1–46-fold higher than those estimated in the natural water at ea

1–4.6-fold higher than those estimated in the natural water at each site. Triplicate

samples of 100 mL of the different natural samples to which no viruses were added were incubated http://www.selleckchem.com/products/PLX-4032.html under the same conditions, and were used as control treatments (Fig. 1). We acknowledge the potential existence of a methodological bias, given that the transplant incubations were conducted at the ambient lab temperature (26 °C) and not under in situ thermal conditions (24–29 °C). PHP was measured by the [3H]-thymidine incorporation method [as modified using Bouvy et al. (2004) for tropical systems], in the different triplicate treatments, after 24 h of incubation. For each sample, two 3-mL replicates and one formalin-fixed control were incubated with [3H]-thymidine (final concentration 20 nM, specific activity: 47 Ci mmol−1, Amersham, UK) and incubated in the dark at in situ temperature. Incubations were stopped after 30 min by adding trichloroacetic acid (final concentration of 5%). Samples were precipitated on ice for 15 min and then filtered through cellulose nitrate filters (pore size, 0.2 μm, Whatman). The filters were then rinsed five times with 3 mL volumes of 5% trichloroacetic acid. The filters were placed in scintillation vials and solubilized with 0.5 mL of ethyl acetate. Scintillation cocktail (6 mL) (Ready Save, Beckman) was added to each vial, and the radioactivity was measured using the liquid scintillation procedure. The decay,

i.e. the decrease in the viral concentration over time, was recorded Lumacaftor manufacturer after inhibition of new VP by the addition of potassium cyanide (KCN; final concentration of 2 mM; Fischer NVP-BKM120 & Velimirov, 2002). The pH of the KCN stock solution was adjusted to the in situ pH. All incubations for decay experiments were performed in triplicate at in situ temperature, for 12 h. The difference between the abundance of free viruses with and without KCN allows the estimation of VP. Viral abundance was determined in glutaraldehyde-fixed (1% final concentration), flash-frozen 2-mL subsamples collected in 50 mL of KCN-treated and untreated water, by standard techniques, using SYBR Gold and epifluorescence

microscopy (Patel et al., 2007). The number of virus-like particles (VLPs) contained in triplicate samples of 50–300 μL was determined after retention of the particles on 0.02-μm pore-size membranes (Anodisc) and staining with SYBR Gold. On each slide, 300–600 VLPs were counted under an Olympus Provis-AX70 epifluorescence microscope with blue excitation, in 20 fields. For each of the nine cross-inoculation assays (Fig. 1), we calculated the inoculation effect (IE), which represents the rate of inhibition/stimulation (expressed in positive or negative percentage) in PHP and measured at 24 h as compared with the control samples as follows: A positive or a negative IE therefore indicates that the viral inoculation resulted in a promotion or a reduction of viral or prokaryotic production, respectively.

, 1996) Clearly, lipopolysaccharide was still synthesized

, 1996). Clearly, lipopolysaccharide was still synthesized INCB018424 in the LaiMut strain (Fig. 1), but not in a normal manner. Our hypothesis is that expression

of the gene in the mutant results in two proteins. The disruption of the close relationship between the two distinct parts of the LA1647 protein, which is the result of the inframe stop, causes a disorderly assembly of lipopolysaccharide and the consequential loss of one or more of the normal surface epitopes present on the lipopolysaccharide. The expression of this gene as two proteins is plausible, given the presence of a potential start codon located eight bases downstream of the stop codon in the LaiMut sequence. Furthermore, the stop is located between the undecaprenyl-binding region (T-region, Fig. 4) and the galactosyltransferase region (GT-region, Fig. 4), and thus dividing the coding region at the inframe stop is unlikely to interfere with the function of the separately translated

domains. The analysis of the LaiMut strain highlights the complexity of the micromachinery used by Leptospira to produce lipopolysaccharide. There are two aspects to stressing Ku-0059436 the importance of research related to leptospiral lipopolysaccharide. Firstly, the importance of leptospiral lipopolysaccharide to the bacterium itself must be immense; approximately 2.5% of the Lai genome is committed to lipopolysaccharide biosynthesis. Clearly, lipopolysaccharide is a critical, primary interface between Leptospira and the host. Secondly, an understanding of how the epitope diversity attributable to the lipopolysaccharide found in the >230 leptospiral serovars is encoded by combinations of sugars in the lipopolysaccharides may lead to simplified strategies for the development Tangeritin of broadly protective vaccines for leptospirosis. “
“The fabXL genes encode enzymes that synthesize the very-long-chain fatty acid

