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Extended-Spectrum β-Lactamase (ESBL)–Producing Enterobacteriaceae: A Threat from the Kitchen

  • Sarah Tschudin-Sutter (a1), Reno Frei (a2), Roger Stephan (a3), Herbert Hächler (a3), Danica Nogarth (a1) and Andreas F. Widmer (a1)...


Food is an established source of extended-spectrum (β-lactamase (ESBL)-producing Enterobacteriaceae. Hand hygiene and cooking prevent transmission, but hands could be recontaminated by touching used cutting boards. ESBL-producing Escherichia coli were identified on 12% of cutting boards and 50% of gloves after poultry preparation, pointing to an important source for transmission.


Corresponding author

Division of Infectious Diseases and Hospital Epidemiology, University Hospital Basel, Petersgraben 4, CH-4031 Basel, Switzerland (


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1. Kluytmans, JA, Overdevest, IT, Willemsen, I, et al. Extended-spectrum β-lactamase-producing Escherichia coli from retail chicken meat and humans: comparison of strains, plasmids, resistance genes, and virulence factors. Clin Infect Dis 2013;56(4)478487.
2. Dubois, V, DeBarbeyrac, B, Rogues, AM, et al. CTX-M-producing Escherichia coli in a maternity ward: a likely community importation and evidence of mother-to-neonate transmission. J Antimicrob Chemother 2010;65(7)13681371.
3. Calbo, E, Freixas, N, Xercavins, M, et al. Foodborne nosocomial outbreak of SHV1 and CTX-M-15-producing Klebsiella pneumoniae: epidemiology and control. Clin Infect Dis 2011;52(6)743749.
4. Murk, JLA, Heddema, ER, Hess, DL, Bogaards, JA, Vanden-broucke-Grauls, CMJE, Debets-Ossenkopp, YJ. Enrichment broth improved detection of extended-spectrum-beta-lactamase-producing bacteria in throat and rectal surveillance cultures of sampies from patients in intensive care units. J Clin Microbiol 2009;47(6)18851887.
5. Geser, N, Stephan, R, Kuhnert, P, et al. Fecal carriage of extended-spectrum β-lactamase-producing Enterobacteriaceae in swine and cattle at slaughter in Switzerland. J Food Prot 2011;74(3): 446449.
6. Geser, N, Stephan, R, Hächler H. Occurrence and characteristics of extended-spectrum β-lactamase (ESBL) producing Enterobacteriaceae in food producing animals, minced meat and raw milk. BMC Vet Res 2012;8:21.
7. Overdevest, I, Willemsen, I, Rijnsburger, M, et al. Extended-spectrum β-lactamase genes of Escherichia coli in chicken meat and humans, the Netherlands. Emerg Infect Dis 2011;17(7)12161222.
8. Abgottspon, H, Stephan, R, Bagutti, C, Brodmann, P, Hächler, H, Zurfluh, K. Characteristics of extended-spectrum cephalosporin resistant Escherichia coli isolated from Swiss and imported poultry meat. J Food Prot 2014;77(1)112115.
9. Hilty, M, Betsch, BY, Bögli-Stuber, K, et al. Transmission dynamics of extended-spectrum β-lactamase-producing Enterobacteriaceae in the tertiary care hospital and the household setting. Clin Infect Dis 2012;55(7)967975.
10. Stiefel, U, Cadnum, JL, Eckstein, BC, Guerrero, DM, Tima, MA, Donskey, CJ. Contamination of hands with methicillin-resistant Staphylococcus aureus after contact with environmental surfaces and after contact with the skin of colonized patients. Infect Control Hosp Epidemiol 2011;32(2)185187.


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