Cited by 112Antibiotic Resistance in BacteriaAntibiotic Use and ResistanceUrinary Tract Infections Management

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Pet animals and foreign travel are risk factors for colonisation with extended-spectrum β-lactamase-producing Escherichia coli

Abstract

Objective The purpose of this study was to determine the prevalence of extended-spectrum β-lactamase (ESBL) and vancomycin-resistant enterococci (VRE) colonisation among healthy infection control personnel and to determine risk factors for ESBL or VRE colonisation within this group. Methods Participants were recruited at an infection control symposium in 2011. Volunteers were asked to perform a rectal swab and to fill in questionnaires on risk factors of ESBL or VRE carriage (report on diet, contact with domestic or production animals, travel, hospital stay and antibiotic use all within the last 12 months). Rectal swabs were inoculated onto ESBL and VRE chromogenic agar; species identification and susceptibility testing was done by using a VITEK 2 system. In the multivariable analysis, a logistic regression with stepwise forward variable selection was performed. Results Two hundred and thirty people participated in the study, i.e. 36 % of the symposium attendees (231/639). No VRE faecium or faecalis were isolated, whereas ESBL were isolated from 8 out of 231 individuals, i.e. 3.5 % (95 % confidence interval 1.5-6.7). In the multivariable analysis, travel to Greece or Africa and contact with pets were independently associated with ESBL positivity. The odds ratios were as follows: travel to Greece 15.2, travel to Africa 14.8 and for having a pet animal 6.7. Conclusion This is the first report showing that contact with pets increases by almost seven-fold the chance to be colonis…

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Research works printed but not linked: 16

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Metadata

Authors
Meyer, E., Gastmeier, P., Kola, A., & Schwab, F.
Affiliations
Charité – Universitätsmedizin Berlin (DE)
Corresponding author
Meyer, E.
Venue
Infection
Published
2012-09-13
Volume
40
Issue
6
Pages
685-687
ISSN
  • 0300-8126 (ISSN-L)
  • 1439-0973
OpenAlex
W1965561954
Cited by
112
References
0
Citations by year
2025: 2 · 2024: 7 · 2023: 4 · 2022: 7 · 2021: 13 · 2020: 8 · 2019: 13 · 2018: 9 · 2017: 7 · 2016: 9 · 2015: 9 · 2014: 14 · 2013: 10
FWCI
4.88
Type
journal article
Language
en
Open access
closed
Locations
  • Infection (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Microbiology (medical) › Antibiotic Resistance in Bacteria
  • Health Sciences › Medicine › Infectious Diseases › Antibiotic Use and Resistance
  • Health Sciences › Medicine › Urology › Urinary Tract Infections Management
Keywords
extended-spectrum beta-lactamase, ESBL-producing Escherichia coli, vancomycin-resistant enterococci, colonization, infection control personnel, companion animals, animal contact, international travel, risk factors, antimicrobial resistance, occupational health, Greece, Africa
MeSH terms
Animals, beta-Lactamases, Cross Infection, Escherichia coli, Escherichia coli Infections, Humans, Surveys and Questionnaires, Risk Factors, Time Factors, Travel, Vancomycin, Prevalence, Multivariate Analysis, Vancomycin Resistance, Pets

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