The Impact of Antibiotic Resistance in Childhood Campylobacter Infections Before and After the COVID-19 Pandemic in the Southeast Region of Romania

The world has changed forever as a result of the COVID-19 pandemic. Antimicrobial resistance is a primary global health concern that places a significant financial and health burden on nations. Patients with Campylobacter-caused infections were the subject of the retrospective investigation. The dat...

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Main Authors: Cristina Chiurtu, Elena Mocanu, Bogdan Florentin Nitu, Ana Maria Iancu, Cristina Maria Mihai, Mara Andreea Cambrea, Raluca Mihai, Mihaela Mavrodin, Anca Daniela Pînzaru, Ramona Mihaela Stoicescu
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Antibiotics
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Online Access:https://www.mdpi.com/2079-6382/14/2/170
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author Cristina Chiurtu
Elena Mocanu
Bogdan Florentin Nitu
Ana Maria Iancu
Cristina Maria Mihai
Mara Andreea Cambrea
Raluca Mihai
Mihaela Mavrodin
Anca Daniela Pînzaru
Ramona Mihaela Stoicescu
author_facet Cristina Chiurtu
Elena Mocanu
Bogdan Florentin Nitu
Ana Maria Iancu
Cristina Maria Mihai
Mara Andreea Cambrea
Raluca Mihai
Mihaela Mavrodin
Anca Daniela Pînzaru
Ramona Mihaela Stoicescu
author_sort Cristina Chiurtu
collection DOAJ
description The world has changed forever as a result of the COVID-19 pandemic. Antimicrobial resistance is a primary global health concern that places a significant financial and health burden on nations. Patients with Campylobacter-caused infections were the subject of the retrospective investigation. The data show that children aged 1–6 are the most commonly affected by Campylobacter enteritis. Resistance levels fluctuated over the course of the two periods. Nine isolates were sensitive to macrolides, and only one was responsive to tetracycline, which indicated inadequate sensitivity across all classes throughout the pandemic. This pattern raises serious concerns about the potential impact on public health. Tetracyclines and fluoroquinolones rank highest in terms of bacterial resistance. Regardless of the species, macrolides remain a practical and sufficient treatment for Campylobacter enteritis. Reassurance is still provided by much lower numbers in the post-pandemic period. There is no evidence to support the alarming claims made in the international literature about macrolides in Romania.
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institution DOAJ
issn 2079-6382
language English
publishDate 2025-02-01
publisher MDPI AG
record_format Article
series Antibiotics
spelling doaj-art-35afb724fec743aea282ee9c649838ab2025-08-20T02:44:55ZengMDPI AGAntibiotics2079-63822025-02-0114217010.3390/antibiotics14020170The Impact of Antibiotic Resistance in Childhood Campylobacter Infections Before and After the COVID-19 Pandemic in the Southeast Region of RomaniaCristina Chiurtu0Elena Mocanu1Bogdan Florentin Nitu2Ana Maria Iancu3Cristina Maria Mihai4Mara Andreea Cambrea5Raluca Mihai6Mihaela Mavrodin7Anca Daniela Pînzaru8Ramona Mihaela Stoicescu9Departament of Infectious Diseases, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartment of Public Health and Management, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartament of Infectious Diseases, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartament of Infectious Diseases, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartament of Pediatrics, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartament of Pediatrics, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartament of Infectious Diseases, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartament of Infectious Diseases, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartament of Pediatrics, Faculty of General Medicine, “Ovidius” University, 900470 Constanta, RomaniaDepartament of Microbiology and Immunology, Faculty of Pharmacy, “Ovidius” University, 900470 Constanta, RomaniaThe world has changed forever as a result of the COVID-19 pandemic. Antimicrobial resistance is a primary global health concern that places a significant financial and health burden on nations. Patients with Campylobacter-caused infections were the subject of the retrospective investigation. The data show that children aged 1–6 are the most commonly affected by Campylobacter enteritis. Resistance levels fluctuated over the course of the two periods. Nine isolates were sensitive to macrolides, and only one was responsive to tetracycline, which indicated inadequate sensitivity across all classes throughout the pandemic. This pattern raises serious concerns about the potential impact on public health. Tetracyclines and fluoroquinolones rank highest in terms of bacterial resistance. Regardless of the species, macrolides remain a practical and sufficient treatment for Campylobacter enteritis. Reassurance is still provided by much lower numbers in the post-pandemic period. There is no evidence to support the alarming claims made in the international literature about macrolides in Romania.https://www.mdpi.com/2079-6382/14/2/170pandemicantibioticsCampylobacterresistancechildren
spellingShingle Cristina Chiurtu
Elena Mocanu
Bogdan Florentin Nitu
Ana Maria Iancu
Cristina Maria Mihai
Mara Andreea Cambrea
Raluca Mihai
Mihaela Mavrodin
Anca Daniela Pînzaru
Ramona Mihaela Stoicescu
The Impact of Antibiotic Resistance in Childhood Campylobacter Infections Before and After the COVID-19 Pandemic in the Southeast Region of Romania
Antibiotics
pandemic
antibiotics
Campylobacter
resistance
children
title The Impact of Antibiotic Resistance in Childhood Campylobacter Infections Before and After the COVID-19 Pandemic in the Southeast Region of Romania
title_full The Impact of Antibiotic Resistance in Childhood Campylobacter Infections Before and After the COVID-19 Pandemic in the Southeast Region of Romania
title_fullStr The Impact of Antibiotic Resistance in Childhood Campylobacter Infections Before and After the COVID-19 Pandemic in the Southeast Region of Romania
title_full_unstemmed The Impact of Antibiotic Resistance in Childhood Campylobacter Infections Before and After the COVID-19 Pandemic in the Southeast Region of Romania
title_short The Impact of Antibiotic Resistance in Childhood Campylobacter Infections Before and After the COVID-19 Pandemic in the Southeast Region of Romania
title_sort impact of antibiotic resistance in childhood campylobacter infections before and after the covid 19 pandemic in the southeast region of romania
topic pandemic
antibiotics
Campylobacter
resistance
children
url https://www.mdpi.com/2079-6382/14/2/170
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