TY - JOUR KW - nosocomial infection KW - horse clinic KW - equine infection KW - ESBL KW - E. coli AU - B Walther AU - A Lübke-Becker AU - I Stamm AU - H Gehlen AU - A Barton AU - T Janßen AU - L Wieler AU - S Guenther AB - Enterobacteriaceae such as Escherichia coli are common commensals as well as opportunistic and obligate pathogens. They cause a broad spectrum of infectious diseases in various hosts, including hospital-associated infections. In recent years, the rise of extended spectrum beta-lactamase (ESBL)-producing E. coli in companion animals (dogs, cats and horses) has been striking. However, reports on nosocomial infections are mostly anecdotic. Here we report on the suspected nosocomial spread of both ESBL-producing and non-ESBL-producing multi-drug resistant E. coli isolates in three equine patients within an equine clinic. Unlike easy-to-clean hospitalization opportunities available for small animal settings like boxes and cages made of ceramic floor tiles or stainless steel, clinical settings for horses are challenging environments for infection control programs due to unavoidable extraneous material including at least hay and materials used for horse bedding. The development of practice-orientated recommendations is needed to improve the possibilities for infection control to prevent nosocomial infections with multi-drug resistant and other transmissible pathogens in equine clinical settings. BT - Berliner und Münchener Tierärztliche Wochenschrift C1 - {"oldId":82169,"title":"Suspected nosocomial infections with multi-drug resistant E. coli, including extended-spectrum beta-lactamase (ESBL)- producing strains, in an equine clinic","topline":"Open Access BMTW | Themenheft Antibiotikaresistenzen","teaserText":"Fallbericht \u00fcber vermutlich nosokomiale Infektionen durch multiresistente E. coli in einer Pferdeklinik einschlie\u00dflich Extended- Spectrum Beta-Lactamase (ESBL)-produzierender Isolate","content":"

Summary<\/span>
Enterobacteriaceae such as Escherichia coli <\/span>are common commensals as well as opportunistic and obligate pathogens. They cause a broad spectrum of infectious diseases in various hosts, including hospital-associated infections. In recent years, the rise of extended spectrum beta-lactamase (ESBL)-producing E. coli <\/span>in companion animals (dogs, cats and horses) has been striking. However, reports on nosocomial infections are mostly anecdotic. Here we report on the suspected nosocomial spread of both ESBL-producing and non-ESBL-producing multi-drug resistant E. coli <\/span>isolates in three equine patients within an equine clinic. Unlike easy-to-clean hospitalization opportunities available for small animal settings like boxes and cages made of ceramic floor tiles or stainless steel, clinical settings for horses are challenging environments for infection control programs due to unavoidable extraneous material including at least hay and materials used for horse bedding. The development of practice-orientated recommendations is needed to improve the possibilities for infection control to prevent nosocomial infections with multi-drug resistant and other transmissible pathogens in equine clinical settings. <\/p>

Keywords<\/span>
nosocomial infection, horse clinic, equine infection, ESBL, E. coli<\/span>, infection control, hygiene <\/p>

Zusammenfassung<\/span>
Enterobacteriaceae wie Escherichia coli <\/span>treten sowohl als kommensale, opportunistische sowie obligat pathogene Infektionserreger auf. Sie k\u00f6nnen ein breites Spektrum an Infektionskrankheiten bei unterschiedlichen Wirtsspezies hervorrufen, darunter auch Krankenhaus-assoziierte (nosokomiale) Infektionen. In j\u00fcngster Zeit konnte in klinischen Proben von Haustieren wie Hunden, Katzen und Pferden eine bemerkenswerte Zunahme an Extended-Spectrum Beta-Lactamase (ESBL)-bildenden E. coli <\/span>festgestellt werden. Hier berichten wir \u00fcber vermutlich nosokomiale Infektionen mit ESBL-produzierenden und nicht ESBL-produzierenden multiresistenten E. coli <\/span>bei drei equinen Patienten einer Pferdeklinik. Anders als die Hospitalisierungsm\u00f6glichkeiten f\u00fcr Kleintiere wie z. B. die Unterbringung in Edelstahlboxen oder in gefliesten R\u00e4umen bzw. Boxen, welche die Reinhaltung von Oberfl\u00e4chen sehr erleichtert, stellen die Oberfl\u00e4chen in Pferdekliniken gro\u00dfe Herausforderungen an jede Form der Infektionskontrolle. Alleine die unvermeidbaren Mengen an Fremdmaterialen, wie Heu und Boxen-Einstreu, stellen ein Kontaminationsrisiko dar. Die Entwicklung von praxisorientierten Empfehlungen zur Verbesserung der Infektionskontrollma\u00dfnahmen ist unbedingt erforderlich, damit nosokomiale Infektionen mit multiresistenten und anderen \u00fcbertragbaren Pathogenen in Pferdekliniken weitestgehend vermieden werden k\u00f6nnen. <\/p>

