Outcomes of low-dose infliximab as an adjunctive therapy in patients with severe central nervous system tuberculosis
water samples, 447 (40.2%) were index GNBs predominantly E.coli.Carbapemen and colistin resistance was observed in 100% and 13% of Acinetobacter isolates, respectively.Carbapenemase genes NDM/OXA 48 alone or co expression in 78.5% of GNB from humans & 20% from animal and 3% fish isolates.Discussion: Overall, most of the index GNBs were multidrug resistant across multihost species although the frequency was high in humans and colistin & carbapenem resistance being more prevalent in humans and nil in animals.Geospatial analysis revealed overlapping antibiotic resistance pattern for the index GNB from different hosts sharing the common geography/environment. Conclusion:This one-health framework analysis is critical for understanding the antibiotic resistance profile and transmission dynamics across the hosts.
Authors
- Debby Thomas (ORCID: https://orcid.org/0000-0003-3075-9846)
- D. Varghese
- Dinesh Selvakumar (ORCID: https://orcid.org/0000-0002-0228-564X)
- D. K. Gautam (ORCID: https://orcid.org/0000-0002-2058-1717)
- Durga Prasad (ORCID: https://orcid.org/0000-0002-1633-4641)
- Dan Michael (ORCID: https://orcid.org/0000-0003-2942-4301)
- D. Karthik
- Dr Abi Manesh
- Dr Nishi Somarkutty
- Dr Prabhakar Thirumal Appaswamy
Publication Details
- Journal
- International Journal of Infectious Diseases
- Published
- 2025-02-28
- DOI
- https://doi.org/10.1016/j.ijid.2024.107681
- Citations
- 1
- Primary Topic
- Tuberculosis Research and Epidemiology
- Type
- article
- Field-Weighted Citation Impact
- 1.40