Duration of colonization with and risk factors for prolonged carriage of multidrug resistant organisms among residents in long-term care facilities
| Autor: | Yng-Chyi Chen, Sung-Ching Pan, Chia-Ming Li, I-Wen Lin, Chiao-Yu Huang |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Microbiology (medical) Colonization medicine.medical_specialty Isolation (health care) Multidrug-resistant organisms 030106 microbiology lcsh:Infectious and parasitic diseases 03 medical and health sciences 0302 clinical medicine medicine Infection control Pharmacology (medical) lcsh:RC109-216 030212 general & internal medicine Intensive care medicine Proportional hazards model business.industry Long-term care facilities Public Health Environmental and Occupational Health Retrospective cohort study Clinical trial Long-term care Infectious Diseases Carriage Emergency medicine business |
| Zdroj: | Antimicrobial Resistance and Infection Control, Vol 6, Iss 1, Pp 1-7 (2017) |
| ISSN: | 2047-2994 |
| DOI: | 10.1186/s13756-017-0246-4 |
| Popis: | Background Residents of long-term care facilities (LTCFs) colonized with multidrug resistant organisms (MDROs) are often placed under contact isolation to ensure appropriate infection control. This isolation may reduce opportunities for rehabilitation and social stimuli and may also increase medical costs. However, the number of previous studies investigating the duration of colonization in LTCFs is limited. This study was conducted to determine the duration of colonization and risk factors for prolonged carriage of MDROs among residents of a LTCF. Methods This retrospective study was conducted in a hospital-affiliated nursing home with 59 beds. Fifty-four residents in the nursing home were isolated for MDROs between January 1, 2013 and December 31, 2015. Clinical data were collected from the charts of these 54 residents, including catheter use, colonizing MDRO species and site, underlying diseases, Charlson Comorbidity Index (CCI) scores, and Barthel index scores before and after isolation. Forty-seven residents were included into the statistic analysis. Multivariate Cox regression analyses were performed using duration of colonization as the dependent variable. Results The most frequently isolated MDROs were vancomycin-resistant enterococci (VRE) (44.7%), and the median duration of colonization was 72 (4–407) days. An increased CCI score significantly increased the risk of prolonged colonization (HR: 0.86, 95% CI: 0.76–0.98, p value 0.02). Conclusion Among residents of the LTCF, the average duration of MDRO colonization was approximately 3 months. CCI scores were positively associated with the duration of the MDRO colonization of the LTCF residents. Further studies should be conducted to determine whether implementing isolation protocols for MDRO-colonized LTCF residents is associated with a decline in ADL. Trial registration The study protocol was approved by the National Center of Excellence for Clinical Trial and Research of the National Taiwan University Hospital ( 201512080RINB ). The date of registration was December 24, 2015. |
| Databáze: | OpenAIRE |
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