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@article{Nellums:2018:10.1016/S1473-3099(18)30219-6,
author = {Nellums, LB and Thompson, H and Holmes, A and Castro-Sánchez, E and Otter, JA and Norredam, M and Friedland, JS and Hargreaves, S},
doi = {10.1016/S1473-3099(18)30219-6},
journal = {Lancet Infectious Diseases},
pages = {796--811},
title = {Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis},
url = {http://dx.doi.org/10.1016/S1473-3099(18)30219-6},
volume = {18},
year = {2018}
}

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TY  - JOUR
AB  - BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus
AU  - Nellums,LB
AU  - Thompson,H
AU  - Holmes,A
AU  - Castro-Sánchez,E
AU  - Otter,JA
AU  - Norredam,M
AU  - Friedland,JS
AU  - Hargreaves,S
DO  - 10.1016/S1473-3099(18)30219-6
EP  - 811
PY  - 2018///
SN  - 1473-3099
SP  - 796
TI  - Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis
T2  - Lancet Infectious Diseases
UR  - http://dx.doi.org/10.1016/S1473-3099(18)30219-6
UR  - https://www.ncbi.nlm.nih.gov/pubmed/29779917
UR  - http://hdl.handle.net/10044/1/59670
VL  - 18
ER  -

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