Extended-Spectrum β-Lactamase–producing Enterobacteriaceae among Travelers from the Netherlands

Paltansing, Sunita; Vlot, Jessica A.; Kraakman, Margriet E.M.; Mesman, Romy; Bruijning, Marguerite L.; Bernards, Alexandra T.; Visser, Leo G.; Veldkamp, Karin Ellen

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Extended-Spectrum β-Lactamase–producing Enterobacteriaceae among Travelers from the Netherlands

Aug 2013
By Paltansing, Sunita ; Vlot, Jessica A. ; Kraakman, Margriet E.M. ; ...
Source: Emerg Infect Dis. 19(8):1206-1213.

[PDF-497.34 KB]

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Details:

Alternative Title:

Emerg Infect Dis
Personal Author:

Paltansing, Sunita ; Vlot, Jessica A. ; Kraakman, Margriet E.M. ; Mesman, Romy ; Bruijning, Marguerite L. ; ... More +

Paltansing, Sunita ; Vlot, Jessica A. ; Kraakman, Margriet E.M. ; Mesman, Romy ; Bruijning, Marguerite L. ; Bernards, Alexandra T. ; Visser, Leo G. ; Veldkamp, Karin Ellen Less -
Description:

A prospective cohort study was performed among travelers from the Netherlands to investigate the acquisition of carbapenemase-producing Enterobacteriaceae (CP-E) and extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) and associated risk factors. Questionnaires were administered and rectal swab samples were collected and tested before and after traveler return. Of 370 travelers, 32 (8.6%) were colonized with ESBL-E before trave,; 113 (30.5%) acquired an ESBL-E during travel, and 26 were still colonized 6 months after return. No CP-E were found. Independent risk factors for ESBL-E acquisition were travel to South and East Asia. Multilocus sequence typing showed extensive genetic diversity among Escherichia coli. Predominant ESBLs were CTX-M enzymes. The acquisition rate, 30.5%, of ESBL-E in travelers from the Netherlands to all destinations studied was high. Active surveillance for ESBL-E and CP-E and contact isolation precautions may be recommended at admission to medical facilities for patients who traveled to Asia during the previous 6 months.
Subjects:

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Adult Aged Aged, 80 And Over Anti-Bacterial Agents Antibiotic Antimicrobial Resistance Bacteria Beta-Lactamases Beta-Lactam Resistance Carbapenemase CP-E Disk Diffusion Antimicrobial Tests Drug Resistance, Multiple, Bacterial Enterobacteriaceae ESBL ESBL-E Escherichia Coli Escherichia Coli Infections Escherichia Coli Proteins Extended-spectrum β-lactamase Holland Humans Incidence Klebsiella Pneumoniae Middle Aged Multilocus Sequence Typing Netherlands Prospective Studies Research Risk Factors Sequence Type The Netherlands Travel Travelers Travel Health Young Adult
Source:

Emerg Infect Dis. 19(8):1206-1213.
Document Type:

Journal Article
Volume:

19
Issue:

8
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

[+]

urn:sha256:8062c1afc25469ed736567eabba986d70896a33c2698423fca64779e91ccbd3a
Download URL:

https://stacks.cdc.gov/view/cdc/22257/cdc_22257_DS1.pdf
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