Intense pre‐admission carriage and further acquisition of ESBL‐producing Enterobacteriaceae among patients and their caregivers in a tertiary hospital in Rwanda

Abundant admission carriage of ESBL-PE and a high acquisition rate in a Rwandan university hospital point to potential intrahospital transmission and community dissemination. Caregivers are an additional source of possible spread. Risk factors of colonisation such as diet and water source need to be tackled to prevent the further emergence and spread of ESBL-PE.