Reuland EA et al. – This study showed a high prevalence of ESBL–producing Enterobacteriaceae in Dutch primary care patients with presumed gastrointestinal discomfort. Hence, also in The Netherlands, a country with a low rate of consumption of antibiotics in humans, resistance due to the expansion of CTX–M ESBLs, in particular CTX–M–15, is emerging. The majority of ESBL–producing strains do not appear related to the international clonal complex ST131.
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