We aimed to assess the resistance rates of antimicrobial-resistant, in bacterial pathogens of epidemiological importance in 47 Mexican centers. In this retrospective study, we included a stratified sample of 47 centers, covering 20 Mexican states. Selected isolates considered as potential causatives of disease collected over a 6-month period were included. Laboratories employed their usual methods to perform microbiological studies. The results were deposited into a database and analyzed with the WHONET 5.6 software. In this 6-month study, a total of 22,943 strains were included. Regarding Gram-negatives, carbapenem resistance was detected in ≤ 3% in Escherichia coli, 12.5% in Klebsiella sp. and Enterobacter sp., and up to 40% in Pseudomonas aeruginosa; in the latter, the resistance rate for piperacillin-tazobactam (TZP) was as high as 19.1%. In Acinetobacter sp., resistance rates for cefepime, ciprofloxacin, meropenem, and TZP were higher than 50%. Regarding Gram-positives, methicillin resistance in Staphylococcus aureus (MRSA) was as high as 21.4%, and vancomycin (VAN) resistance reached up to 21% in Enterococcus faecium. Acinetobacter sp. presented the highest multidrug resistance (53%) followed by Klebsiella sp. (22.6%) and E. coli (19.4%). The multidrug resistance of Acinetobacter sp., Klebsiella sp. and E. coli and the carbapenem resistance in specific groups of enterobacteria deserve special attention in Mexico. Vancomycin-resistant enterococci (VRE) and MRSA are common in our hospitals. Our results present valuable information for the implementation of measures to control drug resistance.

Escherichia coli is an opportunistic pathogen and a leading cause of Community-Acquired Urinary Tract Infections (CA-UTIs). E. coli can harbor multiple genetic resistant determinants, such as Extended Spectrum Beta-lactamases (ESBL) and Plasmid-Mediated Quinolone Resistance (PMQR) genes, complicating the empirical treatment of UTIs with β-lactams and quinolones. The aim of his study was to characterize ESBL and PMQR genes among E. coli isolates from CA-UTI in Mexicali, Mexico Isolates were collected from January to December 2023. Identification was performed by MALDI-TOF, and ESBL-producing determination and antimicrobial susceptibility by Vitek 2. Detection of ESBL and PMQR, and phylotyping were performed by PCR. Genetic diversity was determined by Enterobacterial Repetitive Intergenic Consensus Polymerase Chain Reaction (ERIC-PCR). Eighty-nine E. coli isolates were collected from CA-UTIs. All exhibited resistance to ciprofloxacin, ceftriaxone, and cefotaxime, while being susceptible to carbapenems and ceftazidime/avibactam. All isolates tested positive for an ESBL gene, with bla_CTX-M (98.9 %) being the most prevalent. Five isolates tested negative for PMQR genes; the remaining showed aac(6')-lb-cr present in 85.3 %. Coexistence between ESBL and PMQR genes was noted in 95.5 %. Most prevalent plylogenetic group was group B2 (74.2 %). This study provides valuable regional data, highlighting a public health problem due to the high prevalence of ESBL and PMQR genes in E. coli responsible for CA-UTI, which are linked to multidrug resistance. Genetic diversity was found, suggesting multiple sources of resistant strains in the community. These findings underline the need for surveillance and control to limit the spread of resistant E. coli, locally and globally. DATA SUMMARY: The authors confirm all supporting data, code, and protocols have been provided within the article or through supplementary data files.

Determinar la sensibilidad de la técnica de reacción en cadena de polimerasa: BIOFIRE® FILMARRAY® Pneumonia Panel plus (FA-pneumo) de BIOMÉRIEUX en comparación con los cultivos tradicionales en aislados de pacientes hospitalizados en la ciudad de Mexicali. Se colectaron muestras en 5 hospitales de Mexicali y fueron enviadas para su identificación al Laboratorio Dorado para su identificación. Fueron procesadas 105 muestras aisladas de pacientes con sospecha de neumonía mediante cultivos microbiológicos convencionales y el ensayo FA-pneumo. Se detectaron 19 bacterias simultáneamente en el cultivo y en el FA-pneumo. Se identificaron 31 bacterias exclusivamente con el FA-pneumo y no desarrollaron crecimiento en el cultivo. Únicamente 4 bacterias se desarrollaron en el cultivo, pero mediante el FA-pneumo no se detectó. El FA-Pneumo presentó mayor sensibilidad en comparación con el cultivo convencional, enfatizando que FA-Pneumo analiza la información genética de bacterias y virus, además de contar con la ventaja de generar un resultado cuantitativo, siendo de gran ayuda para correlacionar clínicamente si el paciente se encuentra colonizado o infectado. La principal ventaja de esta técnica y en especial para los médicos de cuidados intensivos es la rapidez del diagnóstico de esta técnica. En un tiempo promedio de 2 horas se logra la identificación de los agentes causales de la neumonía causadas por agentes infecciosos.

