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Nosocomial Intravascular Catheter Infections with Extended-spectrum Beta-lactamase-producing Escherichia coli in Calves after Strain Introduction from a Commercial Herd.

Pardon, B
Smet, A
Butaye, P
Argudín, M A.
Valgaeren, B
Haesebrouck, F
Deprez, P
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Abstract

An outbreak of intravascular catheter-related infections by extended-spectrum β-lactamase (ESBL)-producing Escherichia coli in calves in an animal teaching hospital is reported. Pulsed-field gel electrophoresis was used for strain typing to determine the origin and dissemination of these strains. All 19 strains harboured the blaCTX-M-14, and six strains also overexpressed their chromosomal AmpC gene. Evidence on the introduction of the strain from a beef herd, experiencing neonatal diarrhoea and increased mortality, to the clinic through admission of diarrhoeic calves was provided. Strains isolated from phlebitis cases from other herds up to 5 months later showed a high similarity with the initial strain, suggesting that the strain had become nosocomial. The catheter infections with ESBL/AmpC-producing E. coli resulted in a prolonged hospitalization, increased anti-microbial use and mortality. This report points towards the potential dangers of the emergence of ESBL/AmpC-producing bacteria in susceptible food animals and warns farmers and veterinarians for the facility by which they are introduced into another environment.

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2017-02-01
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Peer reviewed scientific article
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Animals, Bacterial Proteins, beta-Lactamases, Catheters, Cattle, Cattle Diseases, Cross Infection, Electrophoresis, Gel, Pulsed-Field, Escherichia coli, Escherichia coli Infections, Hospitals, Animal, Hospitals, Teaching
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