TY - JOUR
T1 - Predictors of antimicrobial-resistant Escherichia coli in the feces of vegetarians and newly hospitalized adults in Minnesota and Wisconsin
AU - Sannes, Mark R.
AU - Belongia, Edward A.
AU - Kieke, Burney
AU - Smith, Kirk
AU - Kieke, Amy
AU - Vandermause, Mary
AU - Bender, Jeff
AU - Clabots, Connie
AU - Winokur, Patricia
AU - Johnson, James R.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2008/2/1
Y1 - 2008/2/1
N2 - To determine whether poultry contact/consumption predicts colonization with antimicrobial-resistant Escherichia coli, 567 newly hospitalized patients and 100 vegetarians were assessed microbiologically and epidemiologically. Multivariable analysis showed that poultry contact/consumption, other dietary habits, and antimicrobial use did not significantly predict resistance. In contrast, foreign travel significantly predicted both trimethoprim- sulfamethoxazole resistance (prevalence ratio, 2.7 [95% confidence interval, 1.3-5.6]) and "any resistance" (total population), whereas intensive-care-unit exposure predicted any resistance (hospital patients). Thus, most of the individual-level exposures - including poultry contact/consumption - that had been expected to be significant risk factors for infection with antimicrobial-resistant E. coli did not prove to be such. Other exposures, including household-, community-, and population-level effects,maybe more important.
AB - To determine whether poultry contact/consumption predicts colonization with antimicrobial-resistant Escherichia coli, 567 newly hospitalized patients and 100 vegetarians were assessed microbiologically and epidemiologically. Multivariable analysis showed that poultry contact/consumption, other dietary habits, and antimicrobial use did not significantly predict resistance. In contrast, foreign travel significantly predicted both trimethoprim- sulfamethoxazole resistance (prevalence ratio, 2.7 [95% confidence interval, 1.3-5.6]) and "any resistance" (total population), whereas intensive-care-unit exposure predicted any resistance (hospital patients). Thus, most of the individual-level exposures - including poultry contact/consumption - that had been expected to be significant risk factors for infection with antimicrobial-resistant E. coli did not prove to be such. Other exposures, including household-, community-, and population-level effects,maybe more important.
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U2 - 10.1086/525530
DO - 10.1086/525530
M3 - Article
C2 - 18184093
AN - SCOPUS:39349088881
SN - 0022-1899
VL - 197
SP - 430
EP - 434
JO - Journal of Infectious Diseases
JF - Journal of Infectious Diseases
IS - 3
ER -