Stay in a hotel or private accommodation is connected
Contract and carry drugs-based bakers at home in travelers
Low and / or medium incoming countries (LMICs), according to new research
Presented at this year's European Clinic Congress
Microbiology & Infectious Diseases (ECCMID) in Amsterdam
The Netherlands (April 13-16). Younger travelers of 20-30 years were also
At increased risk, it is found in comparison with those in other age groups.
This study of 230 people from Germany traveled to LMIC's
Travel to & nbsp; especially in a hotel or private residence
four times higher risk of home recurrence with multi-drug
resistant backbone in their good as well as the ones that remain especially in others
Types of tourist accommodation such as hostels, hostels, or camping.
According to the authors, the study is the first to report in a
hotel as a risk factor for expanded spectrum colonization
Beta-lactamase produces Enterobacteriaceae (ESBL-PE), which are not
resistant to multiple antibiotics.
"Previous studies had already reported this to stay in a private
Accommodation, but it was unexpected that hotel was also risky
factor, "says co-author Dr Lynn Meurs from the Robert Koch Institute,
Berlin, Germany. "Colonization in itself is not health
problems. However, there is a risk of infection with backbone being
Patients are colonized, especially in hospital patients. Kisses
This comes with an expanded spectrum of beta-lactamase production
Enterobacteriaceae, these infections such as urinary tract infections,
Pneumony, and sepsis, can be animal to treat treatments as infections
with bacteria that are not of standard antibiotics. "
If the study has not delayed to investigate the effect of a hotel
remains on ESBL-PE colonization, further research into needake
often the surprising association between hotel guests and
ESBL colonization is indeed reproducible, and better judge what
Factors can evoke such association, say researchers.
To investigate how & # 39; t intercontinence travel spreading spread
ESBL product breeding, Meurs and colleague's from a joint project of
the Leipzig University Hospital and the Robert Koch Institute in Berlin,
Germany, studied risk factors for animal ESBL-PE colonization
View 230 people at a travel clinic at Leipzig University Clinic,
Germany, traveled earlier between March 2016 and March 2017.
The researchers are collecting stool problems for testing
participants before and after they traveled outside of Germany. All
Travel has completed question lists on risk invoices including the
countries that visited them, length of time in the country, type of residence,
symptoms, antibiotics, treatment, care and hygiene.
Modeling was used to identify risk factors for travel
ESBL-PE colonization. Seven travelers tested the ESBL-PE positive
before the trips were closed from & # 39; s analyzes.
Results indicate that to produce 1 in 5 travelers (23%, 53/230) ESBL producing bakers during their trip abroad have contracted.
People traveling to west, south or east Asia
the high risk of contracting the resistant bacteria – they had four
Occasionally treat higher risk of colonization with ESBL products
The people who visited other LMICs in tropical and subtropical regions.
The data also indicated that people are staying in or in a hotel
Private accommodations were in any case four times more expensive
Contract ESBL-producing products as resident as a resident
hostel, guest house or camping.
The risk of ESBL-PE colonization also varies with age, with
Travelers from 20-30 years on a fifty times increased chances of
contractual drug-resistant bacteria in comparison to travelers of 50 years
and over. The authors suggest that it is most likely to be people who are older
20-30 years in this study traveled longer than other travelers
older categories. If the same, they are often delivered longer to ESBL-PE
and therefore have a higher risk of colonizing at home.
"Many people try low-income and middle-income countries in the tropical and
semi-tropical region every year. With about 20% of travelers
A positive position for these resistant bacteria contains our findings
that intercontinental travel, especially at already known high risk
areas, probably contributing to their global breadth, "says Dr Meurs.
"We therefore recommend strengthening awareness when returning (high risk)
travel. They should know that 1) they can carry drug-resistant
bark in & # 39; a week after traveling and 2) how to do it effectively
Keep spreading to other people, for example by adequate hands
This one-clinic assessment study cannot prove it
Type of accommodation provides for colonization with ESBL-producing bacteria,
but only the possibility of such an effect suggests. The authors point
Including several restrictions including the fact that the study was not enough
set to recognize other risk or protection data for travel data
ESBL-PE acquisition, and travelers visit a travel clinic
not being a representative for all people traveling to the tropics.