Gut microbiota dynamics in travelers returning from India colonized with extended-spectrum cephalosporin-resistant Enterobacteriaceae: A longitudinal study

Intestinal colonization by extended-spectrum cephalosporin-resistant Enterobacteriaceae (ESC-R-Ent) has been attributed to travel to high prevalence countries. However, the dynamics of the microbiota changes during ESC-R-Ent colonization and whether there is a particular bacterial composition which...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Travel medicine and infectious disease 2019-01, Vol.27, p.72-80
Hauptverfasser: Pires, João, Kraemer, Julia G., Kuenzli, Esther, Kasraian, Sara, Tinguely, Regula, Hatz, Christoph, Endimiani, Andrea, Hilty, Markus
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 80
container_issue
container_start_page 72
container_title Travel medicine and infectious disease
container_volume 27
creator Pires, João
Kraemer, Julia G.
Kuenzli, Esther
Kasraian, Sara
Tinguely, Regula
Hatz, Christoph
Endimiani, Andrea
Hilty, Markus
description Intestinal colonization by extended-spectrum cephalosporin-resistant Enterobacteriaceae (ESC-R-Ent) has been attributed to travel to high prevalence countries. However, the dynamics of the microbiota changes during ESC-R-Ent colonization and whether there is a particular bacterial composition which is associated with subsequent colonization is unknown. Forty healthy volunteers living in Switzerland underwent screening before and after a trip to India, and also 3, 6 and 12 months after traveling. Culture-based ESC-R-Ent screening and microbiota analysis based on 16S rRNA amplicon sequencing were performed at all time points. Prevalence of ESC-R-Ent colonization before traveling was 10% (n = 4), whereas it increased to 76% (n = 31) after the trip. Based on bacterial diversity analyses of the gut microbiota, there were few but significant differences for colonized versus non-colonized individuals. However, an alternative, cluster based analysis revealed that individuals remained in the same cluster over time indicating that neither traveling nor ESC-R-Ent colonization significantly influences bacterial composition. Moreover, none of the found microbiota clusters were significantly associated with subsequent risk of ESC-R-Ent colonization. Based on their microbiota patterns, every volunteer was at the same risk of ESC-R-Ent colonization while traveling to India. Therefore, other risk factors for ESC-R-Ent colonization are responsible for this phenomenon.
doi_str_mv 10.1016/j.tmaid.2018.10.012
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2123717711</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1477893918303673</els_id><sourcerecordid>2194539509</sourcerecordid><originalsourceid>FETCH-LOGICAL-c387t-2dfb9b58028fe3c520f19d3d4668b02689efdb1f54ab6663a0c1a6ef7e8fd7413</originalsourceid><addsrcrecordid>eNp9kc9u1DAQxiMEoqXwBEjIEhcuWfwniR0kDlVVSqVKXOBsOfa4nVViL7ZTWF6Fl8XLFg4cOM149JtvrO9rmpeMbhhlw9vtpiwG3YZTpupkQxl_1JwyJUVLu44_rn0nZatGMZ40z3LeUip61YmnzYmgQoyKy9Pm59VayII2xQljMcTtg6nPTDCQksw9zJAySVDWFDDcEp_iQq6DQ0NsnGPAH-DINyx3BL4XCA5cm3dgS1oXYmF3Z-aYdzFhaBNkzMWEQi5DgXrP2FrQWDDwjpyTKnaLZXUYzExybfbPmyfezBlePNSz5suHy88XH9ubT1fXF-c3rRVKlpY7P41TryhXHoTtOfVsdMJ1w6Amygc1gncT831npmEYhKGWmQG8BOWd7Jg4a94cdXcpfl0hF71gtjDPJkBcs-aMC8mkZAf09T_oNlZn6u8qNXa9GHs6VkocqWprzgm83iVcTNprRvUhO73Vv7PTh-wOw5pd3Xr1oL1OC7i_O3_CqsD7IwDVjHuEpLNFCBYcpmq5dhH_e-AXxdGv9A</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2194539509</pqid></control><display><type>article</type><title>Gut microbiota dynamics in travelers returning from India colonized with extended-spectrum cephalosporin-resistant Enterobacteriaceae: A longitudinal study</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>ProQuest Central UK/Ireland</source><creator>Pires, João ; Kraemer, Julia G. ; Kuenzli, Esther ; Kasraian, Sara ; Tinguely, Regula ; Hatz, Christoph ; Endimiani, Andrea ; Hilty, Markus</creator><creatorcontrib>Pires, João ; Kraemer, Julia G. ; Kuenzli, Esther ; Kasraian, Sara ; Tinguely, Regula ; Hatz, Christoph ; Endimiani, Andrea ; Hilty, Markus</creatorcontrib><description>Intestinal colonization by extended-spectrum cephalosporin-resistant Enterobacteriaceae (ESC-R-Ent) has been attributed to travel to high prevalence countries. However, the dynamics of the microbiota changes during ESC-R-Ent colonization and whether there is a particular bacterial composition which is associated with subsequent colonization is unknown. Forty healthy volunteers living in Switzerland underwent screening before and after a trip to India, and also 3, 6 and 12 months after traveling. Culture-based ESC-R-Ent screening and microbiota analysis based on 16S rRNA amplicon sequencing were performed at all time points. Prevalence of ESC-R-Ent colonization before traveling was 10% (n = 4), whereas it increased to 76% (n = 31) after the trip. Based on bacterial diversity analyses of the gut microbiota, there were few but significant differences for colonized versus non-colonized individuals. However, an alternative, cluster based analysis revealed that individuals remained in the same cluster over time indicating that neither traveling nor ESC-R-Ent colonization significantly influences bacterial composition. Moreover, none of the found microbiota clusters were significantly associated with subsequent risk of ESC-R-Ent colonization. Based on their microbiota patterns, every volunteer was at the same risk of ESC-R-Ent colonization while traveling to India. Therefore, other risk factors for ESC-R-Ent colonization are responsible for this phenomenon.</description><identifier>ISSN: 1477-8939</identifier><identifier>EISSN: 1873-0442</identifier><identifier>DOI: 10.1016/j.tmaid.2018.10.012</identifier><identifier>PMID: 30339827</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Aged ; Anti-Bacterial Agents - pharmacology ; Antibiotics ; Antimicrobial agents ; Antimicrobial resistance ; Bacteria ; Cephalosporins - pharmacology ; Cluster Analysis ; Colonization ; Composition ; Deoxyribonucleic acid ; DNA ; Drug Resistance, Multiple, Bacterial ; Dynamics ; Enterobacteriaceae ; Enterobacteriaceae - drug effects ; Enterobacteriaceae - genetics ; Enterobacteriaceae Infections - epidemiology ; ESBL ; Feces - microbiology ; Female ; Food chains ; Gastrointestinal Microbiome ; Health care ; Healthy Volunteers ; Humans ; India ; Infectious diseases ; Intestinal colonization ; Intestinal flora ; Longitudinal Studies ; Male ; MDR bacteria ; Microbiota ; Middle Aged ; Prevalence ; Prospective Studies ; Risk factors ; RNA, Ribosomal, 16S - genetics ; Switzerland ; Time Factors ; Travel ; Travel medicine ; Travel-Related Illness</subject><ispartof>Travel medicine and infectious disease, 2019-01, Vol.27, p.72-80</ispartof><rights>2018 Elsevier Ltd</rights><rights>Copyright © 2018 Elsevier Ltd. All rights reserved.</rights><rights>Copyright Elsevier Limited Jan 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c387t-2dfb9b58028fe3c520f19d3d4668b02689efdb1f54ab6663a0c1a6ef7e8fd7413</citedby><cites>FETCH-LOGICAL-c387t-2dfb9b58028fe3c520f19d3d4668b02689efdb1f54ab6663a0c1a6ef7e8fd7413</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/2194539509?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995,64385,64387,64389,72469</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30339827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pires, João</creatorcontrib><creatorcontrib>Kraemer, Julia G.