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  • 1.
    Bi, Z.
    et al.
    Shandong Ctr Dis Control and Prevent, Peoples R China.
    Sun, C.
    China Agr Univ, Peoples R China.
    Borjesson, S.
    Natl Vet Inst SVA, Sweden.
    Chen, B.
    Shandong Ctr Dis Control and Prevent, Peoples R China.
    Ji, X.
    China Agr Univ, Peoples R China.
    Berglund, Björn
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Wang, M.
    Shandong Ctr Dis Control and Prevent, Peoples R China.
    Nilsson, Maud
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Yin, Hong
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Sun, Q.
    Shandong Univ, Peoples R China; Shandong Univ, Peoples R China.
    Hulth, A.
    Publ Hlth Agcy Sweden, Sweden.
    Wang, Y.
    China Agr Univ, Peoples R China.
    Wu, C.
    China Agr Univ, Peoples R China.
    Bi, Z.
    Shandong Ctr Dis Control and Prevent, Peoples R China.
    Nilsson, Lennart E
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Identical genotypes of community-associated MRSA (ST59) and livestock-associated MRSA (ST9) in humans and pigs in rural China2018In: Zoonoses and Public Health, ISSN 1863-1959, E-ISSN 1863-2378, Vol. 65, no 3, p. 367-371Article in journal (Refereed)
    Abstract [en]

    This study investigated the prevalence of MRSA in samples taken in households, with and without backyard pigs in villages in a rural area of Shandong Province, China. Community-associated MRSA and livestock-associated MRSA, belonging to ST59 and ST9, respectively, were identified in both humans and pigs. The genotypic and phenotypic comparison of isolates indicates that bidirectional transmission of MRSA has occurred between humans and pigs in the villages.

  • 2.
    Sun, Pan
    et al.
    Shandong University, Peoples R China.
    Bi, Zhenwang
    Shandong Centre Disease Control and Prevent, Peoples R China.
    Nilsson, Maud
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Zheng, Beiwen
    Zhejiang University, Peoples R China.
    Berglund, Björn
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Stalsby Lundborg, Cecilia
    Karolinska Institute, Sweden.
    Borjesson, Stefan
    National Vet Institute, Sweden.
    Li, Xuewen
    Shandong University, Peoples R China.
    Chen, Baoli
    Shandong Centre Disease Control and Prevent, Peoples R China.
    Yin, Hong
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Nilsson, Lennart E
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Occurrence of bla(KPC-2), bla(CTX-M), and mcr-1 in Enterobacteriaceae from Well Water in Rural China2017In: Antimicrobial Agents and Chemotherapy, ISSN 0066-4804, E-ISSN 1098-6596, Vol. 61, no 4, article id e02569Article in journal (Refereed)
    Abstract [en]

    We report on the coexistence of mcr-1 and blaCTX-M in multidrugresistant, extended-spectrum beta-lactamase-producing Escherichia coli belonging to the sequence type 10 complex isolated from well water in rural China. Raoultella ornithinolytica with bla(KPC-2) was also detected in well water from the same area. This study shows that genes coding for resistance to last-resort antibiotics are present in wells in rural China, indicating a potential source of antibiotic resistance.

  • 3.
    Sun, Qiang
    et al.
    Shandong Univ, Peoples R China.
    Wang, Yang
    China Agr Univ, Peoples R China.
    Hulth, Anette
    Publ Hlth Agcy Sweden, Sweden; Karolinska Inst, Sweden.
    Xiao, Yonghong
    Zhejiang Univ, Peoples R China.
    Nilsson, Lennart E
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Li, Xuewen
    Shandong Univ, Peoples R China.
    Bi, Zhenwang
    Shandong Ctr Dis Control and Prevent, Peoples R China; Shandong Prov Key Lab Infect Dis Control and Preven, Peoples R China.
    Liu, Yuqing
    Shandong Acad Agr Sci, Peoples R China; Key Lab Anim Epidem Prevent and Breeding Shandong P, Peoples R China.
    Yin, Hong
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Luo, Yanbo
    Shandong Acad Agr Sci, Peoples R China; Key Lab Anim Epidem Prevent and Breeding Shandong P, Peoples R China.
    Nilsson, Maud
    Linköping University, Department of Clinical and Experimental Medicine, Division of Microbiology and Molecular Medicine. Linköping University, Faculty of Medicine and Health Sciences.
    Sun, Chengtao
    China Agr Univ, Peoples R China.
    Zhu, Yiqing
    Hebei Prov Ctr Dis Control and Prevent, Peoples R China.
    Zheng, Beiwen
    Zhejiang Univ, Peoples R China.
    Chen, Baoli
    Shandong Ctr Dis Control and Prevent, Peoples R China; Shandong Prov Key Lab Infect Dis Control and Preven, Peoples R China.
    Sun, Pan
    Shandong Univ, Peoples R China.
    Ding, Lilu
    Shandong Univ, Peoples R China; Nanjing Univ, Peoples R China.
    Xia, Xi
    China Agr Univ, Peoples R China.
    Ottoson, Jakob
    Natl Food Agcy, Sweden.
    Lofmark, Sonja
    Publ Hlth Agcy Sweden, Sweden.
    Dyar, Oliver James
    Karolinska Inst, Sweden.
    Borjesson, Stefan
    Natl Vet Inst, Sweden.
    Lundborg, Cecilia Stalsby
    Karolinska Inst, Sweden.
    Study protocol for One Health data collections, analyses and intervention of the Sino-Swedish integrated multisectoral partnership for antibiotic resistance containment (IMPACT)2018In: BMJ Open, ISSN 2044-6055, E-ISSN 2044-6055, Vol. 8, no 1, article id e017832Article in journal (Refereed)
    Abstract [en]

    Introduction To effectively minimise the emergence and dissemination of antibiotic resistant bacteria, a holistic One Health approach is called for. The Sino-Swedish Integrated Multisectoral Partnership for Antibiotic Resistance Containment is a cross-sectoral and integrated project on antibiotic resistance, conducted in Shandong Province in China. This paper outlines the overall study protocol for the project. To our knowledge, this is the first research programme aiming to take a true holistic approach across multiple sectors simultaneously in China, and the first to incorporate both antibiotic use and infection prevention and control in addition to antibiotic resistance patterns. The project aims to address gaps in current knowledge and seeks to improve the situation through a system-wide intervention. By using a One Health approach we can address important research questions that individual discipline investigations are unable to. The results obtained should thus more closely reflect the world in which human health, animal health and the environment are inextricably and intimately interlinked. Methods and analysis Both quantitative and qualitative studies are included for households from 12 villages, their surrounding environment and a tertiary care hospital in a nearby town. The studies include analyses of antibiotic consumption for humans and pigs; qualitative and quantitative data on perceptions, knowledge and attitudes; faecal carriage of extended spectrum beta-lactamase and carbapenemase-producing Enterobacteriaceae from pigs and humans, and occurrence in household drinking water, surface water, waste water and clinical bacterial isolates from the hospital. Carriage of methicillin-resistant Staphylococcus aureus in humans, household pigs and clinical bacterial isolates is also investigated. Furthermore, potential inter-relationships between these sources are analysed. A multifaceted One Health intervention is designed and implemented in 6 of the 12 villages. Repeated and continuous data collections take place over 2 years, where the repeated data collection is performed after 1 year of intervention. Comparisons are made between intervention and control villages, before and after the intervention. Ethics Ethics approval was obtained from the first Affiliated Hospital, College of Medicine, Zhejiang University, China, reference number 2015#185 and 20154283.

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