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• W2796862801 abstract "ObjectivesThe spread of carbapenem-resistant Enterobacteriaceae (CRE) in healthcare settings challenges clinicians worldwide. However, little is known about dissemination of CRE in livestock, food, and companion animals and potential transmission to humans.MethodsWe performed a systematic review of all studies published in the PubMed database between 1980 and 2017 and included those reporting the occurrence of CRE in samples from food-producing and companion animals, wildlife, and exposed humans. The primary outcome was the occurrence of CRE in samples from these animals; secondary outcomes included the prevalence of CRE, carbapenemase types, CRE genotypes, and antimicrobial susceptibilities.ResultsWe identified 68 articles describing CRE among pigs, poultry, cattle, seafood, dogs, cats, horses, pet birds, swallows, wild boars, wild stork, gulls, and black kites in Africa, America, Asia, Australia, and Europe. The following carbapenemases have been detected (predominantly affecting the genera Escherichia and Klebsiella): VIM, KPC, NDM, OXA, and IMP. Two studies found that 33–67% of exposed humans on poultry farms carried carbapenemase-producing CRE closely related to isolates from the farm environment. Twenty-seven studies selectively screened samples for CRE and found a prevalence of <1% among livestock and companion animals in Europe, 2–26% in Africa, and 1–15% in Asia. Wildlife (gulls) in Australia and Europe carried CRE in 16–19%.ConclusionsThe occurrence of CRE in livestock, seafood, wildlife, pets, and directly exposed humans poses a risk for public health. Prospective prevalence studies using molecular and cultural microbiological methods are needed to better define the scope and transmission of CRE." @default.
• W2796862801 created "2018-04-24" @default.
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• W2796862801 date "2018-12-01" @default.
• W2796862801 modified "2023-10-18" @default.
• W2796862801 title "Carbapenem-resistant Enterobacteriaceae in wildlife, food-producing, and companion animals: a systematic review" @default.
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• W2796862801 doi "https://doi.org/10.1016/j.cmi.2018.04.004" @default.
• W2796862801 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/29654871" @default.
• W2796862801 hasPublicationYear "2018" @default.
• W2796862801 type Work @default.

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