Carrier prevalence and risk factors for colonisation of multiresistant bacteria in Danish emergency departments:a cross-sectional survey
| Autor: | Karen V Andersen, Dan Brun Petersen, Helene Skjøt-Arkil, David Fuglsang-Damgaard, Annmarie Touborg Lassen, Poul Petersen, Jørn Munkhof Møller, Isik Somuncu Johansen, Svend Ellermann-Eriksen, Flemming S Rosenvinge, Ulrich Stab Jensen, Marc Ludwig, Christian Backer Mogensen, Finn Erland Nielsen, Ming Chen |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Male
Cross-sectional study Denmark Antibiotics Multiresistant bacteria medicine.disease_cause 0302 clinical medicine Risk Factors Drug Resistance Multiple Bacterial Prevalence Medicine risk factors 030212 general & internal medicine Travel 0303 health sciences Enterobacteriaceae Infections General Medicine Staphylococcal Infections Anti-Bacterial Agents Infectious Diseases medicine.anatomical_structure Carrier State language Female Emergency Service Hospital Methicillin-Resistant Staphylococcus aureus medicine.medical_specialty medicine.drug_class Risk Assessment Vancomycin-Resistant Enterococci Danish 03 medical and health sciences Streptococcal Infections Internal medicine Throat Humans carrier prevalence Antibiotic use Aged carbapenemase-producing enterobacteria Infection Control 030306 microbiology business.industry Research methicillin resistant staphylococcus aureus biochemical phenomena metabolism and nutrition extended-spectrum beta-lactamase-producing enterobacteria vancomycin resistant enterococci Methicillin-resistant Staphylococcus aureus language.human_language Carbapenem-Resistant Enterobacteriaceae Cross-Sectional Studies Carriage business |
| Zdroj: | Skjøt-Arkil, H, Mogensen, C B, Lassen, A T, Johansen, I S, Chen, M, Petersen, P, Andersen, K V, Ellermann-Eriksen, S, Møller, J M, Ludwig, M, Fuglsang-Damgaard, D, Nielsen, F E, Petersen, D B, Jensen, U S & Rosenvinge, F S 2019, ' Carrier prevalence and risk factors for colonisation of multiresistant bacteria in Danish emergency departments : a cross-sectional survey ', BMJ Open, vol. 9, no. 6, e029000 . https://doi.org/10.1136/bmjopen-2019-029000 BMJ Open Skjøt-Arkil, H, Mogensen, C B, Lassen, A T, Johansen, I S, Chen, M, Petersen, P, Andersen, K V, Ellermann-Eriksen, S, Møller, J M, Ludwig, M, Fuglsang-Damgaard, D, Nielsen, F E, Petersen, D B, Jensen, U S & Rosenvinge, F S 2019, ' Carrier prevalence and risk factors for colonisation of multiresistant bacteria in Danish emergency departments : A cross-sectional survey ', BMJ Open, vol. 9, no. 6, e029000 . https://doi.org/10.1136/bmjopen-2019-029000 |
| DOI: | 10.1136/bmjopen-2019-029000 |
| Popis: | ObjectivesThe aim of this study was to describe the carrier prevalence and demographic variation of four different multiresistant bacteria (MRB) among acute patients in Danish emergency departments (EDs): methicillin-resistantStaphylococcus aureus(MRSA), carbapenemase-producing enterobacteria (CPE), extended-spectrum beta-lactamase-producing enterobacteria (ESBL) and vancomycin-resistant enterococci (VRE), and to analyse the association of MRB carriage to a range of potential risk factors.DesignMulticentre descriptive and analytic cross-sectional survey.SettingEight EDs and four clinical microbiology departments in Denmark.ParticipantsAdults visiting the ED.Main outcome measuresSwabs from nose, throat and rectum were collected and analysed for MRSA, ESBL, VRE and CPE. The primary outcome was the prevalence of MRB carriage, and secondary outcomes relation to risk factors among ED patients.ResultsWe included 5117 patients in the study. Median age was 68 years (54–77) and gender was equally distributed. In total, 266 (5.2%, 95% CI 4.6 to 5.8) were colonised with at least one MRB. No significant difference was observed between male and female patients, between age groups and between university and regional hospitals. Only 5 of the 266 patients with MRB were colonised with two of the included bacteria and none with more than two. CPE prevalence was 0.1% (95% CI 0.0 to 0.2), MRSA prevalence was 0.3% (95% CI 0.2 to 0.5), VRE prevalence was 0.4% (95% CI 0.3 to 0.6) and ESBL prevalence was 4.5% (95% CI 3.9 to 5.1). Risk factors for MRB carriage were previous antibiotic treatment, previous hospital stay, having chronic respiratory infections, use of urinary catheter and travel to Asia, Oceania or Africa.ConclusionEvery 20th patient arriving to a Danish ED brings MRB to the hospital. ESBL is the most common MRB in the ED. The main risk factors for MRB carriage are recent antibiotic use and travel abroad.Trial registration numberNCT03352167;Post-results. |
| Databáze: | OpenAIRE |
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