Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe

Global variation in anastomosis and end colostomy formation following left-sided colorectal resection

Background End colostomy rates following colorectal resection vary across institutions in high-income settings, being influenced by patient, disease, surgeon and system factors. This study aimed to assess global variation in end colostomy rates after left-sided colorectal resection. Methods This study comprised an analysis of GlobalSurg-1 and -2 international, prospective, observational cohort studies (2014, 2016), including consecutive adult patients undergoing elective or emergency left-sided colorectal resection within discrete 2-week windows. Countries were grouped into high-, middle- and low-income tertiles according to the United Nations Human Development Index (HDI). Factors associated with colostomy formation versus primary anastomosis were explored using a multilevel, multivariable logistic regression model. Results In total, 1635 patients from 242 hospitals in 57 countries undergoing left-sided colorectal resection were included: 113 (6·9 per cent) from low-HDI, 254 (15·5 per cent) from middle-HDI and 1268 (77·6 per cent) from high-HDI countries. There was a higher proportion of patients with perforated disease (57·5, 40·9 and 35·4 per cent; P < 0·001) and subsequent use of end colostomy (52·2, 24·8 and 18·9 per cent; P < 0·001) in low- compared with middle- and high-HDI settings. The association with colostomy use in low-HDI settings persisted (odds ratio (OR) 3·20, 95 per cent c.i. 1·35 to 7·57; P = 0·008) after risk adjustment for malignant disease (OR 2·34, 1·65 to 3·32; P < 0·001), emergency surgery (OR 4·08, 2·73 to 6·10; P < 0·001), time to operation at least 48 h (OR 1·99, 1·28 to 3·09; P = 0·002) and disease perforation (OR 4·00, 2·81 to 5·69; P < 0·001). Conclusion Global differences existed in the proportion of patients receiving end stomas after left-sided colorectal resection based on income, which went beyond case mix alone

A Procedure for Tracing Chain of Custody in Digital Image Forensics: A Paradigm Based on Grey Hash and Blockchain

Digital evidence is critical in cybercrime investigations because it is used to connect individuals to illegal activity. Digital evidence is complicated, diffuse, volatile, and easily altered, and as such, it must be protected. The Chain of Custody (CoC) is a critical component of the digital evidence procedure. The aim of the CoC is to demonstrate that the evidence has not been tampered with at any point throughout the investigation. Because the uncertainty associated with digital evidence is not being assessed at the moment, it is impossible to determine the trustworthiness of CoC. As scientists, forensic examiners have a responsibility to reverse this tendency and officially confront the uncertainty inherent in any evidence upon which they base their judgments. To address these issues, this article proposes a new paradigm for ensuring the integrity of digital evidence (CoC documents). The new paradigm employs fuzzy hash within blockchain data structure to handle uncertainty introduced by error-prone tools when dealing with CoC documents. Traditional hashing techniques are designed to be sensitive to small input modifications and can only determine if the inputs are exactly the same or not. By comparing the similarity of two images, fuzzy hash functions can determine how different they are. With the symmetry idea at its core, the suggested framework effectively deals with random parameter probabilities, as shown in the development of the fuzzy hash segmentation function. We provide a case study for image forensics to illustrate the usefulness of this framework in introducing forensic preparedness to computer systems and enabling a more effective digital investigation procedure

A Procedure for Tracing Chain of Custody in Digital Image Forensics: A Paradigm Based on Grey Hash and Blockchain

Digital evidence is critical in cybercrime investigations because it is used to connect individuals to illegal activity. Digital evidence is complicated, diffuse, volatile, and easily altered, and as such, it must be protected. The Chain of Custody (CoC) is a critical component of the digital evidence procedure. The aim of the CoC is to demonstrate that the evidence has not been tampered with at any point throughout the investigation. Because the uncertainty associated with digital evidence is not being assessed at the moment, it is impossible to determine the trustworthiness of CoC. As scientists, forensic examiners have a responsibility to reverse this tendency and officially confront the uncertainty inherent in any evidence upon which they base their judgments. To address these issues, this article proposes a new paradigm for ensuring the integrity of digital evidence (CoC documents). The new paradigm employs fuzzy hash within blockchain data structure to handle uncertainty introduced by error-prone tools when dealing with CoC documents. Traditional hashing techniques are designed to be sensitive to small input modifications and can only determine if the inputs are exactly the same or not. By comparing the similarity of two images, fuzzy hash functions can determine how different they are. With the symmetry idea at its core, the suggested framework effectively deals with random parameter probabilities, as shown in the development of the fuzzy hash segmentation function. We provide a case study for image forensics to illustrate the usefulness of this framework in introducing forensic preparedness to computer systems and enabling a more effective digital investigation procedure

Implementation of ground

Bahariya Oasis is one of the lately inspected spots in Egypt and has a long historical record extending from the old kingdom till the emergence of Islam. Since June 1999, the Valley of the Golden Mummies near Bawiti (at kilometer 6 on the road leads to Farafra Oasis) became significant due to the discoveries of amazing mummies of gelded faces. The archeologists believe that the Valley has more valuable tombs that still unrevealed. Also, the possibility that the Greco-Roman Necropolis extends to areas other than Kilo-6 is sustainable. The ground penetrating radar and electrical resistivity tomography are two geophysical tools that have successful applications in archeological assessment. The two techniques were used in integration plan to assert the archeological potentiality of the studied site and to map the feasible tombs. Sum of 798 GPR profiles and 19 ERT cross sections was carried out over the study area. The results of them were analyzed to envisage these results in archeological terms

Subsurface investigation on Quarter 27 of May 15th city, Cairo, Egypt using electrical resistivity tomography and shallow seismic refraction techniques

AbstractGeophysical tools such as electrical resistivity tomography (ERT) and shallow seismic (both P-wave seismic refraction and Multi-channel Analysis of Surface Waves (MASW)) are interesting techniques for delineating the subsurface configurations as stratigraphy, structural elements, caves and water saturated zones. The ERT technique is used to delineate the contamination, to detect the buried objects, and to quantify some aquifer properties. Eight 2-D (two dimensional) electrical resistivity sections were measured using two different configurations (dipole–dipole and Wenner). The spread length is of 96m and the electrodes spacing are 2, 4 and 6m, respectively to reach a depth ranging from 13 to 17m. The results indicate that, the subsurface section is divided into main three geo-electrical units, the first is fractured marl and limestone which exhibits high resistivity values ranging from 40 to 300ohmm. The second unit is corresponding to marl of moderate resistivity values and the third unit, which is the deeper unit, exhibits very low resistivity values corresponding to clayey marl. The fourth layer is marly clay with water. The presence of clay causes the most geotechnical problems. Fourteen shallow seismic sections (both for P-wave and MASW) were carried out using spread of 94m and geophone spacing of 2m for each P-wave section. The results demonstrate that the deduced subsurface section consists of four layers, the first layer exhibits very low P-wave velocity ranging from 280 to 420m/s, the second layer reveals P-wave velocity ranging from 400 to 1200m/s, the third layer has P-wave velocity ranging from 970 to 2000m/s and the fourth layer exhibits high velocity ranging from 1900 to 3600m/s. The ERT and shallow seismic results, reflect the presence of two parallel faults passing through Quarter 27 and trending NW-SE