“…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).…”