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ESBL-producing Enterobacteriaceae in a rural Rwandan community:Carriage among community members, livestock, farm products and environment

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اقرأ أكثر حفظ في قائمتي
  • المؤلفون: Geuther, Nadja; Mbarushimana, Djibril; Habarugira, Felix; Buregeya, Jean Damascene; Kollatzsch, Mandy; Pfüller, Roland; Mugabowindekwe, Maurice; Ndoli, Jules; Mockenhaupt, Frank P.
  • المصدر:
    Geuther , N , Mbarushimana , D , Habarugira , F , Buregeya , J D , Kollatzsch , M , Pfüller , R , Mugabowindekwe , M , Ndoli , J & Mockenhaupt , F P 2023 , ' ESBL-producing Enterobacteriaceae in a rural Rwandan community : Carriage among community members, livestock, farm products and environment ' , Tropical Medicine & International Health , vol. 28 , no. 11 , pp. 855-863 .
  • نوع التسجيلة:
    Electronic Resource
  • الدخول الالكتروني :
    https://curis.ku.dk/portal/da/publications/esblproducing-enterobacteriaceae-in-a-rural-rwandan-community(084dbe8e-2a23-431a-a3fd-008b2aff842a).html
    https://doi.org/10.1111/tmi.13934
    https://curis.ku.dk/ws/files/372327748/ESBL_producing_Enterobacteriaceae_in_a_rural_Rwandan_community.pdf
  • معلومة اضافية
    • Publisher Information:
      2023
    • نبذة مختصرة :
      Objectives Extended-spectrum beta-lactamase-producing Enterobacteriaceae (ESBL-PE) are spreading globally. However, respective data from African communities including livestock and environmental specimens are rare. In a rural community of southern Rwanda, we assessed intestinal carriage of ESBL-PE among residents and livestock as well as presence in household specimens and examined associated factors. Methods Samples of humans and livestock (both rectal swabs), soil, water, vegetables and animal products were collected within 312 community households in Sovu, Southern Rwanda. Specimens were screened for ESBL-PE on chromogenic agar, and susceptibility to common antibiotics was determined by disc diffusion assays. Socio-demographic information was collected with questionnaires focusing on the socio-economic background, alimentation, living conditions, hygiene measures and medical history of the participants. Results Data and specimens from 312 randomly selected households including 617 human beings, 620 livestock and of approximately each 300 kitchen vegetables, animal products, soil and drinking water were analysed. Overall, 14.8% of 2508 collected samples were positive for ESBL-PE; figures were highest for humans (37.9%) and livestock (15.6%), lower for vegetables (3.8%) and animal products (3.3%), and lowest for soil (1.6%) and water (0.6%). Most detected ESBL-PE were Escherichia coli (93.5%) in addition to Klebsiella pneumoniae (6.5%). Cross-resistance to ampicillin-sulbactam, ciprofloxacin and co-trimoxazole was common. Logistic regression identified increasing age, another ESBL-PE positive household member, prolonged time for fetching water, current diarrhoea and the ability to pay school fees as independent predictors of intestinal ESBL-PE carriage among community members. Conclusions ESBL-PE carriage is common in a rural Rwandan farming community. Carriage in livestock is not associated with human carriage. Associated
    • الموضوع:
      article
    • Note:
      application/pdf
      English
    • Other Numbers:
      DAV oai:pure.atira.dk:publications/084dbe8e-2a23-431a-a3fd-008b2aff842a
      1414368308
    • Contributing Source:
      UNIV OF COPENHAGEN
      From OAIster®, provided by the OCLC Cooperative.
    • الرقم المعرف:
      edsoai.on1414368308
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