Article ; Online: Characterisation of and risk factors for extended-spectrum β-lactamase producing Enterobacterales (ESBL-E) in an equine hospital with a special reference to an outbreak caused by Klebsiella pneumoniae ST307:CTX-M-1.
2022 Volume 64, Issue 1, Page(s) 4
Abstract: Background: Extended-spectrum β-lactamase producing Enterobacterales (ESBL-E) are important causative agents for infections in humans and animals. At the Equine Veterinary Teaching Hospital of the University of Helsinki, the first infections caused by ... ...
Abstract | Background: Extended-spectrum β-lactamase producing Enterobacterales (ESBL-E) are important causative agents for infections in humans and animals. At the Equine Veterinary Teaching Hospital of the University of Helsinki, the first infections caused by ESBL-E were observed at the end of 2011 leading to enhanced infection surveillance. Contact patients were screened for ESBL-E by culturing infection sites and rectal screening. This study was focused on describing the epidemiology and microbiological characteristics of ESBL-E from equine patients of the EVTH during 2011-2014, and analysing putative risk factors for being positive for ESBL-E during an outbreak of Klebsiella pneumoniae ST307. Results: The number of ESBL-E isolations increased through 2012-2013 culminating in an outbreak of multi-drug resistant K. pneumoniae ST307:bla Conclusions: The occurrence of an outbreak caused by a pathogenic ESBL-producing K. pneumoniae ST307 strain highlights the importance of epidemiological surveillance of ESBL-E in veterinary hospitals. Limiting the length of hospitalisation for equine patients may reduce the risk of spread of ESBL-E. It is also important to acknowledge the importance of nasogastric tubing as a potential source of acquiring ESBL-E. As ESBL-E were also found in stomach drench pumps used with nasogastric tubes, veterinary practices should pay close attention to appropriate equipment cleaning procedures and disinfection practices. |
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MeSH term(s) | Animals ; Anti-Bacterial Agents/therapeutic use ; Disease Outbreaks/veterinary ; Female ; Horse Diseases/drug therapy ; Horse Diseases/epidemiology ; Horses ; Hospitals, Animal ; Hospitals, Teaching ; Humans ; Klebsiella Infections/drug therapy ; Klebsiella Infections/epidemiology ; Klebsiella Infections/veterinary ; Klebsiella pneumoniae ; Microbial Sensitivity Tests/veterinary ; Risk Factors ; beta-Lactamases |
Chemical Substances | Anti-Bacterial Agents ; beta-lactamase TEM-3 (EC 3.5.2.-) ; beta-Lactamases (EC 3.5.2.6) |
Language | English |
Publishing date | 2022-02-09 |
Publishing country | England |
Document type | Journal Article |
ZDB-ID | 40137-7 |
ISSN | 1751-0147 ; 0044-605X |
ISSN (online) | 1751-0147 |
ISSN | 0044-605X |
DOI | 10.1186/s13028-022-00621-6 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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