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 | Zendy

Fanny Chéreau | Zendy; Perlinot Herindrainy | Zendy; Benoît Garin | Zendy; Bich-Tram Huynh | Zendy; Frédérique Randrianirina | Zendy; Michael Padget | Zendy; Patrice Piola | Zendy; Didier Guillemot | Zendy; Elisabeth DelarocqueAstagneau | Zendy

Open Access

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

Author(s) -

Fanny Chéreau,

Perlinot Herindrainy,

Benoît Garin,

Bich-Tram Huynh,

Frédérique Randrianirina,

Michael Padget,

Patrice Piola,

Didier Guillemot,

Elisabeth DelarocqueAstagneau

Publication year - 2015

Publication title -

antimicrobial agents and chemotherapy

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 2.07

H-Index - 259

eISSN - 1070-6283

pISSN - 0066-4804

DOI - 10.1128/aac.00029-15

Subject(s) - enterobacteriaceae , colonization , klebsiella pneumoniae , transmission (telecommunications) , neonatal sepsis , medicine , sepsis , microbiology and biotechnology , environmental health , biology , escherichia coli , biochemistry , electrical engineering , gene , engineering

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.

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