– a unique acyl modification located at the 2′ position of the lipid A of Gram-negative bacteria in the order Rhizobiales. Mutation of the fabXL genes causes sensitivity to outer membrane stressors and other envelope-related stresses; however, the underlying mechanisms for increased sensitivity are poorly understood. We found that expression of the outer membrane protein gene ropB is down-regulated in an acpXL mutant. Furthermore, constitutive expression of ropB in an acpXL or fabF2XL, fabF1XL mutant restores tolerance to detergents, hyperosmotic stress, and acidic pH. The fabF2XL, fabF1XL mutant also has a delayed nodulation phenotype, whereas a ropB mutant has no observable defects in nodulation, demonstrating that mutation of the fabXL genes results in pleiotropic phenotypes that can be classified as either ropB dependent or ropB independent. Ex-nodule isolates of the mutant strains display restored tolerance to detergents and hyperosmotic and acidic stress conditions; however, the rescued phenotypes are not owing to increased ropB expression.

One child has since developed uveitis following completion of thi

One child has since developed uveitis following completion of this study. JIA associated uveitis is usually a chronic Ku-0059436 solubility dmso anterior uveitis. It has a high complication rate, including visual loss, and requires regular ophthalmological screening depending on the JIA sub-type. The overall prevalence of uveitis in JIA

is 13%.[20] Patients with oligoarticular JIA have the highest rate of uveitis (20%).[20] Active uveitis does not usually correspond with active joint disease and joint disease can be well controlled or in remission and the uveitis can be active. It is difficult to draw any real conclusions from this observation given the sample size. However, it would seem that active uveitis in patients with JIA may contribute see more to the stress experienced by mothers. It also highlights the importance of factors

other than joint disease activity and functional status (as evidenced by the CHAQ) as promotors of stress. The findings of this study should be generalizable to all JIA cohorts as it reflects the spectrum of disease seen in clinical practice. Oligoarticular JIA is the most common sub-type accounting for 60% of JIA cases.[21, 22] This was similar in this study with 56% of mother’s having children with oligarticular arthritis. While these children often have a less severe disease course than those with other sub-types, the burden of JIA can be felt across all subtypes. As discussed, these patients are at increased risk of chronic uveitis, which could lead to an increase in stress despite inactive or low levels of joint disease activity. Higher levels of parental stress may have been demonstrated if this cohort had included only, or at

least predominantly, Masitinib (AB1010) polyarticular patients. However, we should not assume that because a patient has oligoarticular JIA that there is less stress experienced by the family. Weaknesses of this study lie in the fact that the sample was not of sufficient size to conduct comparisons between sub-types, gender or age and no details of duration of disease were collected to allow analysis of whether this factor impacted on maternal stress. The results of this study demonstrate that JIA is a chronic disease that can induce high levels of stress within carers. One-third of mothers reported stress levels in the range where professional help is recommended. This study supports the findings in previous studies on maternal and parental stress in JIA and reveals that stress levels are comparable to those reported in mothers of children with other chronic conditions. We must recognize the importance of addressing how the child and family are coping with the illness, and the child’s functional status, rather than focussing solely on improvements in clinical parameters. Further studies are required to identify factors that might alleviate this stress so that service provisions to such patients and their families can be further improved and targeted to this aspect of management.


“Reverse complementary DNA sequences – sequences that are


“Reverse complementary DNA sequences – sequences that are inadvertently given backwards with all purines and pyrimidines transposed – can affect sequence analysis detrimentally unless taken into account. We present an open-source, high-throughput software tool –v-revcomp (http://www.cmde.science.ubc.ca/mohn/software.html) – to detect and reorient reverse complementary entries of the small-subunit rRNA (16S) gene from sequencing datasets, particularly from environmental sources. The software supports sequence lengths ranging from full length down to the short reads that are characteristic of next-generation sequencing technologies. We evaluated the reliability of mTOR inhibitor v-revcomp by screening all 406 781 16S sequences deposited

