[Multidrug-resistant bacteria in Germany. The impact of sources outside healthcare facilities]
- PMID: 26446586
- DOI: 10.1007/s00103-015-2261-z
[Multidrug-resistant bacteria in Germany. The impact of sources outside healthcare facilities]
Abstract
Background: Currently, there is an ongoing discussion about the question whether the emergence of multidrug-resistant microorganisms (MDRO) among humans is due to transfer of these bacteria from animals.
Objectives: This review summarizes data on the occurrence of methicillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum beta-lactamase (ESBL) producing enterobacteria in animals and humans, and describes knowledge about transmission pathways.
Material and methods: After a scientific literature analysis, relevant articles were identified by screening of titles and abstracts, amended by publications of infection control authorities and the respective reference lists.
Results: MDRO are both transmitted in the nosocomial setting and are increasingly detected as sources of infection outside healthcare facilities.
Conclusions: Due to new transmission pathways of MDRO an inter-disciplinary approach towards prevention is necessary, involving medical, pharmaceutical and veterinary expertise.
Keywords: Antibiotics; Germany; Livestock; Pets; Zoonosis.
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