1. Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study.
- Author
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Stabler S, Paccoud O, Duchesne L, Piot MA, Valin N, Decré D, Girard PM, Lalande V, Lacombe K, and Surgers L
- Subjects
- Humans, Retrospective Studies, Anti-Bacterial Agents therapeutic use, Paris, Prevalence, Cross-Sectional Studies, Drug Resistance, Bacterial, France, Methicillin-Resistant Staphylococcus aureus, Transients and Migrants, Communicable Diseases epidemiology
- Abstract
Objectives: The aim of this study was to estimate the prevalence of anti-microbial resistance (AMR) carriage and its risk factors in hospitalized migrants. Additionally, the prevalence of infectious diseases was evaluated, as well as symptoms of psychological trauma. Methods: We conducted a retrospective monocentric cross-sectional study including all migrant patients recently arrived and hospitalised over a one-year period. Results: Among 101 patients, seventy-nine percent originated from Sub-Saharan Africa. The overall AMR carriage rate was 20.7% [95% CI: 12.4; 28.9%]. We isolated 5/92 methicillin-resistant Staphylococcus aureus strains (5.4%) and 15/92 extended-spectrum beta-lactamase-producing Enterobacteriaceae (16.4%). AMR carriage was associated with older age, region of origin and length of migration. Rates of HIV, HBV, and HCV infection were 39.6%, 32.7%, and 5%, reflecting sampling bias linked to reasons for hospitalization. Eleven percent had serological evidence of treponemasis and 7.8% had Chlamydia trachomatis infection. Symptoms of depression or post-traumatic stress disorder were observed for more than half the patients. Conclusion: It appears essential to offer a systematic and comprehensive post-arrival screening of AMR carriage, infectious diseases and psychological trauma to subjects who experienced migration., Competing Interests: The authors declare that they do not have any conflicts of interest., (Copyright © 2022 Stabler, Paccoud, Duchesne, Piot, Valin, Decré, Girard, Lalande, Lacombe and Surgers.)
- Published
- 2022
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