in release 102 of the curated SILVA database and demonstrated that the tool has a detection accuracy of virtually 100%. We subsequently used v-revcomp to analyse 1 171 646 16S sequences deposited in the International selleck products Nucleotide Sequence Databases and found that about 1% of these user-submitted sequences were reverse complementary. In addition, a nontrivial proportion of the entries were otherwise anomalous, including reverse complementary chimeras, sequences associated with wrong taxa, nonribosomal genes, sequences of poor quality or otherwise erroneous sequences without a reasonable match to any other entry in the database. Thus, v-revcomp is highly efficient in detecting and reorienting reverse

complementary 16S sequences of almost any length and can be used to detect various sequence anomalies. The bacterial and archaeal small-subunit rRNA (SSU rRNA, 16S) gene has emerged as the gold standard genetic marker for determining

the diversity and structure of prokaryotic communities in the environment and for the assessment of phylogenetic relationships within the microbial tree of life (reviewed in Tringe & Hugenholtz, 2008; Pace, 2009). Numerous international efforts to characterize microbial communities have led to an unparalleled accumulation of 16S sequences in the International Nucleotide Sequence Databases (INSDs, Sayers et al., 2010) and warranted the establishment of curated 16S reference databases such as SILVA Edoxaban (Pruesse et al., 2007), RDP (Cole et al., 2007) and Greengenes (DeSantis et al., 2006). As per October 2010 release of SILVA version 104, close to 3 million 16S sequences are currently deposited in the INSDs, not counting the enormous number of short reads currently generated by massively parallel sequencing technologies (Margulies et al., 2005) and typically deposited as raw data in the Sequence Read Archive (Leinonen et al., 2011). The contribution of these data repositories to scientific progress is indisputable. However, as the number of public 16S sequences increases, so does the number of sequences exhibiting poor read quality, chimaerism and incomplete or incorrect taxonomic annotation (Bridge et al., 2003; Hugenholtz & Huber, 2003; Ashelford et al., 2005; Bidartondo et al.

, 2008; Rushmore et al, 2010; Das et al, 2012) An acrylic plug

, 2008; Rushmore et al., 2010; Das et al., 2012). An acrylic plug was placed on the skull overlying the anterior portion of the posterior

parietal cortex known as the aMS, in the contralesional hemisphere, to properly pinpoint this area and direct the TMS coil placement during the ensuing rTMS regime (Fig. 1). After completing the injections and placing the acrylic plug, the dura mater was repositioned, the bone piece was replaced and the muscles click here and skin were sutured. Immediately after surgery animals were given dexamethasone (1 mg/kg i.m.) for 5 days in decreasing doses and cefazolin (20 mg/kg i.m.) for 10 days following surgery. Analgesics (buprenorphine; 0.01 mg/kg, s.c., Henry Schein) were administered twice a day for 2–3 days post-surgery. Sutures were removed ~10 days after surgery. Veterinary staff from the Laboratory Animal Science Center at Boston University School of Medicine supervised the recovery. Prior evidence from our lab demonstrated that this type of lesion provides, after a period of limited spontaneous recovery, enduring signs of contralateral visuospatial deficits even 2 months after damage (Rushmore et al., 2010). rTMS was applied using Magstim Super Rapid2 equipment (The Magstim

Company Ltd, Withland, UK). Pulses were delivered with a 50-mm diameter circular coil (Magstim Company Ltd), which is one of the most focal approaches for

efficiently administering rTMS in felines (Amassian et al., 1990; Valero-Cabré Enzalutamide datasheet et al., 2005). The right aMS cortex was identified by palpating the location of the acrylic plug located under Dapagliflozin the dermis overlying the aMS of the intact (left) hemisphere and translating it onto the corresponding position in the ipsilesional hemiscalp. During the stimulation, a marked 1-cm2 region on the outer perimeter of the coil, where the magnetic field of a round coil is strongest, was placed on the ipsilesional aMS region and kept tangential to the surface of the skull by tilting it down 35–45° while keeping the coil handle angled 20° rostrally (Valero-Cabré & Pascual-Leone, 2005; Valero-Cabré et al., 2005, 2006, 2007, 2008). High-frequency 10-Hz rTMS (n = 12) was delivered for 20 min at a fixed intensity of 40% of the machine maximal output (~120% of the animal’s motor threshold; Moliadze et al., 2003), in 10-pulse trains interleaved with 5-s intertrain intervals, amounting to 2400 pulses per stimulation session. This stimulation frequency was ultimately chosen given its known excitatory effects in the human (Bohotin et al., 2002; Fierro et al., 2005; Fumal et al., 2006) and feline (Aydin-Abidin et al., 2006) visual cortex.

