2016
DOI: 10.1089/mdr.2015.0323
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Fecal Carriage of Extended-Spectrum β-Lactamases in Healthy Humans, Poultry, and Wild Birds in León, Nicaragua—A Shared Pool of blaCTX-M Genes and Possible Interspecies Clonal Spread of Extended-Spectrum β-Lactamases-Producing Escherichia coli

Abstract: Antibiotic-resistant bacteria are a major concern in the healthcare of today, especially the increasing number of gram-negative bacteria producing β-lactamases such as extended-spectrum β-lactamases (ESBLs). However, little is known about the relationship of ESBL producers in humans and domestic and wild birds, especially in a low-income setting. Therefore, we studied the fecal carriage of ESBL-producing Escherichia coli and Klebsiella pneumoniae in healthy humans, poultry, and wild birds in the vicinity of Le… Show more

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Cited by 31 publications
(24 citation statements)
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“…The role of wildlife in the dissemination of resistant genes is supported by the recent isolation of ESBL‐producing bacteria carrying bla CTX‐M‐15 genes in wild birds of Nicaragua, Chile and Argentina, and raises public health concerns given the implications of these bacteria in both nosocomial and community‐acquired infections in humans (Guenther et al., ; Hasan et al., ; Liakopoulos et al., ). Our findings highlight the need to elucidate the role of bats and livestock in AMR bacterial transmission cycles and what risks these community sources may pose for zoonotic transmission to humans.…”
Section: Discussionmentioning
confidence: 99%
“…The role of wildlife in the dissemination of resistant genes is supported by the recent isolation of ESBL‐producing bacteria carrying bla CTX‐M‐15 genes in wild birds of Nicaragua, Chile and Argentina, and raises public health concerns given the implications of these bacteria in both nosocomial and community‐acquired infections in humans (Guenther et al., ; Hasan et al., ; Liakopoulos et al., ). Our findings highlight the need to elucidate the role of bats and livestock in AMR bacterial transmission cycles and what risks these community sources may pose for zoonotic transmission to humans.…”
Section: Discussionmentioning
confidence: 99%
“…Similar to camels, few studies reported the antimicrobial resistance profile in pigeons. In a low-income setting in Nicaragua, Hasan et al reported the existence of ESBLproducing E. coli in about 13% poultry pigeons compared to 8% in other domestic and wild birds, and 27% in healthy humans (Hasan et al, 2016). Interestingly, another study from South Africa addressed the risk of AMR E. coli spread due to pigeon fecal samples contamination of the roof-harvested rainwater (Chidamba & Korsten, 2015).…”
Section: Amr In Commensal E Coli From Pigeonsmentioning
confidence: 99%
“…Illustrative map of Europe showing countries with description of E-ESBL in cattle and beta-lactamases type.2014;Dia et al, 2016;Fam et al, 2011;Hasan et al, 2016;Hern andez et al, 2012;Liao et al, 2017;Poirel et al, 2013;Ruiz et al, 2011;Sidjabat et al, 2010).…”
mentioning
confidence: 99%