Community-acquired infections caused by Enterobacterales are a growing public health concern, particularly in border regions where patient mobility may influence resistance patterns. Antimicrobial resistance (AMR) surveillance is critical for establishing local treatment guidelines. The aim of this study was to investigate AMR rates in clinical isolates of Escherichia coli, Klebsiella pneumoniae, and Proteus mirabilis obtained from community-acquired infections in Mexicali between 2019 and 2021. A retrospective study was conducted, analyzing 2871 Enterobacterales isolates (E. coli, K. pneumoniae, P. mirabilis). Species identification and antimicrobial susceptibility testing were performed using MALDI-TOF and VITEK 2 systems, interpreted according to CLSI and EUCAST breakpoints. ESBL production was detected in 37.6% of E. coli, 27.7% of K. pneumoniae, and none of the P. mirabilis isolates. Among ESBL producers, ciprofloxacin resistance reached 90.4% in E. coli and 81.0% in K. pneumoniae, indicating a significant level of co-resistance. Carbapenem-resistant K. pneumoniae (n = 13) and one E. coli isolate were also identified, all from community-acquired infections. Resistance patterns varied by infection site, with UTIs accounting for the majority of isolates. The high rates of ESBLs and co-resistance to ciprofloxacin among Enterobacterales highlight the urgent need for targeted AMR surveillance and site-specific empirical treatment strategies.

Antibiotic resistance remains a major public health concern, particularly in regions with high rates of hospital- and community-acquired infections. This study aimed to quantify multidrug-resistant (MDR) bacterial strains in northern Mexico and to identify the most prevalent resistance phenotypes, the antibiotic classes with the highest resistance and susceptibility rates, the predominant MDR species, and the specimen types yielding the greatest number of isolates. Clinically relevant strains were collected from patients with confirmed infections. Microorganism identification and antimicrobial susceptibility test-ing were performed using the Vitek 2 Compact system (bioMérieux), and the results were analyzed descriptively. Of the 1544 strains analyzed, 761 (49.29%) exhibited multidrug resistance. Escherichia coli was the most frequently isolated MDR species, followed by Pseudomonas aeruginosa. Acinetobacter baumannii showed the highest resistance rate, with 95.55% of its strains classified as MDR, whereas P. aeruginosa had the lowest MDR proportion at 30.73%. These findings underscore the urgent need for rational antibiotic use and the development of new therapeutic agents, particularly those targeting Gram-negative bacilli, to mitigate the growing threat of antimicrobial resistance in this region.

The present research features an experimental comparative design and the objective of this work was to determine the susceptibility to microbiological contamination in fatty acid methyl esters (FAMEs) and the FAME–water interface of residual and refined lard, large volume simulating storage conditions as fuel supply chain, and to identify the microorganisms developed. The plates were seeded according to ASTM E-1259 and the instructions provided by the manufacturer of the Bushnell Haas agar. Microbiological growth was observed at the FAME–water interface of FAME obtained from residual lard. Using the MALDI-TOF mass spectrometry technique, Pseudomonas aeruginosa and Streptomyces violaceoruber bacteria were identified in the residual lard FAMEs, with the latter being previously reported in FAMEs. The implications of microorganism development on the physicochemical quality of FAMEs are significant, as it leads to an increase in the acid index, which may negatively impact metals by inducing corrosion. The refined lard FAMEs did not show any development of microorganisms. The present research concluded that residual lard tends to be more prone to microbiological attack if the conditions of water and temperature affect microbial growth. The findings will contribute to the knowledge base for a safer introduction of FAMEs into the biofuel matrix.