The peak latencies of the responses were determined from the devi

The peak latencies of the responses were determined from the deviant/novel-standard difference signals from channel F3, which was deemed to be a representative of the response for all four channels included in the analysis. For the deviant tones, the peak latency for the MMN was defined as the latency of the largest negativity between 200 and 300 ms, for the P3a as the latency of the largest positivity between 200 and 300 ms, and for the LDN as

the latency of the largest negativity between 500 and 600 ms after the deviant became physically PD0325901 concentration distinct from the standard. For the novel sounds, in turn, the peak latency of the P3a was determined as the latency of the largest positivity between 200 and 300 ms and for the LDN/RON as the latency of the largest negativity between 600 and 700 ms. For the analysis of the MMN and P3a, mean amplitudes of the responses were calculated on channels F3, F4, C3 and C4 over 50 ms time windows centred on the peak latencies. These values were then averaged together separately for each response and the

average value was used CH5424802 nmr for testing the significance of the response and for the correlation analyses. An identical procedure was used for the LDN and novelty P3a except that a 100 ms time window was used in the analyses as these responses spanned a longer time period than the MMN and the P3a elicited by the deviant tones. To test the statistical significance of the MMN, P3a and the LDN for a given deviant, the mean amplitudes were compared with zero with a two-tailed one-sample t-test. Pearson’s correlation coefficients between the overall musical behaviour score and the MMN, P3a, and LDN amplitudes were calculated. Partial correlations between the response amplitudes and the overall musical activities at home score were also calculated to control for various external factors. These factors included Wilson disease protein the child’s age, gender, and socioeconomic status. The socioeconomic status

measure included the income and education of both parents measured on six-step scales (income scale: 1, under 1000 Euros/month; 2, 1000–2000 Euros/month; 3, 2000–3000 Euros/month; 4, 3000–4000 Euros/month; 5, 4000–5000 Euros/month; 6, over 5000 Euros/month; education scale: 1, comprehensive school; 2, upper secondary school or vocational school; 3, a higher degree than upper secondary school or vocational school that is not a bachelor’s, master’s, licenciate, or doctoral degree; 4, bachelor’s degree or equivalent; 5, master’s degree or equivalent; 6, licenciate or doctoral level degree). The answers of both parents to these questions (i.e. number from one to six) were added together to form a composite socioeconomic status score for the parents of each child. Exposure to recorded music at home was not included in the musical activities index because it was expected that the more active and interactive musical behaviours would be more likely to be associated with auditory development in 2–3-year-olds (cf. Gerry et al., 2012).

In addition to virulence-related phenotypes, the presence of prop

In addition to virulence-related phenotypes, the presence of prophages

confers superinfection immunity to related phages. Pectobacterium atrosepticum (Pa– formerly Erwinia carotovora ssp. atroseptica) is an important potato pathogen, and due to the widespread cultivation of this food crop, Pa infections have significant Selleckchem Galunisertib financial implications. In common with other soft rot bacteria, the primary virulence determinants are multiple, secreted plant cell wall-degrading enzymes, although a vast array of proteins contributes to maximal pathogenicity (Corbett et al., 2005; Pemberton et al., 2005; Liu et al., 2008). Disease progression is dependent on appropriate environmental conditions. For example, anaerobic conditions inhibit oxygen-dependent host resistance mechanisms, such as phytoalexin and free radical production, as well as cell wall lignification (Perombelon, 2002). Analysis of the Pa SCRI1043 genome selleckchem sequence indicated the presence of 17 horizontally acquired islands (HAIs) (Bell et al., 2004). Indeed, three-quarters of the

Pa coding sequences are shared by the animal-pathogenic enterobacteria, and the plant-specific lifestyle of Pa is thought to be due in large part to the presence of these islands (Toth et al., 2006). Two of the HAIs are complete prophages (named ECA29 and ECA41 – representing HAI-9 and HAI-17, respectively), and are the subject of this study. The other HAIs impact on bacterial physiology and virulence ALOX15 in multiple ways. HAI-5, for example, contains the rfb cluster, and a mutation in rfbI has been shown to result in altered lipopolysaccharide biosynthesis, reduced motility and decreased virulence (Evans et al., 2010). Mutants unable to synthesize the phytotoxin coronafacic acid (encoded on HAI-2) show markedly reduced disease on potato plants than the wild type (Bell et al., 2004). Erwinia tasmaniensis strain Et1/99

