The role of drinking water in the transmission of antimicrobial-resistant E. coli

To determine whether drinking water contaminated with antimicrobial-resistant E. coli is associated with the carriage of resistant E. coli, selected households sending water samples to Ontario and Alberta laboratories in 2005–2006 were asked to participate in a cross-sectional study. Household membe...

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Published in:Epidemiology and infection 2012-04, Vol.140 (4), p.633-642
Main Authors: COLEMAN, B. L., SALVADORI, M. I., McGEER, A. J., SIBLEY, K. A., NEUMANN, N. F., BONDY, S. J., GUTMANIS, I. A., McEWEN, S. A., LAVOIE, M., STRONG, D., JOHNSON, I., JAMIESON, F. B., LOUIE, M.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Alberta - epidemiology
Antibiotic resistance
Antibiotics
Antimicrobial agents
Antimicrobials
Bacteria
Bacterial infections
Biological and medical sciences
Child
Cross-Sectional Studies
Drinking water
Drinking Water - microbiology
Drug resistance
Drug Resistance, Bacterial
E coli
Escherichia coli
Escherichia coli - drug effects
Escherichia coli Infections - epidemiology
Escherichia coli Infections - etiology
Escherichia coli Infections - transmission
Family Characteristics
Feces - microbiology
Female
Food contamination & poisoning
Fundamental and applied biological sciences. Psychology
Gastrointestinal infection
Households
Humans
Interviews
Laboratories
Lactose
Male
Microbial Sensitivity Tests
Microbiology
Middle Aged
Ontario - epidemiology
Potable water
Prevalence
Public health
Questionnaires
Referents
Water pollution
Water samples
Water treatment
Young Adult
Zoonoses
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container_title Epidemiology and infection
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creator COLEMAN, B. L.
SALVADORI, M. I.
McGEER, A. J.
SIBLEY, K. A.
NEUMANN, N. F.
BONDY, S. J.
GUTMANIS, I. A.
McEWEN, S. A.
LAVOIE, M.
STRONG, D.
JOHNSON, I.
JAMIESON, F. B.
LOUIE, M.
description To determine whether drinking water contaminated with antimicrobial-resistant E. coli is associated with the carriage of resistant E. coli, selected households sending water samples to Ontario and Alberta laboratories in 2005–2006 were asked to participate in a cross-sectional study. Household members aged ⩾12 years were asked to complete a questionnaire and to submit a rectal swab. In 878 individuals, 41% carried a resistant strain of E. coli and 28% carried a multidrug-resistant strain. The risk of carriage of resistant E. coli was 1·26 times higher for users of water contaminated with resistant E. coli. Other risk factors included international travel [prevalence ratio (PR) 1·33], having a child in nappies (PR 1·33), being male (PR 1·33), and frequent handling of raw red meats (PR 1·10). Protecting private water sources (e.g. by improving systems to test and treat them) may help slow the emergence of antimicrobial resistance in E. coli.
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L. ; SALVADORI, M. I. ; McGEER, A. J. ; SIBLEY, K. A. ; NEUMANN, N. F. ; BONDY, S. J. ; GUTMANIS, I. A. ; McEWEN, S. A. ; LAVOIE, M. ; STRONG, D. ; JOHNSON, I. ; JAMIESON, F. B. ; LOUIE, M.</creator><creatorcontrib>COLEMAN, B. L. ; SALVADORI, M. I. ; McGEER, A. J. ; SIBLEY, K. A. ; NEUMANN, N. F. ; BONDY, S. J. ; GUTMANIS, I. A. ; McEWEN, S. A. ; LAVOIE, M. ; STRONG, D. ; JOHNSON, I. ; JAMIESON, F. B. ; LOUIE, M. ; ARO Water Study Group ; ARO Water Study Group</creatorcontrib><description>To determine whether drinking water contaminated with antimicrobial-resistant E. coli is associated with the carriage of resistant E. coli, selected households sending water samples to Ontario and Alberta laboratories in 2005–2006 were asked to participate in a cross-sectional study. Household members aged ⩾12 years were asked to complete a questionnaire and to submit a rectal swab. In 878 individuals, 41% carried a resistant strain of E. coli and 28% carried a multidrug-resistant strain. The risk of carriage of resistant E. coli was 1·26 times higher for users of water contaminated with resistant E. coli. Other risk factors included international travel [prevalence ratio (PR) 1·33], having a child in nappies (PR 1·33), being male (PR 1·33), and frequent handling of raw red meats (PR 1·10). 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source JSTOR Archival Journals and Primary Sources Collection; Cambridge University Press; PubMed Central
subjects Adolescent
Adult
Aged
Aged, 80 and over
Alberta - epidemiology
Antibiotic resistance
Antibiotics
Antimicrobial agents
Antimicrobials
Bacteria
Bacterial infections
Biological and medical sciences
Child
Cross-Sectional Studies
Drinking water
Drinking Water - microbiology
Drug resistance
Drug Resistance, Bacterial
E coli
Escherichia coli
Escherichia coli - drug effects
Escherichia coli Infections - epidemiology
Escherichia coli Infections - etiology
Escherichia coli Infections - transmission
Family Characteristics
Feces - microbiology
Female
Food contamination & poisoning
Fundamental and applied biological sciences. Psychology
Gastrointestinal infection
Households
Humans
Interviews
Laboratories
Lactose
Male
Microbial Sensitivity Tests
Microbiology
Middle Aged
Ontario - epidemiology
Potable water
Prevalence
Public health
Questionnaires
Referents
Water pollution
Water samples
Water treatment
Young Adult
Zoonoses
title The role of drinking water in the transmission of antimicrobial-resistant E. coli
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