Rapid Increase in Carriage Rates of Enterobacteriaceae Producing Extended-Spectrum β-Lactamases in Healthy Preschool Children, Sweden

By collecting and analyzing diapers, we identified a >6-fold increase in carriage of extended-spectrum β-lactamase (ESBL)–producing Enterobacteriaceae for healthy preschool children in Sweden (p<0.0001). For 6 of the 50 participating preschools, the carriage rate was >40%. We analyzed sampl...

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Main Authors: Johan Kaarme, Hilde Riedel, Wesley Schaal, Hong Yin, Tryggve Nevéus, Åsa Melhus
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2018-10-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/24/10/17-1842_article
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spelling doaj-9e516f7f0b814b8c93d3bfb45b3bbac62020-11-24T21:50:29ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592018-10-0124101874188110.3201/eid2410.171842Rapid Increase in Carriage Rates of Enterobacteriaceae Producing Extended-Spectrum β-Lactamases in Healthy Preschool Children, SwedenJohan KaarmeHilde RiedelWesley SchaalHong YinTryggve NevéusÅsa MelhusBy collecting and analyzing diapers, we identified a >6-fold increase in carriage of extended-spectrum β-lactamase (ESBL)–producing Enterobacteriaceae for healthy preschool children in Sweden (p<0.0001). For 6 of the 50 participating preschools, the carriage rate was >40%. We analyzed samples from 334 children and found 56 containing >1 ESBL producer. The prevalence in the study population increased from 2.6% in 2010 to 16.8% in 2016 (p<0.0001), and for 6 of the 50 participating preschools, the carriage rate was >40%. Furthermore, 58% of the ESBL producers were multidrug resistant, and transmission of ESBL-producing and non–ESBL-producing strains was observed at several of the preschools. Toddlers appear to be major carriers of ESBL producers in Sweden.https://wwwnc.cdc.gov/eid/article/24/10/17-1842_articlecarriage ratesEnterobacteriaceaebacteriaextended-spectrum β-lactamasesESBLshealthy preschool children
collection DOAJ
language English
format Article
sources DOAJ
author Johan Kaarme
Hilde Riedel
Wesley Schaal
Hong Yin
Tryggve Nevéus
Åsa Melhus
spellingShingle Johan Kaarme
Hilde Riedel
Wesley Schaal
Hong Yin
Tryggve Nevéus
Åsa Melhus
Rapid Increase in Carriage Rates of Enterobacteriaceae Producing Extended-Spectrum β-Lactamases in Healthy Preschool Children, Sweden
Emerging Infectious Diseases
carriage rates
Enterobacteriaceae
bacteria
extended-spectrum β-lactamases
ESBLs
healthy preschool children
author_facet Johan Kaarme
Hilde Riedel
Wesley Schaal
Hong Yin
Tryggve Nevéus
Åsa Melhus
author_sort Johan Kaarme
title Rapid Increase in Carriage Rates of Enterobacteriaceae Producing Extended-Spectrum β-Lactamases in Healthy Preschool Children, Sweden
title_short Rapid Increase in Carriage Rates of Enterobacteriaceae Producing Extended-Spectrum β-Lactamases in Healthy Preschool Children, Sweden
title_full Rapid Increase in Carriage Rates of Enterobacteriaceae Producing Extended-Spectrum β-Lactamases in Healthy Preschool Children, Sweden
title_fullStr Rapid Increase in Carriage Rates of Enterobacteriaceae Producing Extended-Spectrum β-Lactamases in Healthy Preschool Children, Sweden
title_full_unstemmed Rapid Increase in Carriage Rates of Enterobacteriaceae Producing Extended-Spectrum β-Lactamases in Healthy Preschool Children, Sweden
title_sort rapid increase in carriage rates of enterobacteriaceae producing extended-spectrum β-lactamases in healthy preschool children, sweden
publisher Centers for Disease Control and Prevention
series Emerging Infectious Diseases
issn 1080-6040
1080-6059
publishDate 2018-10-01
description By collecting and analyzing diapers, we identified a >6-fold increase in carriage of extended-spectrum β-lactamase (ESBL)–producing Enterobacteriaceae for healthy preschool children in Sweden (p<0.0001). For 6 of the 50 participating preschools, the carriage rate was >40%. We analyzed samples from 334 children and found 56 containing >1 ESBL producer. The prevalence in the study population increased from 2.6% in 2010 to 16.8% in 2016 (p<0.0001), and for 6 of the 50 participating preschools, the carriage rate was >40%. Furthermore, 58% of the ESBL producers were multidrug resistant, and transmission of ESBL-producing and non–ESBL-producing strains was observed at several of the preschools. Toddlers appear to be major carriers of ESBL producers in Sweden.
topic carriage rates
Enterobacteriaceae
bacteria
extended-spectrum β-lactamases
ESBLs
healthy preschool children
url https://wwwnc.cdc.gov/eid/article/24/10/17-1842_article
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