</creatorcontrib><creatorcontrib>Kuenzli, Esther</creatorcontrib><creatorcontrib>Kasraian, Sara</creatorcontrib><creatorcontrib>Tinguely, Regula</creatorcontrib><creatorcontrib>Hatz, Christoph</creatorcontrib><creatorcontrib>Endimiani, Andrea</creatorcontrib><creatorcontrib>Hilty, Markus</creatorcontrib><title>Gut microbiota dynamics in travelers returning from India colonized with extended-spectrum cephalosporin-resistant Enterobacteriaceae: A longitudinal study</title><title>Travel medicine and infectious disease</title><addtitle>Travel Med Infect Dis</addtitle><description>Intestinal colonization by extended-spectrum cephalosporin-resistant Enterobacteriaceae (ESC-R-Ent) has been attributed to travel to high prevalence countries. However, the dynamics of the microbiota changes during ESC-R-Ent colonization and whether there is a particular bacterial composition which is associated with subsequent colonization is unknown. Forty healthy volunteers living in Switzerland underwent screening before and after a trip to India, and also 3, 6 and 12 months after traveling. Culture-based ESC-R-Ent screening and microbiota analysis based on 16S rRNA amplicon sequencing were performed at all time points. Prevalence of ESC-R-Ent colonization before traveling was 10% (n = 4), whereas it increased to 76% (n = 31) after the trip. Based on bacterial diversity analyses of the gut microbiota, there were few but significant differences for colonized versus non-colonized individuals. However, an alternative, cluster based analysis revealed that individuals remained in the same cluster over time indicating that neither traveling nor ESC-R-Ent colonization significantly influences bacterial composition. Moreover, none of the found microbiota clusters were significantly associated with subsequent risk of ESC-R-Ent colonization. Based on their microbiota patterns, every volunteer was at the same risk of ESC-R-Ent colonization while traveling to India. Therefore, other risk factors for ESC-R-Ent colonization are responsible for this phenomenon.</description><subject>Adult</subject><subject>Aged</subject><subject>Anti-Bacterial Agents - pharmacology</subject><subject>Antibiotics</subject><subject>Antimicrobial agents</subject><subject>Antimicrobial resistance</subject><subject>Bacteria</subject><subject>Cephalosporins - pharmacology</subject><subject>Cluster Analysis</subject><subject>Colonization</subject><subject>Composition</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>Drug Resistance, Multiple, Bacterial</subject><subject>Dynamics</subject><subject>Enterobacteriaceae</subject><subject>Enterobacteriaceae - drug effects</subject><subject>Enterobacteriaceae - genetics</subject><subject>Enterobacteriaceae Infections - epidemiology</subject><subject>ESBL</subject><subject>Feces - microbiology</subject><subject>Female</subject><subject>Food chains</subject><subject>Gastrointestinal Microbiome</subject><subject>Health care</subject><subject>Healthy Volunteers</subject><subject>Humans</subject><subject>India</subject><subject>Infectious diseases</subject><subject>Intestinal colonization</subject><subject>Intestinal flora</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>MDR bacteria</subject><subject>Microbiota</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Risk factors</subject><subject>RNA, Ribosomal, 16S - genetics</subject><subject>Switzerland</subject><subject>Time Factors</subject><subject>Travel</subject><subject>Travel medicine</subject><subject>Travel-Related Illness</subject><issn>1477-8939</issn><issn>1873-0442</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kc9u1DAQxiMEoqXwBEjIEhcuWfwniR0kDlVVSqVKXOBsOfa4nVViL7ZTWF6Fl8XLFg4cOM149JtvrO9rmpeMbhhlw9vtpiwG3YZTpupkQxl_1JwyJUVLu44_rn0nZatGMZ40z3LeUip61YmnzYmgQoyKy9Pm59VayII2xQljMcTtg6nPTDCQksw9zJAySVDWFDDcEp_iQq6DQ0NsnGPAH-DINyx3BL4XCA5cm3dgS1oXYmF3Z-aYdzFhaBNkzMWEQi5DgXrP2FrQWDDwjpyTKnaLZXUYzExybfbPmyfezBlePNSz5suHy88XH9ubT1fXF-c3rRVKlpY7P41TryhXHoTtOfVsdMJ1w6Amygc1gncT831npmEYhKGWmQG8BOWd7Jg4a94cdXcpfl0hF71gtjDPJkBcs-aMC8mkZAf09T_oNlZn6u8qNXa9GHs6VkocqWprzgm83iVcTNprRvUhO73Vv7PTh-wOw5pd3Xr1oL1OC7i_O3_CqsD7IwDVjHuEpLNFCBYcpmq5dhH_e-AXxdGv9A</recordid><startdate>201901</startdate><enddate>201901</enddate><creator>Pires, João</creator><creator>Kraemer, Julia G.