Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-14T04:24:24.605Z Has data issue: false hasContentIssue false

Extended-Spectrum β-Lactamase (ESBL)–Producing Enterobacteriaceae: A Threat from the Kitchen

Published online by Cambridge University Press:  10 May 2016

Sarah Tschudin-Sutter
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
Reno Frei
Affiliation:
Division of Clinical Microbiology, University Hospital Basel, Basel, Switzerland
Roger Stephan
Affiliation:
Institute for Food Safety and Hygiene, University of Zurich, Zurich, Switzerland
Herbert Hächler
Affiliation:
Institute for Food Safety and Hygiene, University of Zurich, Zurich, Switzerland
Danica Nogarth
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
Andreas F. Widmer*
Affiliation:
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Basel, Switzerland
*
Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Petersgraben 4, CH-4031 Basel, Switzerland (andreas.widmer@uhbs.ch)

Abstract

Food is an established source of extended-spectrum (β-lactamase (ESBL)-producing Enterobacteriaceae. Hand hygiene and cooking prevent transmission, but hands could be recontaminated by touching used cutting boards. ESBL-producing Escherichia coli were identified on 12% of cutting boards and 50% of gloves after poultry preparation, pointing to an important source for transmission.

Type
Concise Communication
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2014

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Kluytmans, JA, Overdevest, IT, Willemsen, I, et al. Extended-spectrum β-lactamase-producing Escherichia coli from retail chicken meat and humans: comparison of strains, plasmids, resistance genes, and virulence factors. Clin Infect Dis 2013;56(4)478487.Google Scholar
2. Dubois, V, DeBarbeyrac, B, Rogues, AM, et al. CTX-M-producing Escherichia coli in a maternity ward: a likely community importation and evidence of mother-to-neonate transmission. J Antimicrob Chemother 2010;65(7)13681371.Google Scholar
3. Calbo, E, Freixas, N, Xercavins, M, et al. Foodborne nosocomial outbreak of SHV1 and CTX-M-15-producing Klebsiella pneumoniae: epidemiology and control. Clin Infect Dis 2011;52(6)743749.Google Scholar
4. Murk, JLA, Heddema, ER, Hess, DL, Bogaards, JA, Vanden-broucke-Grauls, CMJE, Debets-Ossenkopp, YJ. Enrichment broth improved detection of extended-spectrum-beta-lactamase-producing bacteria in throat and rectal surveillance cultures of sampies from patients in intensive care units. J Clin Microbiol 2009;47(6)18851887.CrossRefGoogle Scholar
5. Geser, N, Stephan, R, Kuhnert, P, et al. Fecal carriage of extended-spectrum β-lactamase-producing Enterobacteriaceae in swine and cattle at slaughter in Switzerland. J Food Prot 2011;74(3): 446449.Google Scholar
6. Geser, N, Stephan, R, Hächler H. Occurrence and characteristics of extended-spectrum β-lactamase (ESBL) producing Enterobacteriaceae in food producing animals, minced meat and raw milk. BMC Vet Res 2012;8:21.CrossRefGoogle ScholarPubMed
7. Overdevest, I, Willemsen, I, Rijnsburger, M, et al. Extended-spectrum β-lactamase genes of Escherichia coli in chicken meat and humans, the Netherlands. Emerg Infect Dis 2011;17(7)12161222.Google Scholar
8. Abgottspon, H, Stephan, R, Bagutti, C, Brodmann, P, Hächler, H, Zurfluh, K. Characteristics of extended-spectrum cephalosporin resistant Escherichia coli isolated from Swiss and imported poultry meat. J Food Prot 2014;77(1)112115.Google Scholar
9. Hilty, M, Betsch, BY, Bögli-Stuber, K, et al. Transmission dynamics of extended-spectrum β-lactamase-producing Enterobacteriaceae in the tertiary care hospital and the household setting. Clin Infect Dis 2012;55(7)967975.Google Scholar
10. Stiefel, U, Cadnum, JL, Eckstein, BC, Guerrero, DM, Tima, MA, Donskey, CJ. Contamination of hands with methicillin-resistant Staphylococcus aureus after contact with environmental surfaces and after contact with the skin of colonized patients. Infect Control Hosp Epidemiol 2011;32(2)185187.Google Scholar