Extended-Spectrum-β-Lactamase-Producing Escherichia coli as Intestinal Colonizers in the German Community

被引:132
作者
Valenza, Giuseppe [1 ]
Nickel, Silke [1 ]
Pfeifer, Yvonne [2 ]
Eller, Christoph [2 ]
Krupa, Elzbieta [1 ]
Lehner-Reindl, Verena [1 ]
Hoeller, Christiane [3 ]
机构
[1] Bavarian Hlth & Food Safety Author, Erlangen, Germany
[2] Robert Koch Inst, Nosocomial Pathogens & Antibiot Resistance FG13, Wernigerode, Germany
[3] Bavarian Hlth & Food Safety Author, Oberschleissheim, Germany
关键词
FECAL CARRIAGE; KLEBSIELLA-PNEUMONIAE; RISK-FACTORS; PREVALENCE; ENTEROBACTERIACEAE; EMERGENCE; COLONIZATION; RESISTANCE; GENES; RATES;
D O I
10.1128/AAC.01993-13
中图分类号
Q93 [微生物学];
学科分类号
071005 ; 100705 ;
摘要
We determined the presence of extended-spectrum-beta-lactamase (ESBL)-producing Escherichia coli among 3,344 study participants from the German community. Intestinal colonization was detected in 211 persons (6.3%), without significant differences among the different age groups. The majority (95.2%) of isolates harbored CTX-M-type ESBL, with CTX-M-15 (46%) and CTXM- 1 (24.2%) as the most common types. The finding of ESBL producers and one isolate additionally producing carbapenemase OXA-244 indicates a risk of dissemination of resistant bacteria outside the hospitals.
引用
收藏
页码:1228 / 1230
页数:3
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