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Investigation of an ongoing outbreak of ceftriaxone-resistant Salmonella enterica serovar Typhi in Bangladesh

Hooda, Y.; Tanmoy, A. M.; Nath, S. D.; Jui, A. B.; Amin, A.; Rahman, H.; Shorkar, N. N.; Kanon, N.; Rahman, M. A.; Garrett, D. O.; Islam, M. S.; Ahmed, A. N. U.; Saha, S. K.; Saha, S.

2024-12-26 epidemiology Community evaluation
10.1101/2024.12.24.24319600 medRxiv
Show abstract

We report an outbreak of ceftriaxone-resistant Salmonella Typhi in Bangladesh, with 47 cases identified from April-September 2024. Isolates belong to genotype 4.3.1.2 and harbor the blaCTX- M-15 gene on the pCROB1 plasmid. This unique genotype-plasmid lineage represents a recent introduction, necessitating enhanced surveillance, antimicrobial stewardship, and consideration of vaccination strategies.

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