Predictors of antimicrobial-resistant Escherichia coli in the feces of vegetarians and newly hospitalized adults in Minnesota and Wisconsin

J Infect Dis. 2008 Feb 1;197(3):430-4. doi: 10.1086/525530.

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, 1.3-5.6]) 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, may be more important.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Anti-Bacterial Agents / pharmacology*
  • Diet, Vegetarian / adverse effects*
  • Drug Combinations
  • Drug Resistance, Bacterial
  • Escherichia coli / drug effects
  • Escherichia coli / isolation & purification*
  • Feces / virology*
  • Female
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Minnesota
  • Sulfamethizole / pharmacology
  • Travel
  • Trimethoprim / pharmacology
  • Wisconsin

Substances

  • Anti-Bacterial Agents
  • Drug Combinations
  • Sulfamethizole
  • trimethoprim sulfamethizole
  • Trimethoprim