Schl\u00fcsselw\u00f6rter<\/span>
nosokomiale Infektionen, Pferdeklinik, equine Infektion, ESBL, Infektionskontrolle, E. coli, <\/span>Hygiene<\/p>","categories":["Open Access","Tier\u00e4rztliche Wochenschrift","Abostufe BMTW","Fachartikel","Abostufe frei"],"fromDate":"Oct 1, 2014 4:12:48 PM","oldUrls":["http:\/\/vetline.de\/suspected-nosocomial-infections-with-multi-drug-resistant-e-coli-including-extended-spectrum-beta-lactamase-esbl-producing-strains-in-an-equine-clinic\/150\/3130\/82169","http:\/\/vetline.de\/suspected-nosocomial-infections-with-multi-drug-resistant-e-coli-including-extended-spectrum-beta-lactamase-esbl-producing-strains-in-an-equine-clinic\/150\/3216\/82169"],"doiLanguage":"englisch","doiProductFormat":"online","doiPublisher":"Schl\u00fctersche Verlagsgesellschaft mbH & Co. KG","doiSerialWorkTitle":"Berliner und M\u00fcnchener Tier\u00e4rztliche Wochenschrift","doiDocumentUri":"http:\/\/www.vetline.de\/suspected-nosocomial-infections-with-multi-drug-resistant-e-coli-including-extended-spectrum-beta-lactamase-esbl-producing-strains-in-an-equine-clinic\/150\/3130\/82169\/","doiSource":"Berl M\u00fcnch Tier\u00e4rztl Wochenschr 127, 421\u2013427 (2014)","doiissn":"0005-9366","doiNr":"10.2376\/0005-9366-127-421","doiFirstPage":"421","doiLastPage":"427","doiTransmitted":true,"doiAuthor":"Walther B, L\u00fcbke-Becker A, Stamm I, Gehlen H, Barton A, Jan\u00dfen T, Wieler L, Guenther S","pdf":{"path":"http:\/\/data\/BMW_2014_11_12_0421_onl300.pdf","title":"BMW_2014_11_12_0421.pdf","description":"Suspected nosocomial infections with multi-drug resistant E. coli, including extended-spectrum beta-lactamase (ESBL)- producing strains, in an equine clinic "},"authors":[{"firstName":"B","middleName":"","lastName":"Walther"},{"firstName":"A","middleName":"","lastName":"L\u00fcbke-Becker"},{"firstName":"I","middleName":"","lastName":"Stamm"},{"firstName":"H","middleName":"","lastName":"Gehlen"},{"firstName":"A","middleName":"","lastName":"Barton"},{"firstName":"T","middleName":"","lastName":"Jan\u00dfen"},{"firstName":"L","middleName":"","lastName":"Wieler"},{"firstName":"S","middleName":"","lastName":"Guenther"}],"contentOptimised":"

Summary<\/strong>
Enterobacteriaceae such as Escherichia coli <\/em>are common commensals as well as opportunistic and obligate pathogens. They cause a broad spectrum of infectious diseases in various hosts, including hospital-associated infections. In recent years, the rise of extended spectrum beta-lactamase (ESBL)-producing E. coli <\/em>in companion animals (dogs, cats and horses) has been striking. However, reports on nosocomial infections are mostly anecdotic. Here we report on the suspected nosocomial spread of both ESBL-producing and non-ESBL-producing multi-drug resistant E. coli <\/em>isolates in three equine patients within an equine clinic. Unlike easy-to-clean hospitalization opportunities available for small animal settings like boxes and cages made of ceramic floor tiles or stainless steel, clinical settings for horses are challenging environments for infection control programs due to unavoidable extraneous material including at least hay and materials used for horse bedding. The development of practice-orientated recommendations is needed to improve the possibilities for infection control to prevent nosocomial infections with multi-drug resistant and other transmissible pathogens in equine clinical settings. <\/p>

Keywords:<\/strong>
nosocomial infection, horse clinic, equine infection, ESBL, E. coli<\/em>, infection control, hygiene <\/p>

