Rectal carriage of extended-spectrum β-lactamase-producing Enterobacteriales among neonates admitted into a special care baby unit, southwest Nigeria
| Autor: | Temitope O Obadare, Adeyemi T Adeyemo, Babatunde W Odetoyin, Osagie J Ugowe, Chineme H Anyabolu, Ebunoluwa A Adejuyigbe, Antony O Onipede |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Transactions of The Royal Society of Tropical Medicine and Hygiene. |
| ISSN: | 1878-3503 0035-9203 |
| Popis: | BackgroundThe intestinal microbiota of neonates can be colonised by extended-spectrum β-lactamase-producing Enterobacteriales (ESBL-PE) with the risks of subsequent infections. The antimicrobial resistance profile of the gut flora of neonates is not well defined in Nigeria. This study determined the burden of rectal carriage of ESBL-PE among neonates.MethodsWe conducted a prospective longitudinal study among neonates admitted into a tertiary hospital from September 2019 to November 2019. Stools were sampled at admission and weekly until exit and processed by standard laboratory methods including polymerase chain reaction to identify ESBL genes. The ESBL-PE colonisation period prevalence at admission and acquisition rate were determined.ResultsThe period prevalence of the ESBL-PE colonisation and acquisition rate were 46.5% (59/127) and 34.6% (36/104), respectively. Prolonged rupture of the amniotic membrane (PROM; >24 h; p=0.004, odds ratio [OR] 0.297), number of neonates on admission in the same room (pConclusionsThe rate of ESBL-PE neonatal rectal colonisation is high in our settings and this underscores the need for a review of neonatal admission protocols, embracing of antibiotic stewardship in the management of PROM, resistance surveillance and implementation of infection prevention and control in the neonatal unit. |
| Databáze: | OpenAIRE |
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