“…Community carriage of CPE/K has only been described in a few countries such as Lebanon (Beyrouthy et al, 2014) and Spain (Rios, Lopez, Rodriguez-Avial, Culebras, & Picazo, 2017), whereas community carriage of ESCE/K is common worldwide (Woerther, Burdet, Chachaty, & Andremont, 2013), with Southeast Asia identified as an area with a particularly high carriage of ESC-producing Enterobacteriaceae (Hawkey, 2008;Karanika, Karantanos, Arvanitis, Grigoras, & Mylonakis, 2016;Woerther et al, 2013). In China and Thailand, community carriage of ESCE varies between 30% and 58% (Li et al, 2011;Ni et al, 2016;Zhou et al, 2015) and 58% and 62%, respectively (Niumsup et al, 2018;Sasaki et al, 2010). Several studies have indicated that foreign travel from countries with low ESBL frequency to Southeast Asia is a major risk factor for acquiring ESBL-producing Enterobacteriaceae (Karanika et al, 2016).…”