Volume 19, Number 8—August 2013
CME ACTIVITY - Research
Extended-Spectrum β-Lactamase–producing Enterobacteriaceae among Travelers from the Netherlands
Sunita Paltansing
, Jessica A. Vlot, Margriet E.M. Kraakman, Romy Mesman, Marguerite L. Bruijning, Alexandra T. Bernards, Leo G. Visser1, and Karin Ellen Veldkamp1
, Jessica A. Vlot, Margriet E.M. Kraakman, Romy Mesman, Marguerite L. Bruijning, Alexandra T. Bernards, Leo G. Visser1, and Karin Ellen Veldkamp1
Table 1
Incidence proportions and incidence rates for extended-spectrum β-lactamase producing Enterobacteriaceae colonization in 338 travelers from the Netherlands*
| Destination | No. travelers | No. (%) travelers with ESBL-E after return | Incidence proportion, % (SE) | Person-days, all travelers | Mean duration of travel, all travelers, d | ESBL incidence rate/100 pdt (SE) |
|---|---|---|---|---|---|---|
| Southeast Asia | 110 | 37 (34) | 34 (4.5) | 2,980 | 27 | 1.24 (0.20) |
| East Asia | 33 | 22 (67) | 67 (8.3) | 776 | 24 | 2.83 (0.60) |
| South Asia | 25 | 18 (72) | 72 (9.2) | 599 | 24 | 3.01 (0.70) |
| Central Asia | 3 | 1 (30) | 33 (33.3) | 94 | 31 | 1.06 (1.06) |
| North Africa | 10 | 4 (40) | 40 (16.3) | 112 | 11.2 | 3.57 (1.76)† |
| Central Africa | 56 | 17 (30) | 30 (6.2) | 1,637 | 29 | 1.04 (0.25) |
| Southern Africa | 26 | 3 (12) | 12 (6.6) | 631 | 25 | 0.48 (0.27) |
| Middle East | 15 | 2 (13) | 13 (9.1) | 222 | 14.8 | 0.90 (0.64) |
| Central America and the Caribbean | 28 | 7 (25) | 25 (8.3) | 544 | 19 | 1.29 (0.48) |
| South America |
32 |
2 (6) |
6 (4.4) |
922 |
29 |
0.22 (0.15) |
| Total | 338 | 113 (33) | 33 (2.6) | 8,536 | 25 | 1.32 (0.12) |
*ESBL-E, extended-spectrum β-lactamase–producing Enterobacteriaceae; SE, standard error; pdt, person-days of travel.
†The ESBL incidence rate/100 pdt is represented by 4 travelers returning from North Africa who carried ESBL-E: 3 of them had traveled for 7 days and 1 had a 25-day stay abroad, which accounts for the high SE.
1These authors contributed equally to this article.
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