Presence of multidrug-resistant organisms in the residents and environments of long-term care facilities in Taiwan
| Autor: | Hsiu Tzy Chiang, Yi Ting Lo, Min-Chi Lu, Chun Ming Lee, Yi Ni Jan, Shu Hui Tseng, Po-Ren Hsueh, Mei Yu Kang, Wen Chien Ko, Tsai Ling Tsai, Ling Fang Wang, Chih-Cheng Lai |
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| Rok vydání: | 2016 |
| Předmět: |
0301 basic medicine
Acinetobacter baumannii Male lcsh:QR1-502 medicine.disease_cause lcsh:Microbiology 0302 clinical medicine Drug Resistance Multiple Bacterial Environmental Microbiology Prevalence Immunology and Allergy Infection control 030212 general & internal medicine Prospective Studies Aged 80 and over biology General Medicine Bacterial Infections long-term care facility Infectious Diseases Nasal Swab Staphylococcus aureus Carrier State Pseudomonas aeruginosa residents Female environment Microbiology (medical) Methicillin-Resistant Staphylococcus aureus medicine.medical_specialty 030106 microbiology Taiwan Microbial Sensitivity Tests Microbiology 03 medical and health sciences Enterobacteriaceae Immunology and Microbiology(all) Internal medicine medicine Humans multidrug-resistant organisms Aged Infection Control General Immunology and Microbiology Bacteria business.industry Rectum biology.organism_classification Long-Term Care Multiple drug resistance Molecular Typing Long-term care Nasal Mucosa Health Facilities business |
| Zdroj: | Journal of Microbiology, Immunology and Infection, Vol 50, Iss 2, Pp 133-144 (2017) |
| ISSN: | 1995-9133 |
| Popis: | Objectives: This study investigated the prevalence of multidrug-resistant organisms (MDROs) in the residents and environments of long-term care facilities (LTCFs) in Taiwan. Methods: We prospectively investigated the distribution of MDROs in residents of six LTCFs and their environments from January 2015 to December 2015 (intervention period). Active surveillance of colonization of MDROs was performed by culturing rectal and nasal swab samples every 3 months for the residents: 63, 79, and 73 in the first, second, and third surveillance investigations, respectively. If MDROs, including methicillin-resistant Staphylococcus aureus, carbapenem-resistant Enterobacteriaceae, carbapenem-resistant Pseudomonas aeruginosa, and MDR Acinetobacter baumannii were identified, then swab specimens from environmental sources were also collected and cultured. During the study period, several infection control measures were also implemented. Results: The overall infection density decreased significantly from 2.69 per 1000 patient–days in the preintervention (January 2014 to December 2014) to 2.39 per 1000 patient–days during the intervention period (p |
| Databáze: | OpenAIRE |
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