<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2176-6223</journal-id>
<journal-title><![CDATA[Revista Pan-Amazônica de Saúde]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Pan-Amaz Saude]]></abbrev-journal-title>
<issn>2176-6223</issn>
<publisher>
<publisher-name><![CDATA[Instituto Evandro Chagas. Secretaria de Vigilância em Saúde e Ambiente. Ministério da Saúde]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2176-62232019000100014</article-id>
<article-id pub-id-type="doi">10.5123/s2176-6223201900065</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Resistência a antimicrobianos de enterobactérias isoladas de águas destinadas ao abastecimento público na região centro-oeste do estado de São Paulo, Brasil]]></article-title>
<article-title xml:lang="en"><![CDATA[Antimicrobial resistance of enterobacteria isolated from water intended for public supply in the Midwest region of São Paulo State, Brazil]]></article-title>
<article-title xml:lang="es"><![CDATA[Resistencia a antimicrobianos de enterobacterias aisladas de aguas destinadas al abastecimiento público en la región centro-oeste del estado de São Paulo, Brasil]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[André]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[Rosângela Aguilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Luci Occhi]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Licate]]></surname>
<given-names><![CDATA[Marina Madalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Delafiori]]></surname>
<given-names><![CDATA[Cláudia Regina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pôrto]]></surname>
<given-names><![CDATA[Salete França]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Adolfo Lutz Núcleo de Ciências Biomédicas ]]></institution>
<addr-line><![CDATA[Marília São Paulo]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Adolfo Lutz Núcleo de Ciências Químicas e Bromatológicas ]]></institution>
<addr-line><![CDATA[Marília São Paulo]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2019</year>
</pub-date>
<volume>10</volume>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_arttext&amp;pid=S2176-62232019000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_abstract&amp;pid=S2176-62232019000100014&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iec.gov.br/scielo.php?script=sci_pdf&amp;pid=S2176-62232019000100014&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO  OBJETIVOS:  Isolar e identificar enterobactérias resistentes a antimicrobianos de águas para consumo humano na região centro-oeste do estado de São Paulo, Brasil.  MATERIAIS E MÉTODOS:  Foram analisadas 3.726 amostras de águas de 62 municípios dessa região, provenientes do sistema público de abastecimento e de poços como soluções alternativas coletivas. As amostras positivas para coliformes totais e/ou Escherichia coli foram semeadas em Ágar MacConkey, para isolamento e identificação. Avaliaram-se as enterobactérias isoladas para detecção de resistência a antimicrobianos e produção de &#946;-lactamase de espectro expandido.  RESULTADOS:  Das 67 amostras de águas de 29 municípios com crescimento de enterobactérias foram resistentes: 21 (31,34%) a pelo menos um antimicrobiano, sete (10,43%) a duas classes de antimicrobianos, três (4,47%) a três classes e uma (1,49%) a quatro classes. A droga que apresentou o maior número de amostras bacterianas resistentes foi a cefoxitina (12), seguida por cefalotina (oito), cefotaxima (cinco), ticarcilina + clavulanato (quatro), aztreonam (quatro), ácido nalidíxico (três) e ampicilina + sulbactam (três). As cefalosporinas de segunda geração apresentaram o maior número de amostras bacterianas resistentes (12; 32,43%), seguido pelas penicilinas (10; 14,92%) e cefalosporinas de primeira geração (8; 25,81%). Três (4,47%) amostras foram resistentes a três classes de antimicrobianos e uma (1,49%), a quatro classes.  CONCLUSÃO:  As águas para consumo podem ser fonte de disseminação de bactérias Gram-negativas resistentes e multirresistentes, caracterizando um problema de saúde pública e sendo importante o tratamento adequado das águas e o monitoramento dos sistemas de abastecimento público, para a detecção de bactérias resistentes a antimicrobianos.