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Updated: Aug 15, 2025

Population and Single-Cell Analysis of Antibiotic Persistence in Escherichia coli
Published on: March 24, 2023
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.
Abstract:
Objectives: The aim of this study was to estimate the prevalence of anti-microbial resistance (AMR) carriage and its risk factors in hospitalized migrants. Additionally, the prevalence of infectious diseases was evaluated, as well as symptoms of psychological trauma. Methods: We conducted a retrospective monocentric cross-sectional study including all migrant patients recently arrived and hospitalised over a one-year period. Results: Among 101 patients, seventy-nine percent originated from Sub-Saharan Africa. The overall AMR carriage rate was 20.7% [95% CI: 12.4; 28.9%]. We isolated 5/92 methicillin-resistant Staphylococcus aureus strains (5.4%) and 15/92 extended-spectrum beta-lactamase-producing Enterobacteriaceae (16.4%). AMR carriage was associated with older age, region of origin and length of migration. Rates of HIV, HBV, and HCV infection were 39.6%, 32.7%, and 5%, reflecting sampling bias linked to reasons for hospitalization. Eleven percent had serological evidence of treponemasis and 7.8% had Chlamydia trachomatis infection. Symptoms of depression or post-traumatic stress disorder were observed for more than half the patients. Conclusion: It appears essential to offer a systematic and comprehensive post-arrival screening of AMR carriage, infectious diseases and psychological trauma to subjects who experienced migration.
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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