Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
4
pubmed:dateCreated
2010-3-12
pubmed:abstractText
The identification of patients carrying extended-spectrum beta-lactamase (ESBL)-producing bacteria is important, since these patients are at risk of receiving inappropriate empirical therapy if they become infected. The purpose of this study was to investigate the occurrence of ESBL-producing bacteria in patients with travellers' diarrhoea. Patients with travellers' diarrhoea (N = 242) having delivered stool samples for the diagnosis of Salmonella, Shigella, Yersinia or Campylobacter, were also examined for ESBL-producing Escherichia coli, Klebsiella pneumoniae and Proteus mirabilis. The overall prevalence of faecal carriage of ESBL-producing bacteria was 24% (58/242). Of the patients who had travelled in Europe, 3% (2/63) were found to be ESBL carriers in comparison to 36% (50/138) of those who had travelled outside Europe. ESBL-producing E. coli was especially common among patients returning from India (11/14), Egypt (19/38; 50%) and Thailand (8/38; 22%). In total, 90% of the genes of the ESBL-positive samples were of CTX-M type. The CTX-M-1 group dominated, followed by the CTX-M-9 group. The repetitive sequence-based PCR fingerprint pattern showed that there was no similarity between the ESBL strains found. Patients who have travelled outside Europe are at high risk of being colonized with ESBL-producing Enterobacteriaceae, and, if infected, are also at risk of receiving inappropriate empirical antibiotic therapy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
1651-1980
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
42
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
275-80
pubmed:meshHeading
pubmed-meshheading:20121649-Adolescent, pubmed-meshheading:20121649-Adult, pubmed-meshheading:20121649-Aged, pubmed-meshheading:20121649-Aged, 80 and over, pubmed-meshheading:20121649-Child, pubmed-meshheading:20121649-Child, Preschool, pubmed-meshheading:20121649-Diarrhea, pubmed-meshheading:20121649-Egypt, pubmed-meshheading:20121649-Escherichia coli, pubmed-meshheading:20121649-Escherichia coli Infections, pubmed-meshheading:20121649-Europe, pubmed-meshheading:20121649-Feces, pubmed-meshheading:20121649-Female, pubmed-meshheading:20121649-Humans, pubmed-meshheading:20121649-India, pubmed-meshheading:20121649-Infant, pubmed-meshheading:20121649-Klebsiella pneumoniae, pubmed-meshheading:20121649-Male, pubmed-meshheading:20121649-Middle Aged, pubmed-meshheading:20121649-Prevalence, pubmed-meshheading:20121649-Proteus mirabilis, pubmed-meshheading:20121649-Thailand, pubmed-meshheading:20121649-Travel, pubmed-meshheading:20121649-Young Adult, pubmed-meshheading:20121649-beta-Lactamases
pubmed:year
2010
pubmed:articleTitle
Extended-spectrum beta-lactamase-producing Escherichia coli in patients with travellers' diarrhoea.
pubmed:affiliation
Department of Clinical Sciences, Lund University, Malmö, Swden. johan.tham@med.lu.se
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't