Prevalence of Antimicrobial Resistance and Infectious Diseases in a Hospitalised Migrant Population in Paris, France,

Sarah Stabler1, Olivier Paccoud1, Léa Duchesne2

  • 1GHU APHP. Sorbonne Université, Service des Maladies Infectieuses et Tropicales, Hôpital Saint-Antoine, Paris, France.

Insights

Migrant health screenings are crucial. This study found significant antimicrobial resistance (AMR) carriage, infectious diseases like HIV/HBV, and psychological trauma in recently arrived hospitalized migrants, highlighting the need for comprehensive post-arrival health assessments.

Area of Science:

  • Global Health
  • Infectious Diseases
  • Public Health

Background:

  • Migrants face unique health challenges, including infectious diseases and psychological distress.
  • Antimicrobial resistance (AMR) carriage is a growing global concern, particularly in vulnerable populations.
  • Limited data exists on the prevalence of AMR, infectious diseases, and psychological trauma among recently arrived hospitalized migrants.

Purpose of the Study:

  • To determine the prevalence of AMR carriage and associated risk factors in hospitalized migrants.
  • To evaluate the prevalence of infectious diseases (HIV, HBV, HCV, treponemiasis, Chlamydia trachomatis) in this population.
  • To assess the frequency of psychological trauma symptoms (depression, PTSD) among migrant patients.

Main Methods:

  • Retrospective, monocentric, cross-sectional study design.
  • Inclusion of all recently arrived hospitalized migrant patients over a one-year period.
  • Analysis of AMR carriage rates, specific resistant strains (MRSA, ESBL-E), infectious disease markers, and psychological trauma symptoms.

Main Results:

  • Overall AMR carriage rate was 20.7%, with notable prevalence of methicillin-resistant Staphylococcus aureus (5.4%) and extended-spectrum beta-lactamase-producing Enterobacteriaceae (16.4%).
  • AMR carriage was linked to older age, region of origin (Sub-Saharan Africa), and migration duration.
  • High rates of HIV (39.6%), HBV (32.7%), and HCV (5%) infections were observed, alongside 11% treponemiasis and 7.8% Chlamydia trachomatis.
  • Over half of the patients exhibited symptoms of depression or post-traumatic stress disorder.

Conclusions:

  • Systematic screening for AMR, infectious diseases, and psychological trauma is essential for recently arrived migrants.
  • Early detection and management can mitigate health risks and improve outcomes for migrant populations.
  • Addressing the multifaceted health needs of migrants requires a comprehensive post-arrival healthcare approach.

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