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Abstract

Extended-spectrum beta-lactamase-producing (ESBL-E) are a major focus of multidrug-resistant organisms (MRO) surveillance programmes in France. To describe the temporal and geographical trends of these pathogens, we conducted an epidemiological study based on data extracted from the nationwide MRO surveillance network from 2009 to 2013. During this time, the incidence of ESBL-E infections in French hospitals increased by 73%, from 0.35 to 0.60 per 1,000 patient days (PD) (p < 0.001) and ESBL-E bacteraemia by 77%, from 0.03 to 0.05 per 1,000 PD (p < 0.001). The incidence of ESBL-E infections was higher in intensive-care units (1.62 to 2.44 per 1,000 PD (p < 0.001)) than in recovery and long-term care facilities (0.20 to 0.31 per 1,000 PD (p < 0.001)). was the most frequent extended-spectrum beta-lactamase-producing (ESBL) pathogen, representing 59% (26,238/44,425) of all ESBL isolates, followed by (20%; 8,856/44,425) in 2013. The most frequent infection was urinary tract infection, for all species. The incidence of ESBL-E varied by region but showed an upward trend overall. Reinforcement of control measures for halting the spread of such MRO is crucial.

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/content/10.2807/1560-7917.ES.2015.20.36.30014
2015-09-10
2024-04-19
http://instance.metastore.ingenta.com/content/10.2807/1560-7917.ES.2015.20.36.30014
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Ongoing increasing temporal and geographical trends of the incidence of extended-spectrum beta-lactamase-producing Enterobacteriaceae infections in France, 2009 to 2013
<p class="citation"> <span>Citation style for this article:</span> <span class="meta-value authors"> <a href="/search?value1=Isabelle+Arnaud&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Arnaud Isabelle</a>, <a href="/search?value1=Sylvie+Maugat&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Maugat Sylvie</a>, <a href="/search?value1=Vincent+Jarlier&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Jarlier Vincent</a>, <a href="/search?value1=Pascal+Astagneau&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Astagneau Pascal</a>, <a href="/search?value1=for+the+National+Early+Warning&option1=author&noRedirect=true" class="nonDisambigAuthorLink">for the National Early Warning</a>, <a href="/search?value1=Investigation+and+Surveillance+of+Healthcare-Associated+Infections+Network+%28RAISIN%29%2Fmultidrug+resistance+study+group&option1=author&noRedirect=true" class="nonDisambigAuthorLink">Investigation and Surveillance of Healthcare-Associated Infections Network (RAISIN)/multidrug resistance study group</a></span>. Ongoing increasing temporal and geographical trends of the incidence of extended-spectrum beta-lactamase-producing Enterobacteriaceae infections in France, 2009 to 2013. <a href="/content/ecdc">Euro Surveill.</a> 2015;20(36):pii=30014. <a href="https://doi.org/10.2807/1560-7917.ES.2015.20.36.30014" title="doi link" target="_blank">https://doi.org/10.2807/1560-7917.ES.2015.20.36.30014</a> <span class="ES_Article_citation"> <span class="generated">Received</span>: 19 Nov 2014;&nbsp;&nbsp; <span class="generated">Accepted</span>: 13 Aug 2015 </span> </p>
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