Despite Predominance of Uropathogenic/Extraintestinal Pathotypes Among Travel-acquired Extended-spectrum β-Lactamase–producing Escherichia coli, the Most Commonly Associated Clinical Manifestation Is Travelers’ Diarrhea

• Published in: Clinical infectious diseases Vol. 70; no. 2; pp. 210 - 218
• Main Authors: Kantele, Anu, Lääveri, Tinja, Mero, Sointu, Häkkinen, Inka M K, Kirveskari, Juha, Johnston, Brian D, Johnson, James R
• Format: Journal Article
• Language: English
• Published: US Oxford University Press 02.01.2020
• Subjects: and Commentaries; beta-Lactamases; Diarrhea - epidemiology; Enteropathogenic Escherichia coli; Escherichia coli Infections - epidemiology; Feces; Humans; Travel; ESBL; DEC; extended-spectrum beta-lactamase; travel; ExPEC

Abstract Background One-third of the 100 million travelers to the tropics annually acquire extended-spectrum β-lactamase (ESBL)–producing Enterobacteriaceae (ESBL-PE), with undefined clinical consequences. Methods Symptoms suggesting Enterobacteriaceae infections were recorded prospectively among 43...