Soiled Toilet Paper for Community-based Surveillance of Antibiotic Resistance and Enteric Pathogens: A Pilot Study

被引:0
作者
Perez-Garcia, Gabriela [1 ]
Barillas, Andrea Gomez [2 ]
Mendizabal-Cabrera, Renata [2 ]
Alvarez, Danilo [2 ]
Ramay, Brooke M. [2 ,3 ]
Walas, Nikolina [1 ]
Graham, Jay P. [1 ]
机构
[1] Univ Calif Berkeley, Environm Hlth Sci Div, 2121 Berkeley Way, Berkeley, CA 94704 USA
[2] Univ Valle Guatemala, Ctr Hlth Studies, Guatemala City, Guatemala
[3] Washington State Univ, Paul G Allen Sch Global Hlth, Pullman, WA USA
关键词
ESCHERICHIA-COLI; BETA-LACTAMASE; ANTIMICROBIAL RESISTANCE; COLONIZATION; EPIDEMIOLOGY; BACTERIA; STRAINS;
D O I
10.1177/1525822X241287030
中图分类号
Q98 [人类学];
学科分类号
030303 ;
摘要
In many countries, soiled toilet paper is placed in trash bins rather than flushed down the toilet. We investigated the use of soiled toilet paper in Guatemalan markets to surveil for pathogenic sequence types (STs) of E. coli and third generation cephalosporin-resistant E. coli (3GCR-EC). We collected used toilet paper from trash bins in the restrooms of three Guatemalan public markets. We screened samples for E. coli and 3GCR-EC. Whole genome sequencing was used to characterize the isolates. E. coli was successfully cultured from all 30 toilet paper samples. Soiled toilet paper was an effective matrix for surveilling multidrug-resistant E. coli and could be an efficient method in certain contexts.
引用
收藏
页码:150 / 163
页数:14
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