Wiklund Susanne, Fagerberg Ingegerd, Örtqvist Åke, Broliden Kristina, Tammelin Ann
Department of Infection Control and Hospital Hygiene, Stockholm County Council, Stockholm, Sweden.
Unit of Infectious Diseases, Department of Medicine, Solna (MedS), Karolinska, Institutet, Stockholm, Sweden.
Int J Qual Stud Health Well-being. 2016 Nov 1;11:32378. doi: 10.3402/qhw.v11.32378. eCollection 2016.
Travel to foreign countries involves the risk of becoming a carrier of antibiotic-resistant bacteria, especially when the destination is a country with a high prevalence of this type of bacteria.
The aim of this study was to learn about the knowledge of antibiotic resistance, and the behaviour and risk-taking among travellers, who had become carriers of extended spectrum beta-lactamases (ESBL)-producing bacteria during travel to a high-prevalence country. A modified version of grounded theory was used to analyse 15 open interviews.
The analysis resulted in a core category: . Before the journey, the participants did not perceive there to be any risk of becoming a carrier of antibiotic- resistant bacteria. The low level of knowledge of antibiotic-resistant bacteria and transmission routes influenced their behaviour and risk-taking during their journey, resulting in them exposing themselves to risk situations. After their trip, the majority did not believe that their personal risk behaviour could have caused them to become carriers of ESBL.
The participants' lack of knowledge of antibiotic-resistant bacteria resulted in unconscious risk-taking during their journey, which may have resulted in becoming carriers of ESBL-producing bacteria.
前往外国旅行存在成为抗生素耐药菌携带者的风险，尤其是当目的地是此类细菌高流行率的国家时。
本研究的目的是了解那些在前往高流行率国家旅行期间成为产超广谱β-内酰胺酶（ESBL）细菌携带者的旅行者对抗生素耐药性的了解情况、行为及冒险情况。采用扎根理论的修改版对15次开放式访谈进行分析。
分析得出一个核心类别：在旅行前，参与者并未意识到有成为抗生素耐药菌携带者的任何风险。对抗生素耐药菌及其传播途径的低认知水平影响了他们旅行期间的行为和冒险情况，导致他们置身于风险情境中。旅行结束后，大多数人不认为其个人的风险行为会使他们成为ESBL携带者。
参与者对抗生素耐药菌的认知不足导致他们在旅行期间无意识地冒险，这可能致使他们成为产ESBL细菌的携带者。
