Travel-acquired ESBL-producing Enterobacteriaceae: impact of colonization at individual and community level

Journal of Travel Medicine
Paul-Louis WoertherAnu Kantele

Abstract

Antibiotic resistance is a rapidly increasing global emergency that calls for action from all of society. Intestinal multidrugresistant (MDR) bacteria have spread worldwide with extended-spectrum beta-lactamase (ESBL) -producing Enterobacteriaceae (ESBL-PE) as the most prevalent type. The millions of travelers annually visiting regions with poor hygiene contribute substantially to this spread. Our review explores the underlying data and discusses the consequences of the colonization. PubMed was searched for relevant literature between January 2010 and August 2016. We focused on articles reporting (1) the rate of ESBL-PE acquisition in a group of travelers recruited before/after international travel, (2) fecal carriage of ESBL-PE as explored by culture and, for part of the studies, (3) analysis of factors predisposing to colonization. We reviewed a total of 16 studies focusing on travel-acquired ESBL-PE. The acquisition rates reveal that 2070% of visitors to (sub)tropical regions get colonized by ESBL-PE. The main risk factors predisposing to colonization during travel are destination, travelers diarrhea, and antibiotic use. While most of those colonized remain asymptomatic, acquisition of ESBL-PE may have consequences both at i...Continue Reading

References

Feb 1, 1990·Antimicrobial Agents and Chemotherapy·A PetitJ Sirot
Aug 1, 1985·Antimicrobial Agents and Chemotherapy·C KliebeB Wiedemann
Sep 1, 1971·The Journal of Hygiene·D van der Waaij Lekkerkerk Lekkerkerk-v
May 16, 1980·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·R P Ambler
Jun 1, 1995·Journal of Travel Medicine·L MattilaH Peltola
Mar 30, 2006·Antimicrobial Agents and Chemotherapy·Mitchell J SchwaberYehuda Carmeli
Sep 7, 2007·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·P ReddyT Zembower
Dec 14, 2007·Expert Opinion on Pharmacotherapy·David P Nicolau
Jul 22, 2008·The Journal of Antimicrobial Chemotherapy·Jesús Rodríguez-BañoAlvaro Pascual
Jul 31, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Joshua T FreemanRoderick B Ellis-Pegler
Oct 22, 2008·The Journal of Antimicrobial Chemotherapy·Geraldine MarcadéGuillaume Arlet
Feb 4, 2010·Scandinavian Journal of Infectious Diseases·Johan ThamEva Melander
Sep 14, 2010·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·K Kennedy, P Collignon
Sep 6, 2011·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Paul-Louis WoertherAntoine Andremont
Sep 8, 2011·Journal of Travel Medicine·Gisele PeiranoJohann D D Pitout
Mar 7, 2012·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·B A RogersD L Paterson
Jun 22, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Markus HiltyKathrin Mühlemann
May 16, 2013·The Journal of Antimicrobial Chemotherapy·Ase Ostholm-BalkhedUNKNOWN Travel Study Group of Southeast Sweden
Aug 7, 2013·Antimicrobial Agents and Chemotherapy·Paul-Louis WoertherAntoine Andremont
Oct 5, 2013·Clinical Microbiology Reviews·Paul-Louis WoertherAntoine Andremont
Jul 2, 2014·Clinical Microbiology Reviews·Marie-Hélène Nicolas-ChanoineJean-Yves Madec
Jul 30, 2014·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·G BirgandJ C Lucet
Jan 24, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Anu KanteleJuha Kirveskari
Feb 27, 2015·European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology·E R VliegheY Glupczynski
Mar 15, 2015·International Journal of Infectious Diseases : IJID : Official Publication of the International Society for Infectious Diseases·Michael OsthoffDamon P Eisen
Apr 24, 2015·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Etienne RuppéSophie Matheron
Jul 28, 2015·Antimicrobial Resistance and Infection Control·T KasparJ Marschall
Jan 13, 2016·The Journal of Antimicrobial Chemotherapy·E A ReulandC M J E Vandenbroucke-Grauls
Jan 23, 2016·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Claudia ReinheimerChristian Brandt
May 5, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Styliani KaranikaEleftherios Mylonakis
Aug 28, 2016·The Journal of Antimicrobial Chemotherapy·M VadingC G Giske

❮ Previous
Next ❯

Citations

Nov 22, 2018·Journal of Travel Medicine·Mark S Riddle, Bradley A Connor
Nov 27, 2018·Journal of Travel Medicine·Mark S RiddleDavid R Tribble
Dec 17, 2019·Journal of Travel Medicine·Mary E Wilson
Feb 6, 2020·Praxis·Matthias von RotzVeronika Baettig
Oct 26, 2018·PloS One·Åse ÖstholmBalkhedUNKNOWN Southeast Sweden Travel Study Group
Aug 21, 2020·Expert Review of Anti-infective Therapy·Nicolette TheriaultChristian E Sandrock
Feb 26, 2019·Antimicrobial Resistance and Infection Control·Kyra Y L Chua, Andrew J Stewardson
Jul 30, 2019·Journal of Travel Medicine·Holly MurphyPrativa Pandey
Apr 6, 2020·MMW Fortschritte der Medizin·Steffen Höring, Sebastian Lemmen
Jun 7, 2019·International Journal of Environmental Research and Public Health·Claudia PetersAnja Schablon
Sep 11, 2019·Journal of Travel Medicine·Sebastian WendtChristoph Lübbert
May 2, 2020·Monash Bioethics Review·Niels NijsinghChristina Åhrén
Jun 7, 2019·Clinical Drug Investigation·Sheridan M Hoy
Feb 13, 2020·Antimicrobial Resistance and Infection Control·Yuan HuLee W Riley
Oct 22, 2020·The Journal of International Medical Research·Jiachang LiuMing Fang
Dec 30, 2020·Journal of Travel Medicine·K A TurunenUNKNOWN Professor of Infectious Diseases
Jan 8, 2021·Journal of Travel Medicine·Dai T TranTill Koch
Jan 8, 2021·Open Forum Infectious Diseases·Colin J WorbyRegina C LaRocque
Mar 20, 2021·Travel Medicine and Infectious Disease·Samantha Dos Santos Tufic-GaruttiKáris Maria de Pinho Rodrigues
Jul 1, 2021·JAC-antimicrobial Resistance·Peter Collignon, John J Beggs
Jul 17, 2021·Current Opinion in Infectious Diseases·Sushmita SridharRegina C LaRocque
Oct 5, 2021·Wiener klinische Wochenschrift·Lukas AntonitschJoachim Kettenbach

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antimicrobial Resistance

Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections.

Antimicrobial Resistance (ASM)

Antimicrobial resistance poses a significant threat to the continued successful use of antimicrobial agents for the treatment of bacterial infections.