Abstract
We show high rates of extended-spectrum beta-lactamase-producing Enterobacteriaceae carriage among the staff and children at an orphanage in Bamako, Mali. Enterobacteriaceae colonized in 100% and 63%, respectively, of the 38 children and 30 adults studied. Use of antimicrobial drugs appeared excessive and inappropriate; decontamination and hygiene protocols were also questioned.
MeSH terms
-
Adult
-
Anti-Bacterial Agents / pharmacology*
-
Caregivers / statistics & numerical data
-
Carrier State / epidemiology
-
Carrier State / microbiology
-
Child
-
Child, Orphaned / statistics & numerical data
-
Cross-Sectional Studies
-
Disease Outbreaks*
-
Drug Resistance, Multiple, Bacterial
-
Enterobacteriaceae / classification
-
Enterobacteriaceae / drug effects
-
Enterobacteriaceae / enzymology*
-
Enterobacteriaceae / isolation & purification
-
Enterobacteriaceae Infections / diagnosis
-
Enterobacteriaceae Infections / epidemiology*
-
Enterobacteriaceae Infections / microbiology
-
Humans
-
Infant
-
Mali / epidemiology
-
Orphanages*
-
beta-Lactamases / biosynthesis*
Substances
-
Anti-Bacterial Agents
-
beta-Lactamases