Table 2. Detection of enteric colonization with third-generation cephalosporin-resistant Enterobacteriaceae in returned soldiers and previously reported detection rates in selected African and Asian countries (in alphabetic order).
Country | Resistant isolates in returned soldiers, n (%) | Percentage of resistant isolates within all analyzed Enterobacteriaceae in studies in the named countries (years of analysis) | References from previous studies |
---|---|---|---|
Central African Republic | 0/1 (0) | 12% of infections (2004–2006) | [19] |
China | 0/1 (0) | 41% colonization (2011–2012) and 38–69% of infections (2011) | [20, 21] |
Ethiopia | 0/1 (0) | 33% of infections (2003–2004) | [22] |
Gabon | 0/6 (0) | 45% colonization (2012) and 15% of infections (2009–2012) | [5, 23] |
Ghana | 1/9 (11.1) | 49% of infections (2011–2012) | [24] |
Indonesia | 0/3 (0) | 2% colonization (2001–2002) and 36% of infections (2005) | [25, 26] |
Morocco | 0/1 (0) | 43% colonization (2012) and 8% of infections (2010–2011) | [27, 28] |
Nigeria | 1/13 (7.7) | 37% of infections (2013) | [29] |
Pakistan | 0/2 (0) | 60% of infections (2009) | [30] |
Senegal | 0/5 (0) | 4% of infections (2004–2006) | [31] |
Tanzania | 1/7 (14.3) | 79% of infections (2011–2012) | [32] |
Thailand | 1/3 (33.3) | 12% of infections (2004–2010) | [33] |
Uganda | 3/41 (7.3) | 79% of infections (2011–2012) | [34] |
Vietnam | 0/1 (0) | 40–49% of infections (2009–2011) | [35] |
Interpretation has to be performed with care due to the very low numbers of assessed returned soldiers. A trend to very low colonization rates in the returnees is nevertheless detectable.