Pathogen diversity and antimicrobial resistance transmission of Salmonella enterica serovars Typhi and Paratyphi A in Bangladesh, Nepal, and Malawi: a genomic epidemiological study
Zoe A. Dyson,Philip Ashton,Farhana Khanam,Angeziwa Chirambo,Mila Shakya,James Meiring,Walter F. Bodmer,Abhilasha Karkey,Chisomo Msefula,John D. Clemens,Sarah J. Dunstan,Stephen Baker,Gordon Dougan,Virginia E. Pitzer,Buddha Basnyat,Firdausi Qadri,Robert S. Heyderman,Melita A. Gordon,Andrew J. Pollard,Kathryn E. Holt
Enteric fever is a serious public health concern. The causative agents, Salmonella enterica serovars Typhi and Paratyphi A, frequently have antimicrobial resistance (AMR), leading to limited treatment options and poorer clinical outcomes. We investigated the genomic epidemiology, resistance mechanisms, and transmission dynamics of these pathogens at three urban sites in Africa and Asia.