{"doi":"10.1093/infdis/jiad128","title":"Antimicrobial-Resistant Nontyphoidal <i>Salmonella</i> Infection Following International Travel—United States, 2018–2019","abstract":"BACKGROUND: Antimicrobial resistance in nontyphoidal Salmonella (NTS) can limit treatment options. We assessed the contribution of international travel to antimicrobial-resistant NTS infections. METHODS: We describe NTS infections that were reported to the Foodborne Diseases Active Surveillance Network during 2018-2019 and screened for genetic resistance determinants, including those conferring decreased susceptibility to first-line agents (ciprofloxacin, ceftriaxone, or azithromycin). We used multivariable logistic regression to assess the association between resistance and international travel during the 7 days before illness began. We estimated the contribution of international travel to resistance using population-attributable fractions, and we examined reported antimicrobial use. RESULTS: Among 9301 NTS infections, 1159 (12%) occurred after recent international travel. Predicted resistance to first-line antimicrobials was more likely following travel; the adjusted odds ratio varied by travel region and was highest after travel to Asia (adjusted odds ratio, 7.2 [95% confidence interval, 5.5-9.5]). Overall, 19% (95% confidence interval, 17%-22%) of predicted resistance to first-line antimicrobials was attributable to international travel. More travelers than nontravelers receiving ciprofloxacin or other fluoroquinolones had isolates with predicted resistance to fluoroquinolones (29% vs 9%, respectively; P < .01). CONCLUSIONS: International travel is a substantial risk factor for antimicrobial-resistant NTS infections. Understanding risks of resistant infection could help target prevention efforts.","journal":"The Journal of Infectious Diseases","year":2023,"id":355600,"datarank":0.29188652235829704,"base_score":1.9459101490553132,"endowment":1.9459101490553132,"self_citation_contribution":0.29188652235829704,"citation_network_contribution":0.0,"self_endowment_contribution":0.29188652235829704,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":6,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9344,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1104427,"name":"Hazel J. Shah","orcid":null,"position":1,"is_corresponding":false},{"id":1104428,"name":"Dana Eikmeier","orcid":null,"position":2,"is_corresponding":false},{"id":694671,"name":"Samir Hanna","orcid":null,"position":3,"is_corresponding":false},{"id":1103968,"name":"Jessica Chen","orcid":"0000-0002-9320-6774","position":4,"is_corresponding":false},{"id":695408,"name":"Kaitlin A. Tagg","orcid":"0000-0001-5300-7984","position":5,"is_corresponding":false},{"id":383611,"name":"Gayle Langley","orcid":"0000-0002-9126-599X","position":6,"is_corresponding":false},{"id":236977,"name":"Daniel C. Payne","orcid":"0000-0002-5871-911X","position":7,"is_corresponding":false},{"id":459443,"name":"Ian D. Plumb","orcid":"0000-0003-4747-381X","position":8,"is_corresponding":false},{"id":724691,"name":"Laura Ford","orcid":"0000-0002-6253-9672","position":0,"is_corresponding":true}],"reference_count":35,"raw_metadata":{"citation_network_status":"fetched"},"created_at":"2026-07-19T01:13:21.145955Z","pmid":"37129066","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}