Effect of temperature on Escherichia coli bloodstream infection in a nationwide population-based study of incidence and resistance

Abstract Background The incidence of Escherichia coli bloodstream infections (BSI) is high and increasing. We aimed to describe the effect of season and temperature on the incidence of E. coli BSI and antibiotic-resistant E. coli BSI and to determine differences by place of BSI onset. Methods All E....

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Main Authors: Sarah F. Feldman, Elizabeth Temkin, Liat Wulffhart, Amir Nutman, Vered Schechner, Pnina Shitrit, Racheli Shvartz, Mitchell J. Schwaber, Yehuda Carmeli
Format: Article
Language:English
Published: BMC 2022-11-01
Series:Antimicrobial Resistance and Infection Control
Subjects:
Online Access:https://doi.org/10.1186/s13756-022-01184-x
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author Sarah F. Feldman
Elizabeth Temkin
Liat Wulffhart
Amir Nutman
Vered Schechner
Pnina Shitrit
Racheli Shvartz
Mitchell J. Schwaber
Yehuda Carmeli
author_facet Sarah F. Feldman
Elizabeth Temkin
Liat Wulffhart
Amir Nutman
Vered Schechner
Pnina Shitrit
Racheli Shvartz
Mitchell J. Schwaber
Yehuda Carmeli
author_sort Sarah F. Feldman
collection DOAJ
description Abstract Background The incidence of Escherichia coli bloodstream infections (BSI) is high and increasing. We aimed to describe the effect of season and temperature on the incidence of E. coli BSI and antibiotic-resistant E. coli BSI and to determine differences by place of BSI onset. Methods All E. coli BSI in adult Israeli residents between January 1, 2018 and December 19, 2019 were included. We used the national database of mandatory BSI reports and outdoor temperature data. Monthly incidence and resistance were studied using multivariable negative binomial regressions with season (July–October vs. other) and temperature as covariates. Results We included 10,583 events, 9012 (85%) community onset (CO) and 1571 (15%) hospital onset (HO). For CO events, for each average monthly temperature increase of 5.5 °C, the monthly number of events increased by 6.2% (95% CI 1.6–11.1%, p = 0.008) and the monthly number of multidrug-resistant events increased by 4.9% (95% CI 0.3–9.7%, p = 0.04). The effect of season was not significant. For HO events, incidence of BSI and resistant BSI were not associated with temperature or season. Conclusion Temperature increases the incidence of CO E. coli BSI and CO antibiotic-resistant E. coli BSI. Global warming threatens to increase the incidence of E. coli BSI.
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spelling doaj.art-545dc00a5cf24941b9134e346f6123bd2022-12-22T04:20:22ZengBMCAntimicrobial Resistance and Infection Control2047-29942022-11-011111910.1186/s13756-022-01184-xEffect of temperature on Escherichia coli bloodstream infection in a nationwide population-based study of incidence and resistanceSarah F. Feldman0Elizabeth Temkin1Liat Wulffhart2Amir Nutman3Vered Schechner4Pnina Shitrit5Racheli Shvartz6Mitchell J. Schwaber7Yehuda Carmeli8National Institute for Antibiotic Resistance and Infection Control, Ministry of HealthNational Institute for Antibiotic Resistance and Infection Control, Ministry of HealthNational Institute for Antibiotic Resistance and Infection Control, Ministry of HealthNational Institute for Antibiotic Resistance and Infection Control, Ministry of HealthNational Institute for Antibiotic Resistance and Infection Control, Ministry of HealthSackler Faculty of Medicine, Tel Aviv UniversityNational Institute for Antibiotic Resistance and Infection Control, Ministry of HealthNational Institute for Antibiotic Resistance and Infection Control, Ministry of HealthNational Institute for Antibiotic Resistance and Infection Control, Ministry of HealthAbstract Background The incidence of Escherichia coli bloodstream infections (BSI) is high and increasing. We aimed to describe the effect of season and temperature on the incidence of E. coli BSI and antibiotic-resistant E. coli BSI and to determine differences by place of BSI onset. Methods All E. coli BSI in adult Israeli residents between January 1, 2018 and December 19, 2019 were included. We used the national database of mandatory BSI reports and outdoor temperature data. Monthly incidence and resistance were studied using multivariable negative binomial regressions with season (July–October vs. other) and temperature as covariates. Results We included 10,583 events, 9012 (85%) community onset (CO) and 1571 (15%) hospital onset (HO). For CO events, for each average monthly temperature increase of 5.5 °C, the monthly number of events increased by 6.2% (95% CI 1.6–11.1%, p = 0.008) and the monthly number of multidrug-resistant events increased by 4.9% (95% CI 0.3–9.7%, p = 0.04). The effect of season was not significant. For HO events, incidence of BSI and resistant BSI were not associated with temperature or season. Conclusion Temperature increases the incidence of CO E. coli BSI and CO antibiotic-resistant E. coli BSI. Global warming threatens to increase the incidence of E. coli BSI.https://doi.org/10.1186/s13756-022-01184-xEscherichia coliBloodstream infectionAntibiotic resistanceEpidemiologyTemperatureSeasonal variation
spellingShingle Sarah F. Feldman
Elizabeth Temkin
Liat Wulffhart
Amir Nutman
Vered Schechner
Pnina Shitrit
Racheli Shvartz
Mitchell J. Schwaber
Yehuda Carmeli
Effect of temperature on Escherichia coli bloodstream infection in a nationwide population-based study of incidence and resistance
Antimicrobial Resistance and Infection Control
Escherichia coli
Bloodstream infection
Antibiotic resistance
Epidemiology
Temperature
Seasonal variation
title Effect of temperature on Escherichia coli bloodstream infection in a nationwide population-based study of incidence and resistance
title_full Effect of temperature on Escherichia coli bloodstream infection in a nationwide population-based study of incidence and resistance
title_fullStr Effect of temperature on Escherichia coli bloodstream infection in a nationwide population-based study of incidence and resistance
title_full_unstemmed Effect of temperature on Escherichia coli bloodstream infection in a nationwide population-based study of incidence and resistance
title_short Effect of temperature on Escherichia coli bloodstream infection in a nationwide population-based study of incidence and resistance
title_sort effect of temperature on escherichia coli bloodstream infection in a nationwide population based study of incidence and resistance
topic Escherichia coli
Bloodstream infection
Antibiotic resistance
Epidemiology
Temperature
Seasonal variation
url https://doi.org/10.1186/s13756-022-01184-x
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