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.

- Add this to...
- Twitter
- Facebook
- Google Bookmarks
- LinkedIn

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

Published Date:

August 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

Funding:

T32 AG051146/AG/NIA NIH HHS/United States

Place as Subject:

India

Main Document Checksum:

[+]

Supporting Files:

	17-1030-F1.gif	image/gif
	17-1030-F1.jpg	image/jpeg
	17-1030-F2.gif	image/gif
	17-1030-F2.jpg	image/jpeg
	17-1030-Techapp-s1.pdf	application/pdf
	17-1030.nxml	text/xml

No Related Documents.

You May Also Like:

ESBL- and Carbapenemase-Producing Enterobacteriaceae in Patients with Bacteremia, Yangon, Myanmar, 2014

Personal Author:

Myat, Tin O.; Hannaway, Rachel F.; Zin, Khwar N.; Htike, Wah W.; Win, Kyu K.; Crump, John A.; Murdoch, David R.; Ussher, James E.;

Published:

May 2017

Source:

Emerg Infect Dis. 23(5):857-859.

Description:

Among 42 gram-negative bloodstream isolates from inpatients in 3 hospitals in Yangon, Myanmar, admitted during July-December 2014, 16 (38%) were extended-spectrum β-lactamase-producing Enterobacteriaceae and 6 (14%) produced carbapenemase. The high ...

File Type:

[PDF - 347.99 KB]
Carbapenem-Resistant Enterobacteriaceae in Children, United States, 1999–2012

Personal Author:

Logan, Latania K.; Renschler, John P.; Gandra, Sumanth; Weinstein, Robert A.; Laxminarayan, Ramanan;

Corporate Author:

for the Centers for Disease Control. Prevention Epicenters Program.

Published:

Nov 2015

Source:

Emerg Infect Dis. 21(11):2014-2021

Description:

The prevalence of carbapenem-resistant Enterobacteriaceae (CRE) infections is increasing in the United States. However, few studies have addressed their epidemiology in children. To phenotypically identify CRE isolates cultured from patients 1-17 yea...

File Type:

[PDF - 910.48 KB]
Third-Generation Cephalosporin–Resistant Vibrio cholerae, India

Personal Author:

Mandal, Jharna; Sangeetha, Vilwanathan; Ganesan, Vithiya; Parveen, Mohamudha; Preethi, Venkatesan; Harish, Belgode Narasimha; Srinivasan, Sampath; Parija, Subhash Chandra;

Published:

Aug 2012

Source:

Emerg Infect Dis. 18(8):1326-1328.

Description:

Vibrio cholerae resistance to third-generation cephalosporins is rarely reported. We detected a strain that was negative for extended-spectrum β-lactamase and positive for the AmpC disk test, modified Hodge test, and EDTA disk synergy test and harbo...

File Type:

[PDF - 301.85 KB]
Extended-spectrum β-Lactamase-producing Flora in Healthy Persons

Personal Author:

Rodrigues, Camilla; Shukla, Upasana; Jog, Simantini; Mehta, Ajita;

Published:

Jun 2005

Source:

Emerg Infect Dis. 11(6):981-982.

File Type:

[PDF - 37.03 KB]
Clinical epidemiology of the global expansion of Klebsiella pneumoniae carbapenemases

Personal Author:

Munoz-Price, L Silvia; Poirel, Laurent; Bonomo, Robert A; Schwaber, Mitchell J; Daikos, George L; Cormican, Martin; Cornaglia, Giuseppe; Garau, Javier; Gniadkowski, Marek; Hayden, Mary K; Kumarasamy, Karthikeyan; Livermore, David M; Maya, Juan J; Nordmann, Patrice; Patel, Jean B; Paterson, David L; Pitout, Johann; Villegas, Maria Virginia; Wang, Hui; Woodford, Neil; Quinn, John P;

Published:

Sep 2013

Source:

Lancet Infect Dis. 13(9):785-796

Description:

Klebsiella pneumoniae carbapenemases (KPCs) were originally identified in the USA in 1996. Since then, these versatile β-lactamases have spread internationally among Gram-negative bacteria, especially K pneumoniae, although their precise epidemiolog...

File Type:

[PDF - 494.34 KB]