TY - JOUR AU - Göpel, Siri AU - Guther, Julia AU - Gladstone, Beryl Primrose AU - Conzelmann, Nadine AU - Bunk, Stefanie AU - Terzer, Tobias AU - Verschuuren, Tess D AU - Martak, Daniel AU - Salamanca, Elena AU - Autenrieth, Ingo B AU - Peter, Silke AU - Kluytmans, Jan A J W AU - Hocquet, Didier AU - Rodriguez-Baño, Jesus AU - Tacconelli, Evelina TI - Drivers of extended spectrum β-lactamase (ESBL)-producing Enterobacterales colonization among residents of long-term health care facilities: a European multicentric prospective cohort study. JO - The journal of hospital infection VL - 157 SN - 0195-6701 CY - Kidlington [u.a.] PB - Elsevier M1 - DKFZ-2025-00093 SP - 67-74 PY - 2025 N1 - 2025 Jan 7:157:67-74 AB - ESBL-producing Enterobacterales (ESBL-PE) are highly prevalent in long-term healthcare (LTCF) settings. In order to estimate the acquisition rate of ESBL-producing Escherichia coli and Klebsiella pneumoniae in LTCF settings and identify clinical and environmental risk factors, a multicentric, prospective cohort study was conducted in six LTCFs in Germany, France, Spain and the Netherlands.Longitudinal screening of residents was performed over 32 weeks, collecting epidemiological and clinical data and environmental samples. The primary outcome was rate of new acquisition of ESBL-PE among LTCF residents. Molecular epidemiology was studied using whole genome sequencing and risk factor analyses using logistic and Poisson regression models.299 residents provided 1958 samples during follow-up. Prevalence of ESBL-PE colonization at baseline was 16.4 KW - ESBL producing Enterobacterales (Other) KW - acquisition (Other) KW - colonization (Other) KW - long-term care facility (Other) KW - molecular epidemiology (Other) LB - PUB:(DE-HGF)16 C6 - pmid:39788455 DO - DOI:10.1016/j.jhin.2024.12.010 UR - https://inrepo02.dkfz.de/record/296166 ER -