Increasing Prevalence of <i>Escherichia coli</i> and <i>Klebsiella pneumoniae</i> Producing CTX-M-Type Extended-Spectrum Beta-Lactamase, Carbapenemase, and NDM-1 in Patients from a Rural Community with Community Acquired Infections: A 3-Year Study.

Comparison of census data from the Government of India between 2001 and 2011 showed that there is an overall gradual decrease in individuals engaged in farming.[ 20 ] Consumption of unhygienic food and water could be risk factors for the acquisition of ESBL-producing bacteria among those serving in the urban sector where the reported burden of environmental contamination rate with antimicrobial-resistant bacteria is high.[ 21 ] The present study conducted in a rural population showed an increasing trend in an overall prevalence rate of ESBL positivity among E. coli and K. pneumoniae .

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