http://dx.doi.org/10.4321/S1135-57272014000600014.

Background: Spain is among the main receptor countries for immigration; but there are few studies available which target antibiotic-resistance in immigrants. Our objective was to review the current knowledge on the impact of antibiotic resistance in immigrants compared with the prevalence in the autochthonous population. Methods: A comprehensive bibliographical search was performed to detect published works in the 1998-2013 period. Common keywords were: resistance; immigrant, and Spain; particular keywords were: Mycobacterium tuberculosis, Neisseria gonorrhoeae, or Enterobacteriaceae and travellers in each topic. Results: Global percentage of resistant M. tuberculosis strains was 2.5-4 times more frequent in immigrant population than native population. The proportion of MDR strains was also higher in adult and infant immigrant populations (2,5% and 4,5% respectively) than in native population (0,1%-0% respectively). Known cases of gonorrhoea among immigrant population represented 28%, proceeding from geographical areas with high resistance to macrolide (30%) and cephalosporins (20%). This data revels the possibility of dissemination of untreatable N. gonorrhoeae strains. The detection of multidrug-resistant Enterobacteriaceae in Spaniard travellers visiting countries with high rates of antibiotic resistance was increased from 7.9% to 17.9% (even 37.4% in native travellers from India). Conclusion: The different rates of antibiotic resistance between native and immigrant populations in the studied models in this review, revealed as the migration can affect to emergence and re-emergence of infection diseases, but also the potential spreading of untreatable microorganisms.

Keywords : Tuberculosis; Gonorrhoea; Antibiotic resistance; Immigration; Traveller's diarrhea; Spain.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )

 

Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License