is a nonpathogenic epiphyte that is thought to compete with phytopathogenic bacteria, including other members of the Erwiniae. The 17 HAIs present in Pa are almost entirely absent from E. tasmaniensis (Kube et al., 2008). While not all virulence determinants are found on obvious HAIs (plant cell wall-degrading enzymes are not), this absence underscores the contribution of laterally transmitted genetic material to the evolution of pathogens. However, HAIs do not always play discernable roles in the virulence of phytopathogens. When two islands that encode Type III secretion systems in Erwinia amylovora were ablated, no attenuation in the ability of these strains to cause disease on pears was observed (Zhao et al., 2009). Of the 17 putative HAIs in Pa, the two prophages had not been investigated. In this study, we characterized these prophages and assessed their contribution to the pathogenicity of this economically important phytopathogen.

The majority of clones in sections 1 and 3 of the phylogenetic tr

The majority of clones in sections 1 and 3 of the phylogenetic tree are likely to be specific to the concentrate diet as are those clones in sections 4–7 to the hay diet. The trend toward a closer phylogenetic relationship of clones retrieved from the specific dietary conditions implies the presence of diet-specific phylotypes of Prevotella. However, more direct evidence is needed in order to link the proposed diet-specific Prevotella lineages to their role in the ruminal fermentation of feed. Our DGGE data further showed a consistently higher number of bands in

samples from hay-fed animals. This finding corresponded with diversity analysis from clone libraries that showed higher diversity values (Chao1 and Shannon index) and a greater number of OTUs for clones generated from the hay diet. These results suggest the possible involvement of more mTOR inhibitor diverse

members of Prevotella in the degradation of a hay diet than that of concentrate. selleck inhibitor In conclusion, Prevotella is a major member of the rumen bacterial community, and uncultured Prevotella constitute a large proportion of ruminal Prevotella. The diet-specific association of Prevotella clones observed suggests significant functional diversity of members of this genus in the rumen. This study provides evidence for the potential involvement of diverse groups of Prevotella in the degradation of feed in the rumen, particularly hay. “
“A group of bacterial strains formerly known as CDC group M-5 are opportunistic pathogens to humans. In 1993, a name, Neisseria weaveri, was proposed by two independent studies to harbor CDC group M-5 strains, namely N. weaveri Holmes et al. 1993 and N. weaveri Andersen et al. 1993, with two different ‘type’ strains. However, no study has been conducted on to the relatedness of the two ‘type’ strains,

although the close relationship of the two taxa has long been accepted unofficially. Linifanib (ABT-869) Formally, the status of the name N. weaveri Andersen et al. 1993 is illegitimate because it is a later homonym of N. weaveri Holmes et al., 1993; but the name of the strain is still validly published. In this study, we attempt to resolve the confusion caused by the apparent duplication of the species N. weaveri (with different type strains) using whole genome shotgun sequencing. We also sought to gain insight into the genetic characteristics of N. weaveri by conducting comparative genomics. On the basis of genomic similarities revealed through a comparative genomic study, we propose that N. weaveri Andersen et al. 1993 should be re-classified as a later heterotypic synonym of N. weaveri Holmes et al., 1993. The genus Neisseria is composed of commensal bacteria that colonize the mucus membranes of mammals. Neisseria encompasses two important pathogens – Neisseria meningitidis and Neisseria gonorrhoeae – as well as many other opportunistic pathogens (Janda & Knapp, 2003; Han et al., 2006).

At present, migration of cysticercosis from endemic areas to none

At present, migration of cysticercosis from endemic areas to nonendemic areas can be possible. Since this is a food-borne disease without requirement of human vector, passing of disease to the new setting can be expected if there is no strict food control. Of interest, most previous reports usually focused on the traveling history to the endemic area without concern for the tasting of imported food from the endemic area. As a conclusion, traveling of contaminated food can be the source of neurocysticersosis that should Androgen Receptor Antagonist not be forgotten. “
“Travel-related risk can be defined as the threat of

an adverse event affecting a person’s health whilst traveling, which interferes with the trip or necessitates the use of health services.”[1] International travel can expose travelers to various risks to health, which depend on many factors including the destination and the person. What is certain is Selleck Erlotinib that there is no shortage of people traveling. The United Nations World Tourism Organization estimates that there was a 4% increase in international tourist arrivals in 2011 to 982 million and that the 1 billion estimated international tourist arrivals was expected to be exceeded in 2012.[2] Travel for leisure, recreation, and holidays makes up 51% of inbound tourism

