We show high rates of extended-spectrum beta-lactamase-producing Enterobacteriaceae carriage among the staff and children at an orphanage in Bamako, Mali. Enterobacteriaceae colonized in 100% and 63%, respectively, of the 38 children and 30 adults studied. Use of antimicrobial drugs appeared excessive and inappropriate; decontamination and hygiene protocols were also questioned.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2681105PMC
http://dx.doi.org/10.3201/eid1503.071637DOI Listing

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