</creator><creator>Kuenzli, Esther</creator><creator>Kasraian, Sara</creator><creator>Tinguely, Regula</creator><creator>Hatz, Christoph</creator><creator>Endimiani, Andrea</creator><creator>Hilty, Markus</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>F1W</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H95</scope><scope>H97</scope><scope>K9.</scope><scope>KB0</scope><scope>L.G</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>201901</creationdate><title>Gut microbiota dynamics in travelers returning from India colonized with extended-spectrum cephalosporin-resistant Enterobacteriaceae: A longitudinal study</title><author>Pires, João ; Kraemer, Julia G. ; Kuenzli, Esther ; Kasraian, Sara ; Tinguely, Regula ; Hatz, Christoph ; Endimiani, Andrea ; Hilty, Markus</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c387t-2dfb9b58028fe3c520f19d3d4668b02689efdb1f54ab6663a0c1a6ef7e8fd7413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anti-Bacterial Agents - pharmacology</topic><topic>Antibiotics</topic><topic>Antimicrobial agents</topic><topic>Antimicrobial resistance</topic><topic>Bacteria</topic><topic>Cephalosporins - pharmacology</topic><topic>Cluster Analysis</topic><topic>Colonization</topic><topic>Composition</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>Drug Resistance, Multiple, Bacterial</topic><topic>Dynamics</topic><topic>Enterobacteriaceae</topic><topic>Enterobacteriaceae - drug effects</topic><topic>Enterobacteriaceae - genetics</topic><topic>Enterobacteriaceae Infections - epidemiology</topic><topic>ESBL</topic><topic>Feces - microbiology</topic><topic>Female</topic><topic>Food chains</topic><topic>Gastrointestinal Microbiome</topic><topic>Health care</topic><topic>Healthy Volunteers</topic><topic>Humans</topic><topic>India</topic><topic>Infectious diseases</topic><topic>Intestinal colonization</topic><topic>Intestinal flora</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>MDR bacteria</topic><topic>Microbiota</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Risk factors</topic><topic>RNA, Ribosomal, 16S - genetics</topic><topic>Switzerland</topic><topic>Time Factors</topic><topic>Travel</topic><topic>Travel medicine</topic><topic>Travel-Related Illness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pires, João</creatorcontrib><creatorcontrib>Kraemer, Julia G.</creatorcontrib><creatorcontrib>Kuenzli, Esther</creatorcontrib><creatorcontrib>Kasraian, Sara</creatorcontrib><creatorcontrib>Tinguely, Regula</creatorcontrib><creatorcontrib>Hatz, Christoph</creatorcontrib><creatorcontrib>Endimiani, Andrea</creatorcontrib><creatorcontrib>Hilty, Markus</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing &amp; Allied Health Source</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>ASFA: Aquatic Sciences and Fisheries Abstracts</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) 1: Biological Sciences &amp; Living Resources</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) 3: Aquatic Pollution &amp; Environmental Quality</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Aquatic Science &amp; Fisheries Abstracts (ASFA) Professional</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Travel medicine and infectious disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pires, João</au><au>Kraemer, Julia G.