Extended-Spectrum β-Lactamase–producing<i>Enterobacteriaceae</i>among Travelers from the Netherlands

Paltansing, Sunita; Vlot, Jessica A; Kraakman, M. E. M.; Mesman, Romy; Bruijning, Marguerite L.; Bernards, A.T.; Visser, Leo G.; Veldkamp, Karin Ellen

doi:10.3201/eid.1908.130257

Cited by 89 publications

(135 citation statements)

References 19 publications

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“…Travel to tropical regions like South Asia and Southeast Asia are one of the most frequently identified risk factors 17 , 18 , 21 , 23 , 25–29 , 31 . Acquisition rates as high as 93 and 91% have been found among subjects visiting Vietnam and India, respectively 28 .…”

Section: Risk Factors For Esbl-pe Acquisition Among Travellersmentioning

confidence: 99%

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

Woerther

Andremont

Kantele

2017

Journal of Travel Medicine

119

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Background: 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. Methods: 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. Results: 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. Conclusions: While most of those colonized remain asymptomatic, acquisition of ESBL-PE may have consequences both at individual and community level. We discuss current efforts to restrict the spread.

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Section: Risk Factors For Esbl-pe Acquisition Among Travellersmentioning

confidence: 99%

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

Woerther

Andremont

Kantele

2017

Journal of Travel Medicine

119

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“…Paltansing en collega's melden dat van de Nederlandse reizigers in hun studie voorafgaand aan hun reis 8,6% drager was van ESBL-producerende Enterobacteriaceae, maar dat 30,5% deze opdeden tijdens hun reis of op hun bestemming, met als onafhankelijke risicofactoren 25 het reizen naar Zuiden Oost-Azië (Paltansing et al, 2013). Holmes et al (2016) voegen hier aan toe dat de verspreiding van carbapenem resistentievorming over de hele wereld sinds kort nog zorgwekkender is.…”

Section: Amr En Residuen Van Am-middelen and Globaliseringunclassified

Antimicrobiële resistentie en residuen van diergeneesmiddelen (antibiotica) in een circulaire veehouderij : Tegengaan van verspreiding via mest en milieu

Puente-Rodríguez

Bos

Lahr³

et al. 2019

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Antimicrobiële resistentie en residuen van diergeneesmiddelen (antibiotica) in een circulaire veehouderij; Tegengaan van verspreiding via mest en milieu. Wageningen Livestock Research, Rapport 1213. Samenvatting NL. In Nederland is een groot reservoir aan mest dat als bron van antimicrobiële resistentie (AMR) en of antibiotica en andere residuen van antimicrobiële middelen kan werken. Dit kan niet alleen gevolgen voor de volksgezondheid hebben maar ook voor de gezondheid van dieren en van het milieu (One Health). Harde cijfers over wat precies (op welke domeinen) de gevolgen van AMR of residuen kunnen zijn ontbreken echter nog. Daarbij wordt momenteel gewerkt aan de verduurzaming van de Nederlandse veehouderij vanuit verschillende invalshoeken. Dit werpt nieuwe vragen op met betrekking tot AMR. Dit document heeft tot doel de problematiek van AMR en residuen van diergeneesmiddelen in de keten veehouderij-mest-ecosystemen (bodem en water) beleidsmatig en op een reflectieve manier te agenderen binnen de bredere context van de toekomst van de veehouderij en meer in het bijzonder de kringlooplandbouw, zowel vanuit een technische, ecologische en agronomische als vanuit een institutionele invalshoek, met een focus op het helder identificeren van te beantwoorden vragen en dilemma's op dit gebied. Summary UK. There is a large reservoir of manure in the Netherlands which can become a source of antimicrobial resistance (AMR) and of residues of antibiotics and other antimicrobial agents. This can have consequences not only for public health but also for the health of animals and of the environment (One Health). However, it is not clear yet what the exact consequences thereof can be. At the same time, a process of change is taking place through which to make Dutch livestock production systems more sustainable. This research aims to reflect on the problem field of AMR and residues of veterinary medicines in the chain formed by livestock, manure, and ecosystems (soil and water) in the context of the future animal husbandry. Particularly, within the scope of circular agriculture. This from a technical, ecological, agronomic and policy perspective to enable the identification of relevant questions and dilemmas. Dit rapport is gratis te downloaden op https://doi.org/10.18174/506640 of op www.wur.nl/livestock-research (onder Wageningen Livestock Research publicaties).

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“…Drug susceptibility Antimicrobial susceptibility profiles of identified bacterial pathogens and carriage of multidrug resistant pathogens should be taken into consideration in decision making for empirical antimicrobial therapy [50][51][52]. Drug resistance in tuberculosis should be detected rapidly, and appropriate treatment options with the alternative second and third line anti-tuberculosis drugs (fluoroquinolones, ethionamide, cycloserine, amikacin, linezolid) is crucial in the management of multidrug resistant tuberculosis [53].…”

Section: Patient Managementmentioning

confidence: 99%

Management of septic shock and severe infections in migrants and returning travelers requiring critical care

Alp

Erdem

Rello

2016

Eur J Clin Microbiol Infect Dis

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During the past decade, global human movement created a virtually "borderless world". Consequently, the developed world is facing "forgotten" and now imported infectious diseases. Many infections are observed upon travel and migration, and the clinical spectrum is diverse, ranging from asymptomatic infection to severe septic shock. The severity of infection depends on the etiology and timeliness of diagnosis. While assessing the etiology of severe infection in travelers and migrants, it is important to acquire a detailed clinical history; geography, dates of travel, places visited, type of transportation, lay-overs and intermediate stops, potential exposure to exotic diseases, and activities that were undertaken during travelling and prophylaxis and vaccines either taken or not before travel are all important parameters. Tuberculosis, malaria, pneumonia, visceral leishmaniasis, enteric fever and hemorrhagic fever are the most common etiologies in severely infected travelers and migrants. The management of severe sepsis and septic shock in migrants and returning travelers requires a systematic approach in the evaluation of these patients based on travel history. Early and broad-spectrum therapy is recommended for the management of septic shock comprising broad spectrum antibiotics, source control, fluid therapy and hemodynamic support, corticosteroids, tight glycemic control, and organ support and monitoring. We here review the diagnostic and therapeutic routing of severely ill travelers and migrants, stratified by the nature of the infectious agents most often encountered among them.

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Extended-Spectrum β-Lactamase–producingEnterobacteriaceaeamong Travelers from the Netherlands

Cited by 89 publications

References 19 publications

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

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

Antimicrobiële resistentie en residuen van diergeneesmiddelen (antibiotica) in een circulaire veehouderij : Tegengaan van verspreiding via mest en milieu

Management of septic shock and severe infections in migrants and returning travelers requiring critical care

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