2016
DOI: 10.3201/eid2209.160305
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Carbapenem-ResistantEnterobacterspp. in Retail Seafood Imported from Southeast Asia to Canada

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Cited by 56 publications
(44 citation statements)
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“…Consequently, E. cloacae has recently been used as a hygiene indicator in foodstuff processing, and is also one of the most challenging bacterial contaminants of raw and processed meat products, and vegetables [3]. Alarmingly, carbapenem-resistant E. cloacae (CREC) that can produce resistance to the last-resort carbapenem antibiotics and compromise these drugs for the treatment of life-threatening infections [4], has been recently detected in seafood originating from Southeast Asia, such as shrimp and clams [5]. This finding indicates that the risk for exposure to CREC extends beyond persons with particular travel histories, previous antimicrobial drug use, or hospitalization, and into the general public.…”
Section: Introductionmentioning
confidence: 99%
“…Consequently, E. cloacae has recently been used as a hygiene indicator in foodstuff processing, and is also one of the most challenging bacterial contaminants of raw and processed meat products, and vegetables [3]. Alarmingly, carbapenem-resistant E. cloacae (CREC) that can produce resistance to the last-resort carbapenem antibiotics and compromise these drugs for the treatment of life-threatening infections [4], has been recently detected in seafood originating from Southeast Asia, such as shrimp and clams [5]. This finding indicates that the risk for exposure to CREC extends beyond persons with particular travel histories, previous antimicrobial drug use, or hospitalization, and into the general public.…”
Section: Introductionmentioning
confidence: 99%
“…The following carbapenemase genes were [19,35,36,48e50], and imipenem-carbapenemase (IMP-1, IMP-2, IMP-27) ( (Table 1). Overall, carbapenemase-producing CRE were isolated from poultry (meat) [25,36], chicken, poultry, or fowl (meat) [19,22,24,26e28,34,40,50], pig (meat) [29,39e42,46,48,60], cows or raw milk [18,30,31,44,49], cattle [35], and various types of seafood [62,64,65].…”
Section: Occurrence Of Cre In Livestock and (Sea)foodmentioning
confidence: 99%
“…If no selective screening approach to detect CR isolates is used as an initial diagnostic step, this limits interpretability of the data with respect to the prevalence of CRE in the tested samples because of a lack of sensitivity. Thus, for drawing conclusions about the prevalence of CRE, we extracted data from selective screening studies (Table S5), including 16 that screened samples from livestock [18,19,23,25,28,30,37,46,49e51,55,56,58e60], two from seafood [62,63], five from companion animals [25,67,68,70,73], and six from wildlife [25,77e79,81,82]. Although most studies included only few samples and cannot be considered as representative, the prevalence of CRE among livestock seemed to be low (<1%) in European countries (The Netherlands, Switzerland, UK), while some recent studies indicated a higher prevalence in Asia (China: 15% in milk samples, India: 1e3% in piglets, Lebanon: 2.5% in fowl) and Algeria (6% in milk samples, 26% in chickens).…”
Section: Prevalence Of Crementioning
confidence: 99%
“…found in environmental samples such as sewage, tap water, and foodstuffs, posing a severe threat to public health (2)(3)(4).…”
mentioning
confidence: 99%