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2015-07-02Zeitschriftenartikel DOI: 10.25646/2036
Current prevalence of multidrug-resistant organisms in long-term care facilities in the Rhine-Main district, Germany, 2013
dc.contributor.authorHogardt, Michael
dc.contributor.authorProba, P
dc.contributor.authorMischler, D.
dc.contributor.authorCuny, Christiane
dc.contributor.authorKempf, V. A.
dc.contributor.authorHeudorf, U.
dc.date.accessioned2018-05-07T18:23:56Z
dc.date.available2018-05-07T18:23:56Z
dc.date.created2015-08-12
dc.date.issued2015-07-02none
dc.identifier.otherhttp://edoc.rki.de/oa/articles/re1pmHskK7Crg/PDF/21rCrMtjHaNg.pdf
dc.identifier.urihttp://edoc.rki.de/176904/2111
dc.description.abstractMultidrug-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.eng
dc.language.isoeng
dc.publisherRobert Koch-Institut, Infektionskrankheiten / Erreger
dc.subjectBacterialeng
dc.subjectHumanseng
dc.subjectFemaleeng
dc.subjectMaleeng
dc.subjectGermany/epidemiologyeng
dc.subjectRisk Factorseng
dc.subjectPrevalenceeng
dc.subjectDrug Resistance Multipleeng
dc.subjectVancomycin Resistanceeng
dc.subjectBacteria/isolation & purificationeng
dc.subjectCross Infection/microbiologyeng
dc.subjectAnti-Bacterial Agents/therapeutic useeng
dc.subjectMethicillin-Resistant Staphylococcus aureus/isolation & purificationeng
dc.subjectNose/microbiologyeng
dc.subjectCross Infection/epidemiologyeng
dc.subjectMethicillin-Resistant Staphylococcus aureus/drug effectseng
dc.subjectBacteria/drug effectseng
dc.subjectBacterial Infections/epidemiologyeng
dc.subjectBacterial Infections/microbiologyeng
dc.subjectHealth Facilitieseng
dc.subjectLong-Term Careeng
dc.subjectOropharynx/microbiologyeng
dc.subjectRectum/microbiologyeng
dc.subjectVancomycin-Resistant Enterococci/drug effectseng
dc.subjectVancomycin-Resistant Enterococci/isolation & purificationeng
dc.subjectbeta-Lactamaseseng
dc.subject.ddc610 Medizin
dc.titleCurrent prevalence of multidrug-resistant organisms in long-term care facilities in the Rhine-Main district, Germany, 2013
dc.typeperiodicalPart
dc.identifier.urnurn:nbn:de:0257-10040245
dc.identifier.doihttp://dx.doi.org/10.25646/2036
local.edoc.container-titleEuroSurveillance
local.edoc.fp-subtypeArtikel
local.edoc.type-nameZeitschriftenartikel
local.edoc.container-typeperiodical
local.edoc.container-type-nameZeitschrift
local.edoc.container-urlhttp://www.eurosurveillance.org/ViewArticle.aspx?ArticleId=21171
local.edoc.container-publisher-nameECDC
local.edoc.container-volume20
local.edoc.container-issue26
local.edoc.container-year2015

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