دورية أكاديمية

Gut microbiome dynamics in index patients colonized with extended-spectrum beta-lactamase (ESBL)-producing Enterobacterales after hospital discharge and their household contacts.

التفاصيل البيبلوغرافية
العنوان: Gut microbiome dynamics in index patients colonized with extended-spectrum beta-lactamase (ESBL)-producing Enterobacterales after hospital discharge and their household contacts.
المؤلفون: Top J; Department of Medical Microbiology, University Medical Center Utrecht , Utrecht, the Netherlands., Verschuuren TD; Mahidol Oxford Tropical Medicine Research Unit (MORU) , Bangkok, Thailand., Viveen MC; Department of Medical Microbiology, University Medical Center Utrecht , Utrecht, the Netherlands., Riccio ME; University of Geneva Hospitals and Faculty of Medicine, Infection Control Program, WHO Collaborating Center , Geneva, Switzerland., Harbarth S; University of Geneva Hospitals and Faculty of Medicine, Infection Control Program, WHO Collaborating Center , Geneva, Switzerland., Kluytmans JAJW; Department of Medical Microbiology, University Medical Center Utrecht , Utrecht, the Netherlands., Willems RJL; Department of Medical Microbiology, University Medical Center Utrecht , Utrecht, the Netherlands., Paganelli FL; Department of Medical Microbiology, University Medical Center Utrecht , Utrecht, the Netherlands.
المصدر: Microbiology spectrum [Microbiol Spectr] 2023 Dec 12; Vol. 11 (6), pp. e0127523. Date of Electronic Publication: 2023 Oct 27.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: ASM Press Country of Publication: United States NLM ID: 101634614 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2165-0497 (Electronic) Linking ISSN: 21650497 NLM ISO Abbreviation: Microbiol Spectr Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Washington, DC : ASM Press, 2013-
مواضيع طبية MeSH: Gastrointestinal Microbiome*, Humans ; Patient Discharge ; beta-Lactamases ; Escherichia coli ; Klebsiella pneumoniae ; Hospitals ; Anti-Bacterial Agents
مستخلص: Importance: Colonization with extended-spectrum beta-lactamase-producing Enterobacterales (ESBL-PE) often precedes infections and is therefore considered as a great threat for public health. Here, we studied the gut microbiome dynamics in eight index patients colonized with ESBL-PE after hospital discharge and the impact of exposure to this index patient on the gut microbiome dynamics of their household contacts. We showed that the microbiome composition from index patients is different from their household contacts upon hospital discharge and that, in some of the index patients, their microbiome composition over time shifted toward the composition of their household contacts. In contrast, household contacts showed a stable microbiome composition over time irrespective of low-level extended-spectrum beta-lactamase-producing Escherichia coli (ESBL-Ec) or extended-spectrum beta-lactamase-producing Klebsiella pneumoniae (ESBL-Kp) gut colonization, suggesting that, in healthy microbiomes, colonization resistance is able to prevent ESBL-PE expansion.
Competing Interests: The authors declare no conflict of interest.
فهرسة مساهمة: Keywords: ESBL-Enterobacterales; gut microbiome dynamics; household contacts; index patient
المشرفين على المادة: EC 3.5.2.6 (beta-Lactamases)
0 (Anti-Bacterial Agents)
تواريخ الأحداث: Date Created: 20231027 Date Completed: 20231216 Latest Revision: 20231216
رمز التحديث: 20231217
مُعرف محوري في PubMed: PMC10714770
DOI: 10.1128/spectrum.01275-23
PMID: 37888982
قاعدة البيانات: MEDLINE
الوصف
تدمد:2165-0497
DOI:10.1128/spectrum.01275-23