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  OBJECTIVES:  To isolate and identify antimicrobial-resistant enterobacteria from drinking water in the Midwest region of São Paulo State, Brazil.  MATERIALS AND METHODS:  A total of 3,726 water samples from public supply system and collective wells from 62 municipalities were analyzed. Positive samples for total coliforms and/or Escherichia coli were seeded on MacConkey Agar for isolation and identification. Isolated enterobacteria were evaluated for antimicrobial resistance detection and expanded spectrum &#946;-lactamase production.  RESULTS:  From a total of 67 water samples from 29 municipalities with growth of enterobacteria, 21 (31.34%) were resistant to at least one antimicrobial, seven (10.43%) to two classes of antimicrobials, three (4.47%) to three classes, and one (1.49%) to four classes. The drug with the highest number of resistant bacterial samples was cefoxitin (12), followed by cephalothin (eight), cefotaxime (five), ticarcillin + clavulanate (four), aztreonam (four), nalidixic acid (three), and ampicillin + sulbactam (three). Second generation cephalosporins showed the largest number of resistant bacterial samples (12; 32.43%), followed by penicillins (10; 14.92%), and first generation cephalosporins (8; 25.81%). Three (4.47%) samples were resistant to three classes of antimicrobials and one (1.49%) to four classes.  CONCLUSION:  Drinking water can be a source of spread of resistant and multiresistant Gram-negative bacteria, characterizing a public health problem. Proper water treatment and monitoring of public water supply systems are important to detect antimicrobial resistant bacteria.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  OBJETIVOS: Aislar e identificar enterobacterias resistentes a antimicrobianos de aguas para consumo humano en la región centro-oeste del estado de São Paulo, Brasil.  MATERIALES Y MÉTODOS: Se analizaron 3.726 muestras de aguas de 62 municipios de esa región, provenientes del sistema público de abastecimiento y de pozos como soluciones alternativas colectivas. Las muestras positivas para coliformes totales y/o Escherichia coli fueron sembradas en Agar MacConkey, para aislado e identificación. Se evaluaron las enterobacterias aisladas para detección de la resistencia a antimicrobianos y producción de &#946;-lactamasa de espectro extendido.  RESULTADOS: De las 67 muestras de aguas de 29 municipios con crecimiento de enterobacterias fueron resistentes: 21 (31,34%) a, al menos, un antimicrobiano, siete (10,43%) a dos clases de antimicrobianos, tres (4,47%) a tres clases y una (1,49%) a cuatro clases. La droga que presentó el mayor número de muestras bacterianas resistentes fue la cefoxitina (12), seguida por cefalotina (ocho), cefotaxima (cinco), ticarcilina + clavulanato (cuatro), aztreonam (cuatro), ácido nalidíxico (tres) y ampicilina + sulbactam (tres). Las cefalosporinas de segunda generación presentaron el mayor número de muestras bacterianas resistentes (12; 32,43%), seguidas por las penicilinas (10; 14,92%) y cefalosporinas de primera generación (8; 25,81%). Tres (4,47%) muestras fueron resistentes a tres clases de antimicrobianos y una (1,49%), a cuatro clases.  CONCLUSIÓN: Las aguas para consumo pueden ser fuente de diseminación de bacterias gramnegativas resistentes y multirresistentes, caracterizando un problema de salud pública y tornando importante el tratamiento adecuado de las aguas y el monitoreo de los sistemas de abastecimiento público, para la detección de bacterias resistentes a antimicrobianos.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Antibacterianos]]></kwd>
<kwd lng="pt"><![CDATA[Farmacorresistência Bacteriana]]></kwd>
<kwd lng="pt"><![CDATA[Água Potável]]></kwd>
<kwd lng="pt"><![CDATA[Enterobacteriaceae]]></kwd>
<kwd lng="en"><![CDATA[Anti-Bacterial Agents]]></kwd>
<kwd lng="en"><![CDATA[Bacterial Drug Resistance]]></kwd>
<kwd lng="en"><![CDATA[Drinking Water]]></kwd>
<kwd lng="en"><![CDATA[Enterobacteriaceae]]></kwd>
<kwd lng="es"><![CDATA[Antibacterianos]]></kwd>
<kwd lng="es"><![CDATA[Farmacorresistencia Bacteriana]]></kwd>
<kwd lng="es"><![CDATA[Agua Potable]]></kwd>
<kwd lng="es"><![CDATA[Enterobacteriaceae]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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