Abstract：
BACKGROUND:International travel is a risk factor for colonization with Extended-Spectrum Beta-Lactamase-producing- Enterobacteriaceae (ESBL-E). We describe the prevalence of and risk-factors for ESBL-E colonization in civilian and military travelers. METHODS:Patients hospitalized in the infectious diseases department of Bégin Military Hospital (France) from May 2012 to November 2015, who had traveled abroad over the past two months, were screened for intestinal colonization with ESBL-E. RESULTS:Forty-one out of 166 travelers (24.7%) had ESBL-E colonization, predominantly Escherichia coli. The risk factors for ESBL-E colonization in the univariate analysis were a treatment with any antibiotic in the last two months (OR 4.19, 95% CI 1.91-9.16) or with a beta-lactam in the same period (OR 3.35, 95% CI 1.44-7.82), and an hospitalization in the last two months (OR 3.96, 95% CI 1.91-9.16). The military status, military mission or military accommodation were not associated with an increased risk of ESBL-E colonization. In the multivariate analysis, a treatment with any antibiotic in the last two months was significantly associated with ESBL-E colonization (OR 6.71, 95% CI 3.36-19.08). CONCLUSION:Antibiotic treatment in the two previous months is strongly predictive of ESBL-E colonization in international travelers, while the military status and its specific living conditions are not.
journal_name
Travel Med Infect Disjournal_title
Travel medicine and infectious diseaseauthors
Flateau C,Duron-Martinaud S,Haus-Cheymol R,Bousquet A,Delaune D,Ficko C,Merens A,Rapp Cdoi
10.1016/j.tmaid.2018.03.009subject
Has Abstractpub_date
2018-01-01 00:00:00pages
44-48eissn
1477-8939issn
1873-0442pii
S1477-8939(18)30052-8journal_volume
23pub_type
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章
doi：10.1016/j.tmaid.2006.01.012
更新日期：2007-01-01 00:00:00
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章,评审
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journal_title：Travel medicine and infectious disease
pub_type： 杂志文章,评审
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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journal_title：Travel medicine and infectious disease
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abstract：:Adverse reactions following vaccination are rare but may include potentially fatal anaphylaxis. This audit is a retrospective review of 38 patients with a history, or potential risk, of 'vaccine allergy' referred to an Infectious Diseases Unit for vaccination over a 10 year period. A total of 59 patient encounters wer...
journal_title：Travel medicine and infectious disease
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