Zusammenfassung<\/strong>
Enterobacteriaceae wie Escherichia coli <\/em>treten sowohl als kommensale, opportunistische sowie obligat pathogene Infektionserreger auf. Sie k\u00f6nnen ein breites Spektrum an Infektionskrankheiten bei unterschiedlichen Wirtsspezies hervorrufen, darunter auch Krankenhaus-assoziierte (nosokomiale) Infektionen. In j\u00fcngster Zeit konnte in klinischen Proben von Haustieren wie Hunden, Katzen und Pferden eine bemerkenswerte Zunahme an Extended-Spectrum Beta-Lactamase (ESBL)-bildenden E. coli <\/em>festgestellt werden. Hier berichten wir \u00fcber vermutlich nosokomiale Infektionen mit ESBL-produzierenden und nicht ESBL-produzierenden multiresistenten E. coli <\/em>bei drei equinen Patienten einer Pferdeklinik. Anders als die Hospitalisierungsm\u00f6glichkeiten f\u00fcr Kleintiere wie z. B. die Unterbringung in Edelstahlboxen oder in gefliesten R\u00e4umen bzw. Boxen, welche die Reinhaltung von Oberfl\u00e4chen sehr erleichtert, stellen die Oberfl\u00e4chen in Pferdekliniken gro\u00dfe Herausforderungen an jede Form der Infektionskontrolle. Alleine die unvermeidbaren Mengen an Fremdmaterialen, wie Heu und Boxen-Einstreu, stellen ein Kontaminationsrisiko dar. Die Entwicklung von praxisorientierten Empfehlungen zur Verbesserung der Infektionskontrollma\u00dfnahmen ist unbedingt erforderlich, damit nosokomiale Infektionen mit multiresistenten und anderen \u00fcbertragbaren Pathogenen in Pferdekliniken weitestgehend vermieden werden k\u00f6nnen. <\/p>

Schl\u00fcsselw\u00f6rter:<\/strong>
nosokomiale Infektionen, Pferdeklinik, equine Infektion, ESBL, Infektionskontrolle, E. coli, <\/em>Hygiene<\/p>","primaryLanguage":"englisch","summary":"Enterobacteriaceae such as Escherichia coli <\/em>are common commensals as well as opportunistic and obligate pathogens. They cause a broad spectrum of infectious diseases in various hosts, including hospital-associated infections. In recent years, the rise of extended spectrum beta-lactamase (ESBL)-producing E. coli <\/em>in companion animals (dogs, cats and horses) has been striking. However, reports on nosocomial infections are mostly anecdotic. Here we report on the suspected nosocomial spread of both ESBL-producing and non-ESBL-producing multi-drug resistant E. coli <\/em>isolates in three equine patients within an equine clinic. Unlike easy-to-clean hospitalization opportunities available for small animal settings like boxes and cages made of ceramic floor tiles or stainless steel, clinical settings for horses are challenging environments for infection control programs due to unavoidable extraneous material including at least hay and materials used for horse bedding. The development of practice-orientated recommendations is needed to improve the possibilities for infection control to prevent nosocomial infections with multi-drug resistant and other transmissible pathogens in equine clinical settings. <\/p>

","keywords":["nosocomial infection","horse clinic","equine infection","ESBL","E. coli"],"zusammenfassung":"Enterobacteriaceae wie Escherichia coli <\/em>treten sowohl als kommensale, opportunistische sowie obligat pathogene Infektionserreger auf. Sie k\u00f6nnen ein breites Spektrum an Infektionskrankheiten bei unterschiedlichen Wirtsspezies hervorrufen, darunter auch Krankenhaus-assoziierte (nosokomiale) Infektionen. In j\u00fcngster Zeit konnte in klinischen Proben von Haustieren wie Hunden, Katzen und Pferden eine bemerkenswerte Zunahme an Extended-Spectrum Beta-Lactamase (ESBL)-bildenden E. coli <\/em>festgestellt werden. Hier berichten wir \u00fcber vermutlich nosokomiale Infektionen mit ESBL-produzierenden und nicht ESBL-produzierenden multiresistenten E. coli <\/em>bei drei equinen Patienten einer Pferdeklinik. Anders als die Hospitalisierungsm\u00f6glichkeiten f\u00fcr Kleintiere wie z. B. die Unterbringung in Edelstahlboxen oder in gefliesten R\u00e4umen bzw. Boxen, welche die Reinhaltung von Oberfl\u00e4chen sehr erleichtert, stellen die Oberfl\u00e4chen in Pferdekliniken gro\u00dfe Herausforderungen an jede Form der Infektionskontrolle. Alleine die unvermeidbaren Mengen an Fremdmaterialen, wie Heu und Boxen-Einstreu, stellen ein Kontaminationsrisiko dar. Die Entwicklung von praxisorientierten Empfehlungen zur Verbesserung der Infektionskontrollma\u00dfnahmen ist unbedingt erforderlich, damit nosokomiale Infektionen mit multiresistenten und anderen \u00fcbertragbaren Pathogenen in Pferdekliniken weitestgehend vermieden werden k\u00f6nnen. <\/p>

