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

  • Jarne M. Van Hattem
  • , Maris S. Arcilla
  • , Martin C J Bootsma
  • , Perry J. Van Genderen
  • , Abraham Goorhuis
  • , Martin P. Grobusch
  • , Nicky Molhoek
  • , Astrid M L Oude Lashof
  • , Constance Schultsz
  • , Ellen E. Stobberingh
  • , Henri A. Verbrugh
  • , Menno D. De Jong
  • , Damian C. Melles
  • , John Penders*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

3 Citations (Scopus)
2 Downloads (Pure)

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.

Original languageEnglish
Pages (from-to)857-864
Number of pages8
JournalFuture microbiology
Volume11
Issue number7
DOIs
Publication statusPublished - 1 Jul 2016

Keywords

  • carbapenemases
  • Enterobacteriaceae
  • transmission
  • travel

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