Extended Spectrum Beta-Lactamase-Producing Enterobacteriaceae in International Travelers and Non-Travelers in New York City 英文参考文献.docVIP

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Extended Spectrum Beta-Lactamase-Producing Enterobacteriaceae in International Travelers and Non-Travelers in New York City 英文参考文献.doc

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Extended Spectrum Beta-Lactamase-Producing Enterobacteriaceae in International Travelers and Non-Travelers in New York City 英文参考文献

ExtendedSpectrumBeta-Lactamase-Producing EnterobacteriaceaeinInternationalTravelersandNon- TravelersinNewYorkCity ScottA.Weisenberg1*,JoseR.Mediavilla2,LiangChen2,ElizabethL.Alexander3,KyuY.Rhee3, BarryN.Kreiswirth2,StephenG.Jenkins4 1DepartmentofMedicine,AltaBatesSummitMedicalCenter,Oakland,California,UnitedStatesofAmerica,2PublicHealthResearchInstitute,UniversityofMedicineand DentistryofNewJersey,Newark,NewJersey,UnitedStatesofAmerica,3DepartmentofMedicine,WeillCornellMedicalCollege,NewYork,NewYork,UnitedStatesof America,4DepartmentofPathology,WeillCornellMedicalCollege,NewYork,NewYork,UnitedStatesofAmerica Abstract Background:Weperformedthisstudy1)todeterminetheprevalenceofcommunity-associatedextendedspectrumbeta- lactamaseproducingEnterobacteriaceae(ESBLPE)colonizationandinfectioninNewYorkCity(NYC);2)todeterminethe prevalence of newly-acquired ESBLPE during travel; 3) to look for similarilties in contemporaneous hospital-associated bloodstreamESBLPEandtravel-associatedESBLPE. Methods: Subjects were recruited from a travel medicine practice and consented to submit pre- and post-travel stools, whichwereassessedforthepresenceofESBLPE.Pre-travelstoolsandstoolssubmittedforculturewereusedtoestimate the prevalence of community-associated ESBLPE. The prevalence of ESBLPE-associated urinary tract infections was calculatedfromavailableretrospectivedata.Hospital-associatedESBLPEwereacquiredfromsavedbloodstreamisolates.All ESBLPEunderwentmultilocussequencetyping(MLST)andESBLcharacterization. Results: One of 60 (1.7%) pre- or non-travel associated stool was colonized with ESBLPE. Among community-associated urinespecimens,1.3%ofEscherichiacoliand1.4%ofKlebsiellapneumoniaewereidentifiedasESBLPE.Sevenof28travelers (25.0%)acquiredanewESBLPEduringtravel.Nosimilaritieswerefoundbetweentravel-associatedESBLPEandhospital- associatedESBLPE.ArangeofimportedESBLgeneswerefound,includingCTX-M-14andCTX-15. Conclusion:ESBLcolonizationandinfectionwererelativelylowduringthestudyperiodinNYC.