with 27% traveling for visiting friends and relatives, health, religion, and related purposes and 15% traveling for business and professional

reasons.[2] Just over half of travelers travel by air (51%) with the remainder traveling by road (41%), rail (6%), and sea (2%).[2] Up to 75% of travelers to the tropics and sub-tropics report some kind of health impairment or use of medication, even if minor.[3] Mortality among travelers depends on the destination, but is uncommon. Among Swiss travelers, the mortality rate of travelers going to developing countries is about 0.8 to 1.5 per 100,000 per month.[3] A risk assessment is undertaken as part of the pre-travel health consultation for those who seek medical advice prior to departure. It involves evaluating both the risks of the destination and of the individual traveling to this destination.[4] When making a pre-travel risk assessment, travel health advisers generally focus on the Methocarbamol probability of harm and the severity of possible consequences of travel and balance these with the probability and the severity of possible consequences of any interventions.[5] The purpose of the risk assessment is to help identify travelers at special risk, eg, those with medical conditions, pregnant travelers, children or older travelers, and/or those travelers who may be undertaking travel which has special risks, such as long-term travelers, adventure travelers, or those undertaking a pilgrimage or going to a high-risk destination.[6] Risks may be categorized as preventable, avoidable, manageable, or unexpected.

13 ST131 were detected in the ESBL-producing isolates using a PCR

13 ST131 were detected in the ESBL-producing isolates using a PCR for the pabB allele, recently described by Clermont and colleagues.14 MLST was performed on those isolates that tested positive for ST131 using seven conserved housekeeping genes (adk, fumC, gyrB, icd, mdh, purA, and recA). A detailed Protease Inhibitor Library research buy protocol

of the MLST procedure, including allelic type and ST assignment methods, is available at MLST databases at the ERI, University College Cork web site (http://mlst.ucc.ie/mlst/dbs/Ecoli). The ESBL-positive isolates were assigned to one of the four main E coli phylogenetic groups (A, B1, B2, and D) by the use of a multiplex PCR-based method.15 The analysis was performed using Stata 9.2 (StataCorp, College Station, TX, USA). Samples submitted from travelers and non-travelers were treated as independent samples and grouped for analysis. Proportions were compared using Fisher’s exact test and continuous data using the Student’s t-test. For all comparisons a p-value <0.05 was deemed to represent statistical significance. A total of 226 Birinapant cell line samples were included; 207 (92%) of samples were submitted from community-based collection sites

and 19 (8%) were submitted from emergency departments. The mean age (±SD) was 37.5 ± 22.5 years and 126 (57%) were females. Among the 113 foreign travelers, 21 traveled to Asia, 18 traveled within North America (17 Mexico and 1 USA), 18 to Caribbean/Central America, 17 to Africa, 12 to India, 10 to Europe, 8 to South America, 6 to the Middle East, and 3 to Australia/New Zealand. Among the 226 stool samples, 191 (85%) were negative, 31 (14%) were positive for ESBL-producing E coli. A number of factors were compared

among travelers and non-travelers and are 4��8C shown in Table 1. Notably, travelers were 5.2 (95% CI 2.1–31.1) times more likely than non-travelers to have an ESBL-producing E coli cultured from their stool (Table 1). Among the 31 isolates, 27 (87%) were non-susceptible (ie, intermediate or resistant) to SXT, 23 (74%) to AMC, 12 (39%) to TZP, 26 (84%) to CIP, 21 (68%) to TOB, 18 (58%) to GEN, and 2 (6%) to AMK. No resistance was detected to ERT or MER. We used the latest CLSI breakpoints for ERT (0.25 µg/mL) and MER (1 µg/mL). Among the 113 foreign travelers, the location of travel was associated with the likelihood of positivity of stool for ESBL-producing E coli as shown in Table 2. The highest rates of ESBL positivity were associated with travel to Africa or the Indian subcontinent (p = 0.001). All the E coli isolates were positive for blaCTX−M genes: 22 produced CTX-M-15, 8 produced CTX-M-14, and 1 produced CTX-M-8. Some of the CTX-M-producing isolates also produced TEM-1 (ie, those with CTX-M-14 and -15) and OXA-1 (only those with CTX-M-15) β-lactamases. No other types of ESBLs were present.