Travel-Related Antimicrobial Resistance: A Systematic Review.
Travel-Related Antimicrobial Resistance: A Systematic Review.
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DOI：
10.3390/tropicalmed6010011
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发表时间：
2021-01-16
影响因子：
2.9
通讯作者：
Hill-Cawthorne GA
中科院分区：
文献类型：
--
作者：
Bokhary H;Pangesti KNA;Rashid H;Abd El Ghany M;Hill-Cawthorne GA
越来越多的证据表明，人类活动促进了耐药细菌和抗菌素耐药性（AMR）基因的全球传播。我们系统地回顾了关于旅行对AMR传播影响的文献。我们检索了数据库Medline、EMBASE和SCOPUS，从数据库建立到2019年6月底。在确定的3052篇文章中，2253篇文章通过了初步筛选，其中238篇符合纳入标准。这些研究涵盖了来自26种已鉴定细菌的30，060株耐药菌株。大多数为肠道，占已鉴定菌种的65%和所有记录分离株的92%。高收入国家更有可能成为来自中低收入国家的AMR的接受国。携带耐药细菌的旅行者最常见的来源是亚洲，占总分离株的36%。β-内酰胺类和喹诺酮类是最常见的耐药菌，分别占总耐药性的35%和31%。医疗旅游与耐多药微生物相关的可能性是一般旅游的两倍。国际旅行是抗菌素耐药性在全球传播的一种途径。卫生系统应查明最近的旅行者，以确保采取适当的预防措施。
There is increasing evidence that human movement facilitates the global spread of resistant bacteria and antimicrobial resistance (AMR) genes. We systematically reviewed the literature on the impact of travel on the dissemination of AMR. We searched the databases Medline, EMBASE and SCOPUS from database inception until the end of June 2019. Of the 3052 titles identified, 2253 articles passed the initial screening, of which 238 met the inclusion criteria. The studies covered 30,060 drug-resistant isolates from 26 identified bacterial species. Most were enteric, accounting for 65% of the identified species and 92% of all documented isolates. High-income countries were more likely to be recipient nations for AMR originating from middle- and low-income countries. The most common origin of travellers with resistant bacteria was Asia, covering 36% of the total isolates. Beta-lactams and quinolones were the most documented drug-resistant organisms, accounting for 35% and 31% of the overall drug resistance, respectively. Medical tourism was twice as likely to be associated with multidrug-resistant organisms than general travel. International travel is a vehicle for the transmission of antimicrobial resistance globally. Health systems should identify recent travellers to ensure that adequate precautions are taken.
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影响因子：
4.9
作者：
Jeon YL;Nam YS;Lim G;Cho SY;Kim YT;Jang JH;Kim J;Park M;Lee HJ
通讯作者：
Lee HJ
影响因子：
11.8
作者：
Barlow, Russell S.;DeBess, Emilio E.;Cieslak, Paul R.
通讯作者：
Cieslak, Paul R.
影响因子：
14.2
作者：
Birgand, G.;Armand-Lefevre, L.;Lucet, J. C.
通讯作者：
Lucet, J. C.
影响因子：
11.8
作者：
Alexander DC;Hao W;Gilmour MW;Zittermann S;Sarabia A;Melano RG;Peralta A;Lombos M;Warren K;Amatnieks Y;Virey E;Ma JH;Jamieson FB;Low DE;Allen VG
通讯作者：
Allen VG
影响因子：
11.8
作者：
Al-Mashhadani, Manar;Hewson, Robert;Parry, Christopher M.
通讯作者：
Parry, Christopher M.