Food origin isolates exhibit imipenem resistance so I wondered about the reasons?
I am not sure about Iraq, but in many other countries some of the Carbapenem antibiotics are used in agriculture. This is a probable source, along with some of the food handlers/processors having resistant forms in/on them.
I think the reason is that the imported food is greatly common in Iraq markets , may be the source of these food from countries that used the Carbapenem antibiotics in agriculture
That is a strong possibility. I have a question then - are Carbapenamase infections common among people now in Iraq? Serious infections? What type?
Wounds and burns infections caused by multi drug- resistant gram negative bacteria especially Pseudomonas aeruginosa and Klebsiella spp. are resistance to Carbapenem now . Also some UTIs isolates are Carbapenamase producer.
A huge amount of antibiotics (the same used for humans) are used in the feeding of livestock. According to new reports and controls by sanitary organizations, a percentage of these antibiotics is still present when products are put on the market. This is a possible explanation.
Lucinda - I would like to see the article you mentioned you were going to attach. In the U.S. it has been well documented that antibiotics have been over prescribed, and still are. Not completing a prescription is also a problem, and we should not forget that besides agriculture there is also some misuse for pets.
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