</au><au>Kuenzli, Esther</au><au>Kasraian, Sara</au><au>Tinguely, Regula</au><au>Hatz, Christoph</au><au>Endimiani, Andrea</au><au>Hilty, Markus</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Gut microbiota dynamics in travelers returning from India colonized with extended-spectrum cephalosporin-resistant Enterobacteriaceae: A longitudinal study</atitle><jtitle>Travel medicine and infectious disease</jtitle><addtitle>Travel Med Infect Dis</addtitle><date>2019-01</date><risdate>2019</risdate><volume>27</volume><spage>72</spage><epage>80</epage><pages>72-80</pages><issn>1477-8939</issn><eissn>1873-0442</eissn><abstract>Intestinal colonization by extended-spectrum cephalosporin-resistant Enterobacteriaceae (ESC-R-Ent) has been attributed to travel to high prevalence countries. However, the dynamics of the microbiota changes during ESC-R-Ent colonization and whether there is a particular bacterial composition which is associated with subsequent colonization is unknown. Forty healthy volunteers living in Switzerland underwent screening before and after a trip to India, and also 3, 6 and 12 months after traveling. Culture-based ESC-R-Ent screening and microbiota analysis based on 16S rRNA amplicon sequencing were performed at all time points. Prevalence of ESC-R-Ent colonization before traveling was 10% (n = 4), whereas it increased to 76% (n = 31) after the trip. Based on bacterial diversity analyses of the gut microbiota, there were few but significant differences for colonized versus non-colonized individuals. However, an alternative, cluster based analysis revealed that individuals remained in the same cluster over time indicating that neither traveling nor ESC-R-Ent colonization significantly influences bacterial composition. Moreover, none of the found microbiota clusters were significantly associated with subsequent risk of ESC-R-Ent colonization. Based on their microbiota patterns, every volunteer was at the same risk of ESC-R-Ent colonization while traveling to India. Therefore, other risk factors for ESC-R-Ent colonization are responsible for this phenomenon.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>30339827</pmid><doi>10.1016/j.tmaid.2018.10.012</doi><tpages>9</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1477-8939
ispartof Travel medicine and infectious disease, 2019-01, Vol.27, p.72-80
issn 1477-8939
1873-0442
language eng
recordid cdi_proquest_miscellaneous_2123717711
source MEDLINE; ScienceDirect Journals (5 years ago - present); ProQuest Central UK/Ireland
subjects Adult
Aged
Anti-Bacterial Agents - pharmacology
Antibiotics
Antimicrobial agents
Antimicrobial resistance
Bacteria
Cephalosporins - pharmacology
Cluster Analysis
Colonization
Composition
Deoxyribonucleic acid
DNA
Drug Resistance, Multiple, Bacterial
Dynamics
Enterobacteriaceae
Enterobacteriaceae - drug effects
Enterobacteriaceae - genetics
Enterobacteriaceae Infections - epidemiology
ESBL
Feces - microbiology
Female
Food chains
Gastrointestinal Microbiome
Health care
Healthy Volunteers
Humans
India
Infectious diseases
Intestinal colonization
Intestinal flora
Longitudinal Studies
Male
MDR bacteria
Microbiota
Middle Aged
Prevalence
Prospective Studies
Risk factors
RNA, Ribosomal, 16S - genetics
Switzerland
Time Factors
Travel
Travel medicine
Travel-Related Illness
title Gut microbiota dynamics in travelers returning from India colonized with extended-spectrum cephalosporin-resistant Enterobacteriaceae: A longitudinal study
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T20%3A19%3A27IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Gut%20microbiota%20dynamics%20in%20travelers%20returning%20from%20India%20colonized%20with%20extended-spectrum%20cephalosporin-resistant%20Enterobacteriaceae:%20A%20longitudinal%20study&rft.jtitle=Travel%20medicine%20and%20infectious%20disease&rft.au=Pires,%20Jo%C3%A3o&rft.date=2019-01&rft.volume=27&rft.spage=72&rft.epage=80&rft.pages=72-80&rft.issn=1477-8939&rft.eissn=1873-0442&rft_id=info:doi/10.1016/j.tmaid.2018.10.012&rft_dat=%3Cproquest_cross%3E2194539509%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2194539509&rft_id=info:pmid/30339827&rft_els_id=S1477893918303673&rfr_iscdi=true