1. Predictors of Antimicrobial-Resistant Escherichia coli in the Feces of Vegetarians and Newly Hospitalized Adults in Minnesota and Wisconsin.
- Author
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Sannes, Mark R., Belongia, Edward A., Kieke, Burney, Smith, Kirk, Kieke, Amy, Vandermause, Mary, Bender, Jeff, Clabots, Connie, Winokur, Patricia, and Johnson, James R.
- Subjects
ESCHERICHIA coli ,FECES ,MICROBIOLOGY ,EPIDEMIOLOGICAL research ,COMMUNICABLE diseases - Abstract
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, 1.3-5.61) 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. [ABSTRACT FROM AUTHOR]
- Published
- 2008
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