LATIN AMERICAN SURVEILLANCE REGISTRY REVEALS HIGHER ANTIMICROBIAL RESISTANCE IN INVASIVE ISOLATES FROM PATIENTS WITH CIRRHOSIS COMPARED TO EUROPEAN BENCHMARKS Article Swipe

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Gonzalo Gómez Perdiguero , María Dolores Murga , Ana Palazzo , Esteban González Ballerga , Ilse Pardo Ivirico , María Daniela Perez , Lorena Notari , Josefina Pagés , Manuel Mendizábal , Camila Maria Briz , Antonio Santo , Julia Brutti , Brenda Osso Sánchez , Margarita Anders , Pablo Calzetta , Alina Zerega , Ângelo Zambam de Mattos , Astrid Smud , Laura Roppa Maboni , Maximiliano Gabriel Castro , Fernando Cairo , Lucia Navarro , Martín Elizondo , Gisela Gualano , María Laura Garrido , Diego Giunta , Diego Arufe , Marcelo Valverde , Anabel Romero , Natalie Vilcinskas , Jorge Garavito Rentería , Javier Díaz Ferrer , Rommel Zambrano-Huailla , Laura Tenorio Castillo , Esther Veramendi Shult , Kris G. Vargas , Melisa Dirchwolf , Jesica Tomatis , Adrián Gadano , Sebastián Marciano ·

YOU? · · 2025 · Open Access · · DOI: https://doi.org/10.1016/j.aohep.2025.101959

Introduction and Objectives: Given the growing burden of antimicrobial resistance (AMR), we aimed to report the prevalence of key AMR patterns in Latin American patients with cirrhosis and compare them with the European Antimicrobial Resistance Surveillance Network (EARS-Net) data Materials and Methods: Cross-sectional study of invasive isolates (blood, ascitic or pleural fluid) from adults with cirrhosis enrolled in the Latin American surveillance registry (ClinicalTrials.gov: NCT0634940). AMR patterns were reported for key pathogens: E. coli, K. pneumoniae, S. aureus, Acinetobacter spp., E. faecium, and P. aeruginosa. Results: Between December 2020 and May 2025, 908 bacterial isolates were collected from Argentina, Uruguay, Brazil, and Peru. Of these, 226 (25%) were obtained from invasive sites and correspond to predefined bacteria of epidemiological interest included in the analysis. Isolates were 39% nosocomial, 38% community-acquired, and 23% healthcare-associated. The main infections were spontaneous bacteremia (38%) and SBP (32%). Quinolone resistance was higher in Latin American vs. Europe for K. pneumoniae (56% vs. 34%) and E. coli (46% vs. 24%). Carbapenem resistance in K. pneumoniae was 46% (vs. 13%), and in E. coli, 5.3% (vs. 0.3%). Methicillin resistance among S. aureus was higher in Latin American (32%) than in Europe (16%). Other pathogens also showed higher resistance (Table). Conclusions: The elevated resistance rates observed in Latin American patients with cirrhosis demand attention. In a region where regulatory gaps at multiple levels may contribute to antibiotic misuse, these findings call for urgent action to strengthen rational antibiotic use and implement effective stewardship strategies.

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Type: article
Language: en
Landing Page: https://doi.org/10.1016/j.aohep.2025.101959
OA Status: gold
OpenAlex ID: https://openalex.org/W4414569068

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DOI: https://doi.org/10.1016/j.aohep.2025.101959

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Title: LATIN AMERICAN SURVEILLANCE REGISTRY REVEALS HIGHER ANTIMICROBIAL RESISTANCE IN INVASIVE ISOLATES FROM PATIENTS WITH CIRRHOSIS COMPARED TO EUROPEAN BENCHMARKS

