Current prevalence of multidrug-resistant organisms in long-term care facilities in the Rhine-Main district, Germany, 2013
Hogardt, Michael
Proba, P
Mischler, D.
Cuny, Christiane
Kempf, V. A.
Heudorf, U.
Multidrug-resistant organisms (MDRO) and in particular multidrug-resistant Gram-negative organisms (MRGN) are an increasing problem in hospital care. However, data on the current prevalence of MDRO in long-term care facilities (LTCFs) are rare. To assess carriage rates of MDRO in LTCF residents in the German Rhine-Main region, we performed a point prevalence survey in 2013. Swabs from nose, throat and perineum were analysed for meticillin-resistant Staphylococcus aureus (MRSA), perianal swabs were analysed for extended-spectrum beta-lactamase (ESBL)-producing organisms, MRGN and vancomycin-resistant enterococci (VRE). In 26 LTCFs, 690 residents were enrolled for analysis of MRSA colonisation and 455 for analysis of rectal carriage of ESBL/MRGN and VRE. Prevalences for MRSA, ESBL/MRGN and VRE were 6.5%, 17.8%, and 0.4%, respectively. MRSA carriage was significantly associated with MRSA history, the presence of urinary catheters, percutaneous endoscopic gastrostomy tubes and previous antibiotic therapy, whereas ESBL/MRGN carriage was exclusively associated with urinary catheters. In conclusion, this study revealed no increase in MRSA prevalence in LTCFs since 2007. In contrast, the rate of ESBL/MRGN carriage in German LTCFs was remarkably high. In nearly all positive residents, MDRO carriage had not been known before, indicating a lack of screening efforts and/or a lack of information on hospital discharge.
No license information
Related Items
Show related Items with similar Title, Author, Creator or Subject.
-
2009-08-24ZeitschriftenartikelPrevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus (MRSA) among pigs on German farms and import of livestock-related MRSA into hospitals Köck, Robin; Harlizius, J.; Bressan, N.; Laerberg, R.; Wieler, Lothar H.; Witte, Wolfgang; Deurenberg, R. H.; Voss, A.; Becker, Karsten; Friedrich, Alexander W.The aim of this study was to evaluate the prevalence and molecular characteristics of methicillin-resistant Staphylococcus aureus (MRSA) among pigs and estimate the impact of this animal reservoir on human healthcare. Nasal ...
-
2009-07-01ZeitschriftenartikelEmergence of a community-associated methicillin-resistant Staphylococcus aureus with unique resistance profile in Southwest of Nigeria Ghebremedhin, B.; Olugbosi, M. O.; Raji, A. M.; Layer, Franziska; Bakare, R. A.; König, B.; König, WolfgangPheno-, genotypic and toxin gene analysis has not been done yet all in one for Nigerian Staphylococcus aureus population. This study provides a comprehensive overview on the molecular epidemiology and genetic diversity of ...
-
2015-11-19ZeitschriftenartikelIncidence of invasive meticillin-resistant Staphylococcus aureus infections in Germany, 2010 to 2014 Walter, Jan; Haller, Sebastian; Blank, Hans-Peter; Eckmanns, Tim; Sin, Muna Abu; Hermes, JuliaVoluntary surveillance systems in Germany suggest a recent decline in the incidence of infections (subsequent to at least 2010) with meticillin-resistant Staphylococcus aureus (MRSA) from various types of specimens and ...