Cargando…

Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study

Objectives: The aim of this study was to estimate the prevalence of anti-microbial resistance (AMR) carriage and its risk factors in hospitalized migrants. Additionally, the prevalence of infectious diseases was evaluated, as well as symptoms of psychological trauma. Methods: We conducted a retrospe...

Descripción completa

Detalles Bibliográficos
Autores principales: Stabler, Sarah, Paccoud, Olivier, Duchesne, Léa, Piot, Marie-Aude, Valin, Nadia, Decré, Dominique, Girard, Pierre-Marie, Lalande, Valérie, Lacombe, Karine, Surgers, Laure
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9797533/
https://www.ncbi.nlm.nih.gov/pubmed/36589475
http://dx.doi.org/10.3389/ijph.2022.1604792
_version_ 1784860702203183104
author Stabler, Sarah
Paccoud, Olivier
Duchesne, Léa
Piot, Marie-Aude
Valin, Nadia
Decré, Dominique
Girard, Pierre-Marie
Lalande, Valérie
Lacombe, Karine
Surgers, Laure
author_facet Stabler, Sarah
Paccoud, Olivier
Duchesne, Léa
Piot, Marie-Aude
Valin, Nadia
Decré, Dominique
Girard, Pierre-Marie
Lalande, Valérie
Lacombe, Karine
Surgers, Laure
author_sort Stabler, Sarah
collection PubMed
description Objectives: The aim of this study was to estimate the prevalence of anti-microbial resistance (AMR) carriage and its risk factors in hospitalized migrants. Additionally, the prevalence of infectious diseases was evaluated, as well as symptoms of psychological trauma. Methods: We conducted a retrospective monocentric cross-sectional study including all migrant patients recently arrived and hospitalised over a one-year period. Results: Among 101 patients, seventy-nine percent originated from Sub-Saharan Africa. The overall AMR carriage rate was 20.7% [95% CI: 12.4; 28.9%]. We isolated 5/92 methicillin-resistant Staphylococcus aureus strains (5.4%) and 15/92 extended-spectrum beta-lactamase-producing Enterobacteriaceae (16.4%). AMR carriage was associated with older age, region of origin and length of migration. Rates of HIV, HBV, and HCV infection were 39.6%, 32.7%, and 5%, reflecting sampling bias linked to reasons for hospitalization. Eleven percent had serological evidence of treponemasis and 7.8% had Chlamydia trachomatis infection. Symptoms of depression or post-traumatic stress disorder were observed for more than half the patients. Conclusion: It appears essential to offer a systematic and comprehensive post-arrival screening of AMR carriage, infectious diseases and psychological trauma to subjects who experienced migration.
format Online
Article
Text
id pubmed-9797533
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-97975332022-12-30 Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study Stabler, Sarah Paccoud, Olivier Duchesne, Léa Piot, Marie-Aude Valin, Nadia Decré, Dominique Girard, Pierre-Marie Lalande, Valérie Lacombe, Karine Surgers, Laure Int J Public Health Public Health Archive Objectives: The aim of this study was to estimate the prevalence of anti-microbial resistance (AMR) carriage and its risk factors in hospitalized migrants. Additionally, the prevalence of infectious diseases was evaluated, as well as symptoms of psychological trauma. Methods: We conducted a retrospective monocentric cross-sectional study including all migrant patients recently arrived and hospitalised over a one-year period. Results: Among 101 patients, seventy-nine percent originated from Sub-Saharan Africa. The overall AMR carriage rate was 20.7% [95% CI: 12.4; 28.9%]. We isolated 5/92 methicillin-resistant Staphylococcus aureus strains (5.4%) and 15/92 extended-spectrum beta-lactamase-producing Enterobacteriaceae (16.4%). AMR carriage was associated with older age, region of origin and length of migration. Rates of HIV, HBV, and HCV infection were 39.6%, 32.7%, and 5%, reflecting sampling bias linked to reasons for hospitalization. Eleven percent had serological evidence of treponemasis and 7.8% had Chlamydia trachomatis infection. Symptoms of depression or post-traumatic stress disorder were observed for more than half the patients. Conclusion: It appears essential to offer a systematic and comprehensive post-arrival screening of AMR carriage, infectious diseases and psychological trauma to subjects who experienced migration. Frontiers Media S.A. 2022-12-15 /pmc/articles/PMC9797533/ /pubmed/36589475 http://dx.doi.org/10.3389/ijph.2022.1604792 Text en Copyright © 2022 Stabler, Paccoud, Duchesne, Piot, Valin, Decré, Girard, Lalande, Lacombe and Surgers. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health Archive
Stabler, Sarah
Paccoud, Olivier
Duchesne, Léa
Piot, Marie-Aude
Valin, Nadia
Decré, Dominique
Girard, Pierre-Marie
Lalande, Valérie
Lacombe, Karine
Surgers, Laure
Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study
title Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study
title_full Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study
title_fullStr Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study
title_full_unstemmed Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study
title_short Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study
title_sort prevalence of antimicrobial resistance and infectious diseases in a hospitalised migrant population in paris, france, a retrospective study
topic Public Health Archive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9797533/
https://www.ncbi.nlm.nih.gov/pubmed/36589475
http://dx.doi.org/10.3389/ijph.2022.1604792
work_keys_str_mv AT stablersarah prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT paccoudolivier prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT duchesnelea prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT piotmarieaude prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT valinnadia prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT decredominique prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT girardpierremarie prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT lalandevalerie prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT lacombekarine prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy
AT surgerslaure prevalenceofantimicrobialresistanceandinfectiousdiseasesinahospitalisedmigrantpopulationinparisfrancearetrospectivestudy