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Authors: Gonzalo Gómez Perdiguero, María Dolores Murga, Ana Palazzo, Esteban González Ballerga, Ilse Pardo Ivirico, María Daniela Perez, Lorena Notari, Josefina Pagés, Manuel Mendizábal, Camila Maria Briz, Antonio Santo, Julia Brutti, Brenda Osso Sánchez, Margarita Anders, Pablo Calzetta, Alina Zerega, Ângelo Zambam de Mattos, Astrid Smud, Laura Roppa Maboni, Maximiliano Gabriel Castro, Fernando Cairo, Lucia Navarro, Martín Elizondo, Gisela Gualano, María Laura Garrido, Diego Giunta, Diego Arufe, Marcelo Valverde, Anabel Romero, Natalie Vilcinskas, Jorge Garavito Rentería, Javier Díaz Ferrer, Rommel Zambrano-Huailla, Laura Tenorio Castillo, Esther Veramendi Shult, Kris G. Vargas, Melisa Dirchwolf, Jesica Tomatis, Adrián Gadano, Sebastián Marciano

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primary_location.pdf_url
primary_location.version	publishedVersion
primary_location.raw_type	journal-article
primary_location.license_id	https://openalex.org/licenses/cc-by-nc-nd
primary_location.is_accepted	True
primary_location.is_published	True
primary_location.raw_source_name	Annals of Hepatology
primary_location.landing_page_url	https://doi.org/10.1016/j.aohep.2025.101959
publication_date	2025-09-01
publication_year	2025
referenced_works_count	0
abstract_inverted_index.a	217
abstract_inverted_index.E.	72, 80, 159, 175
abstract_inverted_index.In	216
abstract_inverted_index.K.	74, 153, 167
abstract_inverted_index.Of	103
abstract_inverted_index.P.	83
abstract_inverted_index.S.	76, 183
abstract_inverted_index.at	222
abstract_inverted_index.in	21, 57, 121, 147, 166, 174, 187, 192, 208
abstract_inverted_index.of	7, 17, 44, 117
abstract_inverted_index.or	49
abstract_inverted_index.to	13, 114, 227, 236
abstract_inverted_index.we	11
abstract_inverted_index.226	105
abstract_inverted_index.23%	131
abstract_inverted_index.38%	128
abstract_inverted_index.39%	126
abstract_inverted_index.46%	170
abstract_inverted_index.908	92
abstract_inverted_index.AMR	19, 65
abstract_inverted_index.May	90
abstract_inverted_index.SBP	141
abstract_inverted_index.The	133, 203
abstract_inverted_index.and	1, 27, 40, 82, 89, 101, 112, 130, 140, 158, 173, 241
abstract_inverted_index.for	69, 152, 233
abstract_inverted_index.key	18, 70
abstract_inverted_index.may	225
abstract_inverted_index.the	4, 15, 31, 58, 122
abstract_inverted_index.use	240
abstract_inverted_index.vs.	150, 156, 162
abstract_inverted_index.was	145, 169, 185
abstract_inverted_index.(46%	161
abstract_inverted_index.(56%	155
abstract_inverted_index.(vs.	171, 178
abstract_inverted_index.2020	88
abstract_inverted_index.34%)	157
abstract_inverted_index.5.3%	177
abstract_inverted_index.also	197
abstract_inverted_index.call	232
abstract_inverted_index.coli	160
abstract_inverted_index.data	38
abstract_inverted_index.from	52, 97, 109
abstract_inverted_index.gaps	221
abstract_inverted_index.main	134
abstract_inverted_index.than	191
abstract_inverted_index.them	29
abstract_inverted_index.were	67, 95, 107, 125, 136
abstract_inverted_index.with	25, 30, 54, 212
abstract_inverted_index.(25%)	106
abstract_inverted_index.(32%)	190
abstract_inverted_index.(38%)	139
abstract_inverted_index.13%),	172
abstract_inverted_index.2025,	91
abstract_inverted_index.24%).	163
abstract_inverted_index.Given	3
abstract_inverted_index.Latin	22, 59, 148, 188, 209
abstract_inverted_index.Other	195
abstract_inverted_index.Peru.	102
abstract_inverted_index.aimed	12
abstract_inverted_index.among	182
abstract_inverted_index.coli,	73, 176
abstract_inverted_index.rates	206
abstract_inverted_index.sites	111
abstract_inverted_index.spp.,	79
abstract_inverted_index.study	43
abstract_inverted_index.these	230
abstract_inverted_index.where	219
abstract_inverted_index.(16%).	194
abstract_inverted_index.(32%).	142
