关键词: Antimicrobial resistance ESBL Intestinal colonization MDR bacteria Microbiota Travel

Mesh : Adult Aged Anti-Bacterial Agents / pharmacology Cephalosporins / pharmacology Cluster Analysis Drug Resistance, Multiple, Bacterial Enterobacteriaceae / drug effects genetics Enterobacteriaceae Infections / epidemiology Feces / microbiology Female Gastrointestinal Microbiome Healthy Volunteers Humans India Longitudinal Studies Male Middle Aged Prevalence Prospective Studies RNA, Ribosomal, 16S / genetics Switzerland Time Factors Travel-Related Illness

来  源:   DOI:10.1016/j.tmaid.2018.10.012   PDF(Sci-hub)

Abstract:
Intestinal colonization by extended-spectrum cephalosporin-resistant Enterobacteriaceae (ESC-R-Ent) has been attributed to travel to high prevalence countries. However, the dynamics of the microbiota changes during ESC-R-Ent colonization and whether there is a particular bacterial composition which is associated with subsequent colonization is unknown.
Forty healthy volunteers living in Switzerland underwent screening before and after a trip to India, and also 3, 6 and 12 months after traveling. Culture-based ESC-R-Ent screening and microbiota analysis based on 16S rRNA amplicon sequencing were performed at all time points.
Prevalence of ESC-R-Ent colonization before traveling was 10% (n = 4), whereas it increased to 76% (n = 31) after the trip. Based on bacterial diversity analyses of the gut microbiota, there were few but significant differences for colonized versus non-colonized individuals. However, an alternative, cluster based analysis revealed that individuals remained in the same cluster over time indicating that neither traveling nor ESC-R-Ent colonization significantly influences bacterial composition. Moreover, none of the found microbiota clusters were significantly associated with subsequent risk of ESC-R-Ent colonization.
Based on their microbiota patterns, every volunteer was at the same risk of ESC-R-Ent colonization while traveling to India. Therefore, other risk factors for ESC-R-Ent colonization are responsible for this phenomenon.
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