{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:31:34Z","timestamp":1777923094484,"version":"3.51.4"},"reference-count":42,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Microbial Drug Resistance"],"published-print":{"date-parts":[[2022,1,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>\n                      The incidence of healthy individuals carrying multidrug resistant Enterobacteriaceae, including extended-spectrum \u03b2-lactamase producing Enterobacteriaceae (ESBL-E), especially extended-spectrum \u03b2-lactamase producing\n                      <jats:italic toggle=\"yes\">Escherichia coli<\/jats:italic>\n                      (ESBL-EC) and extended-spectrum \u03b2-lactamase producing\n                      <jats:italic toggle=\"yes\">Klebsiella pneumoniae<\/jats:italic>\n                      (ESBL-KP), is increasing worldwide. Although ESBL-E causes early or late onset of neonatal sepsis, the prevalence of ESBL-E carriage among pregnant women in Indonesia is not clear. In the present study, we compared the occurrence of carriage of ESBL-E among pregnant women in a primary health center (PHC) versus two hospitals.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We collected rectal swab samples from 200 pregnant women who visited a PHC or were admitted to two hospitals in Surabaya, Indonesia from July to October 2018. The ESBL-E strains were isolated from the samples and phenotypically and genotypically analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      ESBL-E strains were isolated from 25 (24.8%) pregnant women who visited the PHC and 49 (49.5%) pregnant women who were admitted to the hospitals. The rate of ESBL-E carriage of pregnant women in the hospitals was significantly higher than that in the PHC. Among the 74 isolated ESBL-E strains, ESBL-EC was most frequently isolated (62 strains), followed by ESBL-KP (12 strains). In addition,\n                      <jats:italic toggle=\"yes\">\n                        bla\n                        <jats:sub>CTX-M-15<\/jats:sub>\n                      <\/jats:italic>\n                      was the most frequent ESBL gene type of the isolated ESBL-E strains.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Our results revealed the high occurrence of ESBL-E carriage in pregnant women, especially those who were admitted to the hospitals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/mdr.2020.0506","type":"journal-article","created":{"date-parts":[[2021,8,4]],"date-time":"2021-08-04T17:43:01Z","timestamp":1628098981000},"page":"48-55","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Occurrence of Carriage of Multidrug Resistant Enterobacteriaceae among Pregnant Women in the Primary Health Center and Hospital Setting in Surabaya, Indonesia"],"prefix":"10.1177","volume":"28","author":[{"given":"Siti Rochmanah","family":"Oktaviani Sulikah","sequence":"first","affiliation":[{"name":"Department of Clinical Microbiology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miratul","family":"Hasanah","sequence":"additional","affiliation":[{"name":"Post-Graduate Master Program on Tropical Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wahyu","family":"Setyarini","sequence":"additional","affiliation":[{"name":"Institute of Tropical Disease, Universitas Airlangga, Surabaya, Indonesia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hari","family":"Parathon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and 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Technology, Kobe Tokiwa University, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shohiro","family":"Kinoshita","sequence":"additional","affiliation":[{"name":"Division of Advanced Medical Science, Kobe University Graduate School of Science, Technology and Innovation, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itaru","family":"Hirai","sequence":"additional","affiliation":[{"name":"Laboratory of Microbiology, School of Health Sciences, Faculty of Medicine, University of the Ryukyus, Okinawa, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3925-8730","authenticated-orcid":false,"given":"Toshiro","family":"Shirakawa","sequence":"additional","affiliation":[{"name":"Division of Advanced Medical Science, Kobe University Graduate School of Science, Technology and Innovation, Kobe, 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