Epidemiology of extended-spectrum beta-lactamase- and carbapenemase-producing bacteria in stool from apparently healthy children, South Africa
Open accessAbstract
Background: We aimed to determine the prevalence and genetic characteristics of extended-spectrum beta-lactamase (ESBL)- and carbapenemase-producing Enterobacteriaceae in stools from healthy infants and their mothers, and to determine the risk factors associated with their carriage.
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Maternal colonization and/or infection with ESBL-E in pregnant and post-partum women in Africa represents a risk for subsequent neonatal colonization and/or infection with ESBL-E.
“The prevalence of colonization and/or infection with ESBL-E in pregnant and post-partum women in Africa exceeds that reported from high-and middle-income settings, representing a risk for subsequent neonatal colonization and/or infection with ESBL-E.”
From Maternal colonization or infection with extended-spectrum beta-lactamase-producing Enterobacteriaceae in Africa: A systematic review and meta-analysis (2017) · cites this paper as Kaba et al., 2016
The Results (poster presentation, p. 196) report ESBL carriage in mothers and infants and clonally related isolates in one mother–infant pair. This is consistent with possible maternal transmission, but the paper does not establish maternal ESBL carriage as a risk factor for subsequent neonatal carriage or infection. It also does not compare prevalence with high- or middle-income settings. (LLM, conf=0.84)
Experimental — accuracy not yet measuredSeveral studies have confirmed the role of maternal colonization in the subsequent development of neonatal sepsis, particularly for group B Streptococcus but also for ESBL-E.
“Several studies have confirmed the role of maternal colonization in the subsequent development of neonatal sepsis (particularly for group B Streptococcus, but also for ESBL-E) (Chan et al., 2013;Kaba et al., 2016;Denkel et al., 2014;Rettedal et al., 2015).”
From Maternal colonization or infection with extended-spectrum beta-lactamase-producing Enterobacteriaceae in Africa: A systematic review and meta-analysis (2017) · cites this paper as Kaba et al., 2016
The Results (section labeled “2 ∙ M.P. Nicol”; page not given) report ESBL-producing bacterial carriage in mothers and infants and clonally related isolates in one mother–infant pair. This supports a possible link in colonization, but the study of apparently healthy infants does not report neonatal sepsis or establish that maternal colonization led to it. (LLM, conf=0.86)
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Bulabula, A. N. H., Dramowski, A., & Mehtar, S. (2017) · International Journal of Infectious Diseases · doi:10.1016/j.ijid.2017.08.015 · Cited by 59 · see citing works
Bulabula, A. N. H., Dramowski, A., & Mehtar, S. (2019) · Journal of Hospital Infection · doi:10.1016/j.jhin.2019.10.001 · Cited by 44 · see citing works
Lääveri, T., Vlot, J. A., van Dam, A. P., Häkkinen, H. K., Sonder, G. J. B., Visser, L. G., & Kantele, A. (2018) · BMC Infectious Diseases · doi:10.1186/s12879-018-3245-z · Cited by 23 · see citing works
Bah, S. Y., Kujabi, M. A., Darboe, S., Kebbeh, N., Kebbeh, B., Kanteh, A., Bojang, R., Lawn, J. E., Kampmann, B., Sesay, A. K., et al. (2023) · Communications Medicine · doi:10.1038/s43856-023-00309-6 · Cited by 13 · see citing works
Ntshonga, P., Paganotti, G. M., & Gaibani, P. (2026) · Antibiotics · doi:10.3390/antibiotics15010069 · Cited by 8 · see citing works
Jalilian, N., Kooshkiforooshani, M., Ahmadi, S., & Nankali, A. (2019) · Journal of Global Antimicrobial Resistance · doi:10.1016/j.jgar.2019.06.010 · Cited by 8 · see citing works
Rabiu, I., Abdullahi, J. I., & Mahmoud, A. A. (2022) · EAS Journal of Biotechnology and Genetics · doi:10.36349/easjbg.2022.v04i01.002 · Cited by 1 · see citing works
Annear, D. J., Gaida, R., Myburg, K., Black, J. M., Truter, I., Bamford, C., & Govender, S. (2020) · Microbial Drug Resistance · doi:10.1089/mdr.2020.0073
Bah, S. Y., Kujabi, M. A., Darboe, S., Kebbeh, N., Kebbeh, B. F., Kanteh, A., Bojang, R., Lawn, J. E., Kampmann, B., Karim, S. A., et al. (2022) · medRxiv · doi:10.1101/2022.11.16.22282268
- Authors
- Kaba, M., Manenzhe, R. I., Moodley, C., Zar, H. J., & Nicol, M. P.
- Affiliations
- University of Cape Town (ZA)
- Corresponding author
- Kaba, M.
- Venue
- International Journal of Infectious Diseases
- Publisher
- Elsevier BV
- Published
- 2016-04
- Volume
- 45
- Pages
- 96
- ISSN
- 1201-9712 (ISSN-L)
- OpenAlex
- W2297195548
- Cited by
- 9
- References
- 0
- Citations by year
- 2026: 1 · 2023: 1 · 2022: 2 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 1
- FWCI
- 0.64
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Infectious Diseases (publishedVersion, cc-by-nc-nd)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Antibiotic Resistance in Bacteria
- Life Sciences › Immunology and Microbiology › Applied Microbiology and Biotechnology › Antibiotic Use and Resistance
- Life Sciences › Agricultural and Biological Sciences › Food Science › Salmonella and Campylobacter epidemiology
- Keywords
- extended-spectrum beta-lactamase, carbapenemase, Enterobacteriaceae, antimicrobial resistance, carriages, healthy children, infants, mothers, risk factors, prevalence, genetic characteristics, South Africa
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