Prevalence of multidrug-resistant bacteria colonisation among asylum seekers in western Switzerland

Autor: Claire Bertelli, Dominique S. Blanc, Laurence Senn, Christiane Petignat, Laurent Merz, Alain Cometta, Immaculée Nahimana Tessemo, Alain Kenfak-Foguena
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Short Report
Carbapenem-resistant enterobacteriaceae
030501 epidemiology
medicine.disease_cause
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Vancomycin-resistant Enterococcus
030212 general & internal medicine
Advanced and Specialized Nursing
Europe
Multidrug-resistant bacteria
Switzerland
asylum seekers
carbapenem-resistant Enterobacteriaceae
extended-spectrum beta-lactamases producing Enterobacteriaceae
methicilin-resistant Staphylococcus aureus
vancomycin-resistant Enterococcus
biology
business.industry
Transmission (medicine)
Health Policy
Public Health
Environmental and Occupational Health
biochemical phenomena
metabolism
and nutrition
biology.organism_classification
Enterobacteriaceae
Colonisation
Infectious Diseases
Carriage
Enterococcus
Staphylococcus aureus
0305 other medical science
business
Zdroj: Journal of infection prevention, vol. 22, no. 4, pp. 173-176
J Infect Prev
ISSN: 1757-1782
1757-1774
DOI: 10.1177/1757177420982033
Popis: The recent increase of migration to Europe represents a risk of increased the prevalence of multidrug-resistant (MDR) bacteria. We conducted a cross-sectional study among asylum seekers admitted at two hospitals in Switzerland. Of the 59 patients included, 9 (14%) were colonised by a MDR bacteria, including 5 (8.5%) methicilin-resistant Staphylococcus aureus (MRSA) and 4 (6.8%) extended-spectrum beta-lactamase (ESBL)-producing Enterobacteriaceae. No patient carried both ESBL-producing bacteria and MRSA. None of the patients carried a vancomycin-resistant Enterococcus (VRE) or a carbapenem-resistant Enterobacteriaceae (CRE). Colonisation with MDR bacteria was not associated with hospitalisation abroad or recent arrival in Switzerland. Whole genome sequencing analysis allowed us to exclude transmission between patients. The prevalence of MDR bacteria carriage is moderate among asylum seekers in western Switzerland. Further surveillance studies are necessary to determine if there is a risk of dissemination of pathogens into the local population.
Databáze: OpenAIRE
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