Poverty and Community-Acquired Antimicrobial Resistance with Extended-Spectrum β-Lactamase–Producing Organisms, Hyderabad, India

Alsan, Marcella; Kammili, Nagamani; Lakshmi, Jyothi; Xing, Anlu; Khan, Afia; Rani, Manisha; Kolli, Prasanthi; Relman, David A.; Owens, Douglas K.

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Poverty and Community-Acquired Antimicrobial Resistance with Extended-Spectrum β-Lactamase–Producing Organisms, Hyderabad, India

Published Date:

Aug 2018

Source:

Emerg Infect Dis. 24(8):1490-1496.

Language:

English

[PDF-618.76 KB]

Details:

Personal Authors:

Alsan, Marcella ; Kammili, Nagamani ; Lakshmi, Jyothi ; Xing, Anlu ; Khan, Afia ; ... More ▼

Keywords:

[+]

Pubmed ID:

30014842

Pubmed Central ID:

PMC6056104

Description:

The decreasing effectiveness of antimicrobial agents is a global public health threat, yet risk factors for community-acquired antimicrobial resistance (CA-AMR) in low-income settings have not been clearly elucidated. Our aim was to identify risk factors for CA-AMR with extended-spectrum β-lactamase (ESBL)-producing organisms among urban-dwelling women in India. We collected microbiological and survey data in an observational study of primigravidae women in a public hospital in Hyderabad, India. We analyzed the data using multivariate logistic and linear regression and found that 7% of 1,836 women had bacteriuria; 48% of isolates were ESBL-producing organisms. Women in the bottom 50th percentile of income distribution were more likely to have bacteriuria (adjusted odds ratio 1.44, 95% CI 0.99-2.10) and significantly more likely to have bacteriuria with ESBL-producing organisms (adjusted odds ratio 2.04, 95% CI 1.17-3.54). Nonparametric analyses demonstrated a negative relationship between the prevalence of ESBL and income.

Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

Place as Subject:

India

Main Document Checksum:

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Supporting Files:

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