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Prolonged carriage and potential onward transmission of carbapenemase-producing Enterobacteriaceae in Dutch travelers.

Academic Medical Center, Department of Medical Microbiology, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. Erasmus University Medical Center, Department of Medical Microbiology & Infectious Diseases, 's-Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands. Utrecht University, Department of Mathematics, Faculty of Science, Budapestlaan 6, 3584 CD Utrecht, The Netherlands. Havenziekenhuis - Institute for Tropical Diseases, Department of Internal Medicine, Haringvliet 2, 3011 TD Rotterdam, The Netherlands. Academic Medical Center, Center for Tropical Medicine & Travel Medicine, Meibergdreef 9, 1105 AZ Amsterdam, The Netherlands. Havenziekenhuis - Travel Clinic Harbour Hospital, Haringvliet 2, 3011 TD Rotterdam, The Netherlands. Maastricht University Medical Center, NUTRIM School for Nutrition & Translational Research in Metabolism and Caphri School for Public Health & Primary Care, Department of Medical Microbiology, PO 5800, 6202 AZ Maastricht, The Netherlands.

Future microbiology. 2016;:857-64
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Abstract

AIM: The aim was to study acquisition and persistence of carbapenemase-producing Enterobacteriaceae (CPE) among travelers. MATERIALS & METHODS Stools from 2001 travelers and 215 nontraveling household members, collected before and immediately post-travel as well as 1, 3, 6 and 12 months upon return, were screened for CPE. RESULTS Five travelers, all visiting Asia outside the Indian subcontinent, acquired CPE. One traveler persistently carried the same OXA-244 CPE up to 6 months post-travel. Three months after travel, her co-traveling spouse also became positive for this OXA-244 CPE strain, suggesting clonal transmission within this household. CONCLUSION Acquisition of CPE is not restricted to travelers to the Indian subcontinent and/or to travelers seeking healthcare during travel and can persist up to at least 6 months post-travel.

Methodological quality

Publication Type : Clinical Trial ; Multicenter Study

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