","schluesselwoerter":["nosokomiale Infektionen","Pferdeklinik","equine Infektion","ESBL"," Infektionskontrolle","E. coli",""],"translatedTitle":"Fallbericht \u00fcber vermutlich nosokomiale Infektionen durch multiresistente E. coli in einer Pferdeklinik einschlie\u00dflich Extended- Spectrum Beta-Lactamase (ESBL)-produzierender Isolate","abstractE":"Enterobacteriaceae such as Escherichia coli are common commensals as well as opportunistic and obligate pathogens. They cause a broad spectrum of infectious diseases in various hosts, including hospital-associated infections. In recent years, the rise of extended spectrum beta-lactamase (ESBL)-producing E. coli in companion animals (dogs, cats and horses) has been striking. However, reports on nosocomial infections are mostly anecdotic. Here we report on the suspected nosocomial spread of both ESBL-producing and non-ESBL-producing multi-drug resistant E. coli isolates in three equine patients within an equine clinic. Unlike easy-to-clean hospitalization opportunities available for small animal settings like boxes and cages made of ceramic floor tiles or stainless steel, clinical settings for horses are challenging environments for infection control programs due to unavoidable extraneous material including at least hay and materials used for horse bedding. The development of practice-orientated recommendations is needed to improve the possibilities for infection control to prevent nosocomial infections with multi-drug resistant and other transmissible pathogens in equine clinical settings. ","date":{"year":2014,"date":"10\/2014","accepted":"2014-10-01"},"volume":"127","openAccess":true,"journal":"Berliner und M\u00fcnchener Tier\u00e4rztliche Wochenschrift","titleImageId":944,"pages":"421-427","redirects":["suspected-nosocomial-infections-with-multi-drug-resistant-e-coli-including-extended-spectrum-beta-lactamase-esbl-producing-strains-in-an-equine-clinic\/150\/3130\/82169","suspected-nosocomial-infections-with-multi-drug-resistant-e-coli-including-extended-spectrum-beta-lactamase-esbl-producing-strains-in-an-equine-clinic\/150\/3216\/82169"],"tierartCategories":[],"artikelartCategories":["Open Access","Tier\u00e4rztliche Wochenschrift","Abostufe BMTW","Fachartikel","Abostufe frei"]} CY - Hannover DA - 10/2014 DO - 10.2376/0005-9366-127-421 LA - English N2 - Enterobacteriaceae such as Escherichia coli are common commensals as well as opportunistic and obligate pathogens. They cause a broad spectrum of infectious diseases in various hosts, including hospital-associated infections. In recent years, the rise of extended spectrum beta-lactamase (ESBL)-producing E. coli in companion animals (dogs, cats and horses) has been striking. However, reports on nosocomial infections are mostly anecdotic. Here we report on the suspected nosocomial spread of both ESBL-producing and non-ESBL-producing multi-drug resistant E. coli isolates in three equine patients within an equine clinic. Unlike easy-to-clean hospitalization opportunities available for small animal settings like boxes and cages made of ceramic floor tiles or stainless steel, clinical settings for horses are challenging environments for infection control programs due to unavoidable extraneous material including at least hay and materials used for horse bedding. The development of practice-orientated recommendations is needed to improve the possibilities for infection control to prevent nosocomial infections with multi-drug resistant and other transmissible pathogens in equine clinical settings. PB - Schlütersche Verlagsgesellschaft mbH & Co. KG PP - Hannover PY - 2014 SP - 421 EP - 427 T1 - Suspected nosocomial infections with multi-drug resistant E. coli, including extended-spectrum beta-lactamase (ESBL)- producing strains, in an equine clinic T2 - Berliner und Münchener Tierärztliche Wochenschrift TI - Suspected nosocomial infections with multi-drug resistant E. coli, including extended-spectrum beta-lactamase (ESBL)- producing strains, in an equine clinic TT - Fallbericht über vermutlich nosokomiale Infektionen durch multiresistente E. coli in einer Pferdeklinik einschließlich Extended- Spectrum Beta-Lactamase (ESBL)-produzierender Isolate VL - 127 SN - 0005-9366 ER -