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Abstract

Many refugees arriving in Germany originate or have travelled through countries with high prevalence of multidrug-resistant Gram-negative organisms. Therefore, all unaccompanied refugee minors (<18 years-old) arriving in Frankfurt am Main between 12 October and 6 November 2015, were screened for multidrug-resistant in stool samples. with extended spectrum beta-lactamases (ESBL) were detected in 42 of 119 (35%) individuals, including nine with additional resistance to fluoroquinolones (8% of total screened), thus exceeding the prevalences in the German population by far.

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/content/10.2807/1560-7917.ES.2016.21.2.30109
2016-01-14
2024-11-05
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2016.21.2.30109
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References

  1. Hygienemaßnahmen bei Infektionen oder Besiedlung mit multiresistenten gramnegativen Stäbchen. Empfehlung der Kommission für Kranken-haushygiene und Infektionsprävention (KRINKO) beim Robert Koch-Institut (RKI). [Hygiene measures for infection or colonization with multidrug-resistant gram-negative bacilli. Commission recommendation for hospital hygiene and infection prevention (KRINKO at the Robert Koch Institute RKI)]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2012;55(10):1311-54. PMID: 23011096 
  2. Clinical and Laboratory Standards Institute (CSLI). Performance standards for antimicrobial susceptibility testing; twentyfifth informational supplement. Wayne, Pa: CSLI;2015. CLSI document M100-S25.
  3. El-Bouri K, Johnston S, Rees E, Thomas I, Bome-Mannathoko N, Jones C, et al. Comparison of bacterial identification by MALDI-TOF mass spectrometry and conventional diagnostic microbiology methods: agreement, speed and cost implications. Br J Biomed Sci. 2012;69(2):47-55. PMID: 22872927 
  4. Wiegand I, Geiss HK, Mack D, Stürenburg E, Seifert H. Detection of extended-spectrum beta-lactamases among Enterobacteriaceae by use of semiautomated microbiology systems and manual detection procedures. J Clin Microbiol. 2007;45(4):1167-74.  https://doi.org/10.1128/JCM.01988-06  PMID: 17287329 
  5. European Asylum Support Office (EASO). Latest asylum trends. Number of applications for international protection in the EU+1. Valetta: EASO; September 2015. Available from: https://easo.europa.eu/wp-content/uploads/Latest-Asylum-Trends-snapshot-Sept-2015.pdf
  6. World Health Organization (WHO). Antimicrobial resistance. Global Report on Surveillance. Geneva: WHO; 2014. Available from: http://apps.who.int/iris/bitstream/10665/112642/1/9789241564748_eng.pdf?ua=1
  7. European Centre for Disease Prevention and Control (ECDC). Antimicrobial resistance surveillance in Europe 2014. Annual Report of the European Antimicrobial Resistance Surveillance Network (EARS-Net). Stockholm: ECDC; 2015. Available from: http://ecdc.europa.eu/en/publications/Publications/antimicrobial-resistance-europe-2014.pdf
  8. Albiger B, Glasner C, Struelens MJ, Grundmann H, Monnet DLEuropean Survey of Carbapenemase-Producing Enterobacteriaceae (EuSCAPE) working group. Carbapenemase-producing Enterobacteriaceae in Europe: assessment by national experts from 38 countries, May 2015. Euro Surveill. 2015;20(45):30062. PMID: 26675038 
  9. European Centre for Disease Prevention and Control (ECDC). Communicable disease risks associated with the movement of refugees in Europe during the winter season – 10 November 2015. Stockholm: ECDC; 2015. Available from: http://ecdc.europa.eu/en/publications/Publications/refugee-migrant-health-in-european-winter-rapid-risk-assessment.pdf
  10. Robert Koch-institute (RKI). Screening von Asylsuchenden auf Multiresistente Erreger (MRE). [Screening of refugees for multi-drug resistant bacteria]. Berlin: RKI; Oct 2015. [Accessed 5 Dec 2015]. German. Available from: http://www.rki.de/DE/Content/Gesundheitsmonitoring/Gesundheitsberichterstattung/GesundAZ/Content/A/Asylsuchende/Inhalt/MRE-Screening_Asylsuchende.pdf?__blob=publicationFile
  11. Reinheimer C, Kempf V, Göttig S, Hogardt M, Wichelhaus T, O´Rourke F, et al. Multidrug-resistant organisms detected in refugee patients admitted to a University Hospital, Germany June–December 2015. Euro Surveill. 2016;21(2):30110.  https://doi.org/10.2807/1560-7917.ES.2016.21.2.30110 
  12. Valenza G, Nickel S, Pfeifer Y, Eller C, Krupa E, Lehner-Reindl V, et al. Extended-spectrum-β-lactamase-producing Escherichia coli as intestinal colonizers in the German community. Antimicrob Agents Chemother. 2014;58(2):1228-30.  https://doi.org/10.1128/AAC.01993-13  PMID: 24295972 
  13. Dawson A, Mischler D, Petit C, Klein R, Heudorf U, Herrmann M. Prevalence of Methicillin-resistent Staphylococcus aureus in end stage renal failure patients in Saarland and Hessen. Int J Med Microbiol. 2012;302:87.
  14. Heudorf U, Färber D, Mischler D, Schade M, Zinn C, Cuny C, et al. [Multidrug-Resistant Organisms (MDRO) in Rehabilitation Clinics in the Rhine-Main-District, Germany, 2014: Prevalence and Risk Factors]. Rehabilitation (Stuttg). 2015;54(5):339-45. https://doi.org/10.1007/s00103-013-1927-7  PMID: 24658671 
  15. Hogardt M, Proba P, Mischler D, Cuny C, Kempf VA, Heudorf U. Current prevalence of multidrug-resistant organisms in long-term care facilities in the Rhine-Main district, Germany, 2013. Euro Surveill. 2015;20(26):21171.  https://doi.org/10.2807/1560-7917.ES2015.20.26.21171  PMID: 26159310 
  16. Heudorf U, Gustav C, Mischler D, Schulze J. Nosokomiale Infektionen, systemischer Antibiotikaeinsatz und multiresistente Erreger bei Bewohnern von Altenpflegeheimen. [Healthcare associated infections (HAI), antibiotic use and prevalence of multidrug-resistant bacteria (MDRO) in residents of long-term care facilities: the Frankfurt HALT plus MDRO project 2012]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2014;57(4):414-22.  https://doi.org/10.1007/s00103-013-1927-7  PMID: 26505186 
  17. Neumann N, Mischler D, Cuny C, Hogardt M, Kempf VAJ, Heudorf U. Multidrug-resistant organisms (MDRO) in patients in outpatient care in the Rhine-Main district, 2014: Prevalence and risk factors. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2015. PMID:26631014
  18. Nemeth J, Ledergerber B, Preiswerk B, Nobile A, Karrer S, Ruef C, et al. Multidrug-resistant bacteria in travellers hospitalized abroad: prevalence, characteristics, and influence on clinical outcome. J Hosp Infect. 2012;82(4):254-9.  https://doi.org/10.1016/j.jhin.2012.08.017  PMID: 23103249 
  19. Catchpole M, Coulombier D. Refugee crisis demands European Union-wide surveillance! Euro Surveill. 2015;20(45):30063. PMID: 26606945 
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