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 retrospec...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | International Journal of Public Health |
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| Online Access: | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604792/full |
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| author | Sarah Stabler Olivier Paccoud Léa Duchesne Marie-Aude Piot Marie-Aude Piot Nadia Valin Dominique Decré Dominique Decré Pierre-Marie Girard Valérie Lalande Karine Lacombe Karine Lacombe Laure Surgers Laure Surgers |
| author_facet | Sarah Stabler Olivier Paccoud Léa Duchesne Marie-Aude Piot Marie-Aude Piot Nadia Valin Dominique Decré Dominique Decré Pierre-Marie Girard Valérie Lalande Karine Lacombe Karine Lacombe Laure Surgers Laure Surgers |
| author_sort | Sarah Stabler |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-13T04:21:11Z |
| format | Article |
| id | doaj.art-4c3d67a8942d4435bff5819ddfa7dab6 |
| institution | Directory Open Access Journal |
| issn | 1661-8564 |
| language | English |
| last_indexed | 2024-04-13T04:21:11Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | International Journal of Public Health |
| spelling | doaj.art-4c3d67a8942d4435bff5819ddfa7dab62022-12-22T03:02:46ZengFrontiers Media S.A.International Journal of Public Health1661-85642022-12-016710.3389/ijph.2022.16047921604792Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective StudySarah Stabler0Olivier Paccoud1Léa Duchesne2Marie-Aude Piot3Marie-Aude Piot4Nadia Valin5Dominique Decré6Dominique Decré7Pierre-Marie Girard8Valérie Lalande9Karine Lacombe10Karine Lacombe11Laure Surgers12Laure Surgers13GHU APHP. Sorbonne Université, Service des Maladies Infectieuses et Tropicales, Hôpital Saint-Antoine, Paris, FranceGHU APHP. Sorbonne Université, Service des Maladies Infectieuses et Tropicales, Hôpital Saint-Antoine, Paris, FranceSorbonne Université, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique, Paris, FranceDépartement de Psychiatrie, Institut Mutualiste Montsouris, Paris, FranceSorbonne Universités, Université Paris Descartes, UMR 1018/INSERM 1178, Centre de Recherche en Épidémiologie et Santé des Populations (CESP), Paris, FranceGHU APHP. Sorbonne Université, Service des Maladies Infectieuses et Tropicales, Hôpital Saint-Antoine, Paris, FranceAPHP, Hôpital Saint-Antoine, Département de Bactériologie, Paris, FranceSorbonne Université, UPMC Univ Paris 06 CR7, INSERM U1135, CIMI, Team E13, Paris, FranceGHU APHP. Sorbonne Université, Service des Maladies Infectieuses et Tropicales, Hôpital Saint-Antoine, Paris, FranceAPHP, Hôpital Saint-Antoine, Département de Bactériologie, Paris, FranceGHU APHP. Sorbonne Université, Service des Maladies Infectieuses et Tropicales, Hôpital Saint-Antoine, Paris, FranceSorbonne Université, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique, Paris, FranceGHU APHP. Sorbonne Université, Service des Maladies Infectieuses et Tropicales, Hôpital Saint-Antoine, Paris, FranceSorbonne Université, INSERM, Institut Pierre Louis d’Épidémiologie et de Santé Publique, Paris, FranceObjectives: 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.https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604792/fullmigrantsschistosomiasispsychological disordersAMR carriageESBL-Esexual transmitted infections |
| spellingShingle | Sarah Stabler Olivier Paccoud Léa Duchesne Marie-Aude Piot Marie-Aude Piot Nadia Valin Dominique Decré Dominique Decré Pierre-Marie Girard Valérie Lalande Karine Lacombe Karine Lacombe Laure Surgers Laure Surgers Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France, a Retrospective Study International Journal of Public Health migrants schistosomiasis psychological disorders AMR carriage ESBL-E sexual transmitted infections |
| 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 | migrants schistosomiasis psychological disorders AMR carriage ESBL-E sexual transmitted infections |
| url | https://www.ssph-journal.org/articles/10.3389/ijph.2022.1604792/full |
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