Rectal Colonization by Drug Resistant Bacteria in Nursing Home Residents in Crete, Greece
| Autor: | Petros Ioannou, Eleni Moraitaki, Aikaterini Moschou, Sofia Maraki, George Samonis, Diamantis P. Kofteridis, Dimitra Stafylaki |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty 030106 microbiology Prevalence nursing homes Article 03 medical and health sciences 0302 clinical medicine Antibiotic resistance Internal medicine MDR medicine Colonization 030212 general & internal medicine General Immunology and Microbiology business.industry Public Health Environmental and Occupational Health Antimicrobial Long-term care multi-drug resistance ESBL long-term care Infectious Diseases Carriage Antimicrobial use Medicine Nursing homes business |
| Zdroj: | Tropical Medicine and Infectious Disease Tropical Medicine and Infectious Disease, Vol 6, Iss 123, p 123 (2021) Tropical Medicine and Infectious Disease; Volume 6; Issue 3; Pages: 123 |
| ISSN: | 2414-6366 |
| Popis: | (1) Background: In an area with a high prevalence of multi-drug resistant Gram-negative bacteria (MDR-GNB), we investigated the colonization of nursing home residents by such organisms. (2) Methods: A point prevalence study was performed in six nursing homes of the Heraklion area on the island of Crete. A rectal swab was taken and cultured from each participant, while additional risk factors such as recent hospitalization or antimicrobial usage were recorded and evaluated. (3) Results: A total of 137 nursing home residents were included in the study. Their mean age was 82.1 years and 19.7% were males. In total, cultures yielded 255 GNB; E. coli, K. pneumoniae and P. aeruginosa were the most common. Among the microorganisms cultured, 17.6% had the extended-spectrum beta-lactamase phenotype, while 18% were MDR. A statistically significant association was found between recent antimicrobial use and colonization by MDR-GNB; (4) Conclusions: Colonization by MDR-GNB was found to be highly prevalent in nursing home residents. Recent antimicrobial use was associated with MDR-GNB carriage. |
| Databáze: | OpenAIRE |
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