1. Transmission of multiple resistant Salmonella Concord from internationally adopted children to their adoptive families and social environment: proposition of guidelines
- Author
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Olivier Vandenberg, Frédéric Fux, Raymond Vanhoof, Oriane Stevart, Jean-Marc Collard, Sophie Bertrand, Paul Gillis, Cécile Boland, Institut Scientifique de Santé Publique [Belgique] - Scientific Institute of Public Health [Belgium] (WIV-ISP), Réseau International des Instituts Pasteur (RIIP), Virga Jesse Hospital, Université libre de Bruxelles (ULB), CHU Saint-Pierre, Institut Jules Bordet [Bruxelles], Faculté de Médecine [Bruxelles] (ULB), Université libre de Bruxelles (ULB)-Université libre de Bruxelles (ULB), Centre de Recherche Médicale et Sanitaire (Niamey, Niger) (CERMES), and In Belgium, this work was financed in part by the Federal Public Health Service.
- Subjects
Serotype ,Pediatrics ,Salmonella ,Yersinia Enterocolitica ,Salmonella infection ,Social Environment ,medicine.disease_cause ,MESH: Adoption ,Nalidixic Acid ,0302 clinical medicine ,Medical microbiology ,Belgium ,MESH: Belgium ,[SDV.MHEP.MI]Life Sciences [q-bio]/Human health and pathology/Infectious diseases ,Drug Resistance, Multiple, Bacterial ,Adopted Child ,Epidemiology ,Cluster Analysis ,030212 general & internal medicine ,PFGE Profile ,MESH: Phylogeny ,Phylogeny ,MESH: Social Environment ,Molecular Epidemiology ,0303 health sciences ,MESH: Molecular Typing ,Transmission (medicine) ,General Medicine ,Sciences bio-médicales et agricoles ,MESH: Infant ,Anti-Bacterial Agents ,3. Good health ,Infectious Diseases ,Child, Preschool ,Salmonella Infections ,Adult ,Microbiology (medical) ,medicine.medical_specialty ,MESH: Ethiopia ,Adoptive Family ,Article ,03 medical and health sciences ,Environmental health ,MESH: Anti-Bacterial Agents ,Adoption ,medicine ,Humans ,MESH: Molecular Epidemiology ,MESH: Salmonella ,Family Health ,MESH: Humans ,MESH: Salmonella Infections ,Molecular epidemiology ,030306 microbiology ,business.industry ,MESH: Child, Preschool ,Infant ,MESH: Adult ,MESH: Drug Resistance, Multiple, Bacterial ,medicine.disease ,MESH: Cluster Analysis ,[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology ,Molecular Typing ,Multiple drug resistance ,MESH: Family Health ,[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie ,Ethiopia ,business - Abstract
Since 2004, an increasing number of multidrug-resistant Salmonella serovar Concord infections have been isolated in Belgium among children adopted from Ethiopia. The patients or their family were interviewed and the isolates were subtyped. Between 2004 and 2009, a total of 39 Salmonella Concord infections were isolated from patients. Thirty-four isolates presented a multidrug resistance including resistance to extended-spectrum cephalosporins. Thirty-six cases involved children and 30 of these were adopted from Ethiopia. One case was due to contact with an adopted child and for the other 5 cases no direct epidemiological link with Ethiopia could be found, although four isolates displayed the same patterns observed on the adoptees' isolates, strongly suggesting a phylogenetic relationship with the Ethiopian isolates. Our study confirmed the emergence in Europe of S. Concord isolates resistant to third-generation cephalosporin among Ethiopian adoptees. We have demonstrated that transmission (intra- and extra familial) can happen even if the frequency seems to be low. The presence and the transmission of such a multidrug-resistant Salmonella infection constitute a major concern, since such strains could jeopardize classical antibiotic therapy in patients at risk. This study provides useful information for parents adopting children and for their family practitioner., JOURNAL ARTICLE, SCOPUS: ar.j, info:eu-repo/semantics/published
- Published
- 2012
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