abstract_inverted_index.(AMR),	10
abstract_inverted_index.0.3%).	179
abstract_inverted_index.Europe	151, 193
abstract_inverted_index.action	235
abstract_inverted_index.adults	53
abstract_inverted_index.aureus	184
abstract_inverted_index.burden	6
abstract_inverted_index.demand	214
abstract_inverted_index.fluid)	51
abstract_inverted_index.higher	146, 186, 199
abstract_inverted_index.levels	224
abstract_inverted_index.region	218
abstract_inverted_index.report	14
abstract_inverted_index.showed	198
abstract_inverted_index.these,	104
abstract_inverted_index.urgent	234
abstract_inverted_index.(blood,	47
abstract_inverted_index.Between	86
abstract_inverted_index.Brazil,	100
abstract_inverted_index.Network	36
abstract_inverted_index.ascitic	48
abstract_inverted_index.aureus,	77
abstract_inverted_index.compare	28
abstract_inverted_index.growing	5
abstract_inverted_index.misuse,	229
abstract_inverted_index.pleural	50
abstract_inverted_index.(Table).	201
abstract_inverted_index.American	23, 60, 149, 189, 210
abstract_inverted_index.December	87
abstract_inverted_index.European	32
abstract_inverted_index.Isolates	124
abstract_inverted_index.Methods:	41
abstract_inverted_index.Results:	85
abstract_inverted_index.Uruguay,	99
abstract_inverted_index.bacteria	116
abstract_inverted_index.elevated	204
abstract_inverted_index.enrolled	56
abstract_inverted_index.faecium,	81
abstract_inverted_index.findings	231
abstract_inverted_index.included	120
abstract_inverted_index.interest	119
abstract_inverted_index.invasive	45, 110
abstract_inverted_index.isolates	46, 94
abstract_inverted_index.multiple	223
abstract_inverted_index.observed	207
abstract_inverted_index.obtained	108
abstract_inverted_index.patients	24, 211
abstract_inverted_index.patterns	20, 66
abstract_inverted_index.rational	238
abstract_inverted_index.registry	62
abstract_inverted_index.reported	68
abstract_inverted_index.Materials	39
abstract_inverted_index.Quinolone	143
abstract_inverted_index.analysis.	123
abstract_inverted_index.bacterial	93
abstract_inverted_index.cirrhosis	26, 55, 213
abstract_inverted_index.collected	96
abstract_inverted_index.effective	243
abstract_inverted_index.implement	242
abstract_inverted_index.pathogens	196
abstract_inverted_index.(EARS-Net)	37
abstract_inverted_index.Argentina,	98
abstract_inverted_index.Carbapenem	164
abstract_inverted_index.Resistance	34
abstract_inverted_index.antibiotic	228, 239
abstract_inverted_index.attention.	215
abstract_inverted_index.bacteremia	138
abstract_inverted_index.contribute	226
abstract_inverted_index.correspond	113
abstract_inverted_index.infections	135
abstract_inverted_index.pathogens:	71
abstract_inverted_index.pneumoniae	154, 168
abstract_inverted_index.predefined	115
abstract_inverted_index.prevalence	16
abstract_inverted_index.regulatory	220
abstract_inverted_index.resistance	9, 144, 165, 181, 200, 205
abstract_inverted_index.strengthen	237
abstract_inverted_index.Methicillin	180
abstract_inverted_index.Objectives:	2
abstract_inverted_index.aeruginosa.	84
abstract_inverted_index.nosocomial,	127
abstract_inverted_index.pneumoniae,	75
abstract_inverted_index.spontaneous	137
abstract_inverted_index.stewardship	244
abstract_inverted_index.strategies.	245
abstract_inverted_index.Conclusions:	202
abstract_inverted_index.Introduction	0
abstract_inverted_index.NCT0634940).	64
abstract_inverted_index.Surveillance	35
abstract_inverted_index.surveillance	61
abstract_inverted_index.Acinetobacter	78
abstract_inverted_index.Antimicrobial	33
abstract_inverted_index.antimicrobial	8
abstract_inverted_index.Cross-sectional	42
abstract_inverted_index.epidemiological	118
abstract_inverted_index.community-acquired,	129
abstract_inverted_index.(ClinicalTrials.gov:	63
abstract_inverted_index.healthcare-associated.	132
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