低收入国家社区孕妇中产超广谱β-内酰胺酶和产NDM-1肠杆菌科细菌的定植：多耐药肠杆菌科细菌向新生儿传播的潜在储存库。
Colonization of extended-spectrum-β-lactamase- and NDM-1-producing Enterobacteriaceae among pregnant women in the community in a low-income country: a potential reservoir for transmission of multiresistant Enterobacteriaceae to neonates.
作者信息
Chereau Fanny, Herindrainy Perlinot, Garin Benoit, Huynh Bich-Tram, Randrianirina Frederique, Padget Michael, Piola Patrice, Guillemot Didier, Delarocque-Astagneau Elisabeth
机构信息
Inserm UMR 1181, Biostatistics, Biomathematics, Pharmacoepidemiology and Infectious Diseases (B2PHI), Paris, France Institut Pasteur, UMR 1181, B2PHI, Paris, France University Versailles St-Quentin-en-Yvelines, UMR 1181, Biostatistics, B2PHI, Montigny-le-Bretonneux, France
Epidemiology Unit, Institut Pasteur de Madagascar, Antananarivo, Madagascar.
出版信息
Antimicrob Agents Chemother. 2015;59(6):3652-5. doi: 10.1128/AAC.00029-15. Epub 2015 Apr 6.
Abstract
The spread of extended-spectrum-β-lactamase-producing Enterobacteriaceae (ESBL-PE) in low-income countries, where the burden of neonatal sepsis is high, may have a serious impact on neonatal mortality rates. Given the potential for mother-to-child transmission of multiresistant bacteria, this study investigated the ESBL-PE rectal colonization among pregnant women at delivery in the community in Madagascar and estimated a prevalence of 18.5% (95% confidence interval, 14.5% to 22.6%). One strain of Klebsiella pneumoniae isolated was also a New Delhi metallo-β-lactamase-1 (NDM-1) producer.
摘要
在新生儿败血症负担较高的低收入国家，产超广谱β-内酰胺酶肠杆菌科细菌（ESBL-PE）的传播可能会对新生儿死亡率产生严重影响。鉴于多重耐药菌存在母婴传播的可能性，本研究调查了马达加斯加社区分娩时孕妇的ESBL-PE直肠定植情况，估计患病率为18.5%（95%置信区间为14.5%至22.6%）。分离出的一株肺炎克雷伯菌也是一株产新德里金属β-内酰胺酶-1（NDM-1）的菌株。
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