About My Health Careers Internship MedBlogs Contact us
Medindia LOGIN REGISTER
Advertisement

Staying in a Hotel During Travel Increases Risk of Contracting Drug-resistant Bacteria

by Iswarya on April 15, 2019 at 2:24 PM
Font : A-A+

Staying in a Hotel During Travel Increases Risk of Contracting Drug-resistant Bacteria

Staying in a hotel or private accommodation during traveling to low or middle-income countries (LMICs) may increase the risk of contracting and carrying home drug-resistant bacteria, especially in young travelers, reports a new study. The findings of the study are presented at the European Congress of Clinical Microbiology & Infectious Diseases meeting.

This study of 230 people from Germany travelling to LMICs found that travelers who mainly stayed in a hotel or private accommodation had a four times higher risk in each case of returning home with multi-drug resistant bacteria in their gut than those who mainly stayed in other types of tourist accommodations like guest houses, hostels, or camping.

Advertisement


According to the authors, the study is the first to report staying in a hotel as a risk factor for colonization with extended-spectrum beta-lactamase producing Enterobacteriaceae (ESBL-PE), which are resistant to multiple antibiotics.

"Previous studies had already reported this for staying in private accommodation, but it was unexpected that hotel might also be a risk factor," says co-author Dr. Lynn Meurs from the Robert Koch-Institute, Berlin, Germany.
Advertisement

"Colonisation in itself does not lead to any health problems. However, there is a risk of infection with bacteria that patients are colonized with, especially in hospitalized patients. Should that occur with extended-spectrum beta-lactamase producing Enterobacteriaceae, these infections such as urinary tract infections, pneumonia, and sepsis, may be more difficult to treat than infections with bacteria that are susceptible to standard antibiotics."

As the study did not set out to investigate the effect of a hotel stay on ESBL-PE colonization, further studies are needed to assess whether the surprising association between a hotel stay and ESBL-colonisation is indeed reproducible, and to assess better what factors may cause such an association, researchers say.

To investigate how intercontinental travel impacts the spread of ESBL-producing bacteria, Meurs and colleagues from a joint project of the Leipzig University Hospital and the Robert Koch Institute in Berlin, Germany, studied risk factors for intestinal ESBL-PE colonization in 230 people attending a travel clinic at the Leipzig University Hospital, Germany, before travelling between March 2016 and March 2017.

The researchers collected stool samples for testing from participants before and after they traveled outside of Germany. All travelers completed questionnaires on risk factors including the countries they visited, length of time in the country, type of residence, symptoms, antibiotic treatment, healthcare use, diet, and hygiene.

Modeling was used to identify risk factors for travel-associated ESBL-PE colonization. Seven travelers who tested ESBL-PE-positive before travel were excluded from the analyses.

Results showed that around 1 in 5 travelers (23%; 53/230) contracted ESBL-producing bacteria during their trip abroad.

People traveling to either Western, Southern or Eastern Asia faced the highest risk of contracting the resistant bacteria they had a four times higher risk of being colonized with ESBL-producing bacteria than those who visited other LMICs in tropical and subtropical regions.

The data also showed that people who stayed in a hotel, or in private accommodation were in each case four times more likely to contract ESBL-producing bacteria than those staying in residence like a hostel, guest house or camping.

The risk of ESBL-PE colonization also varied with age, with travelers aged 20-30 years at a five-times increased odds of contracting drug-resistant bacteria compared to travelers aged 50 years and over. The authors suggest that it is most likely because people aged 20-30 years in this study traveled longer than travelers from other age categories. As such, they may have been exposed longer to ESBL-PE and therefore have a higher risk of returning home colonized.

"Many people visit low- and middle-income countries in tropical and semi-tropical regions every year. With around 20% of travelers returning positive for these resistant bacteria, our findings reconfirm that intercontinental travel, especially to already known high-risk areas, likely contribute to their global spread", says Dr. Meurs.

"We, therefore, recommend raising awareness in returning (high-risk) travelers. They should know that 1) they may be carrying drug-resistant bacteria in the weeks after travel and 2) how they can effectively prevent the spread to other persons, for example through adequate hand hygiene."

This observational study in one travel clinic cannot prove that the type of accommodation causes colonization with ESBL-producing bacteria, but only suggests the possibility of such an effect. The authors point to several limitations including that the study was not sufficiently powered to detect other risk or protective factors for travel-associated ESBL-PE acquisition, and that travelers attending a travel clinic may not be representative for all people traveling to the tropics.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
News Category
What's New on Medindia
First Dose of COVID-19 Vaccines May Improve Mental Health
Printed Temperature Sensors help with Continuous Temperature Monitoring
Health Benefits of Giloy
View all

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Shigellosis Travel Travel Health Amyotrophic Lateral Sclerosis (ALS) MRSA - The Super Bug Food Safety for Health Antibiotics Acute Coronary Syndrome 

Recommended Reading
Rapid Test may Speed Antibiotic Treatment and Combat Drug Resistance
A prototype sensor provides results in less than an hour, much faster than conventional ......
Raman Spectroscopy Helps Find the Right Drug with Drug Resistance Test
Drug resistance by bacteria can be tested with Raman spectroscopy. This fast and simple test helps ....
E.coli's Adaptation to Heat Helps Explain Drug Resistance
E.coli's adaption to temperature especially heat helps explain why certain strains are resistant to ...
Pentamidine Combination Drug Therapy May Treat Antibiotic Drug Resistance
Combination of Pentamidine drug along with other antibiotics may help in treating antibiotic drug .....
Acute Coronary Syndrome
Acute coronary syndrome (ACS) is a sudden, acute life-threatening condition caused by a dramatic red...
Amyotrophic Lateral Sclerosis (ALS)
Find out more about the degenerative disease- Amyotrophic lateral sclerosis....
Antibiotics
Antibiotics are among the most used and abused medications. This article explains some general featu...
MRSA - The Super Bug
MRSA infection is the most dreaded hospital or community acquired infection that can become ......
Shigellosis
Shigellosis or Bacillary Dysentery is a common cause of gastro-enteritis worldwide and can cause blo...

Disclaimer - All information and content on this site are for information and educational purposes only. The information should not be used for either diagnosis or treatment or both for any health related problem or disease. Always seek the advice of a qualified physician for medical diagnosis and treatment. Full Disclaimer

© All Rights Reserved 1997 - 2021

This site uses cookies to deliver our services. By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use