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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.
Argudin, M.A.
Valgaeren, B.
Haesebrouck, F.
Deprez, P.
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Abstract

An outbreak of intravascular catheter-related infections by extended-spectrum beta-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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2015-04-22
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Peer reviewed scientific article
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admission, ALL, Animal, Animals, Antimicrobial, Antimicrobial resistance, antimicrobial use, article, bacteria, Belgium, Brussels, care, Case, Catheter-Related Infections, clinic, danger, disease, Diseases, dissemination, e, electronic, Electrophoresis, environment, Escherichia coli, evidence, Faculty, food, gene, health, health care, Health care associated, HEALTH-CARE, hospital, Hospitalization, immunology, INFECTION, infections, Institute, internal medicine, IS, journal, Medicine, mortality, NEONATAL, nosocomial, ORIGIN, outbreak, pathology, public, public health, Public-health, report, resistance, strain, teaching, Universities, university, use, veterinary, Veterinary Medicine, WIV-ISP
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