Differences in hospital-associated multidrug-resistant organisms and Clostridium difficile rates using 2-day versus 3-day definitions.
نویسندگان
چکیده
We surveyed infection prevention programs in 16 hospitals for hospital-associated methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci, extended-spectrum β-lactamase, and multidrug-resistant Acinetobacter acquisition, as well as hospital-associated MRSA bacteremia and Clostridium difficile infection based on defining events as occurring >2 days versus >3 days after admission. The former resulted in significantly higher median rates, ranging from 6.76% to 45.07% higher.
منابع مشابه
Association of tcdA+/tcdB+ Clostridium difficile Genotype with Emergence of Multidrug-Resistant Strains Conferring Metronidazole Resistant Phenotype
Background: Reduced susceptibility of Clostridium difficile to antibiotics is problematic in clinical settings. There is new evidence indicating the cotransfer of toxin-encoding genes and conjugative transposons encoding resistance to antibiotics among different C. difficile strains. To analyze this association, in the current study, we evaluated the frequency of toxigenic C. difficile among th...
متن کاملUse of rifamycin drugs and development of infection by rifamycin-resistant strains of Clostridium difficile.
The relationship between rifamycin drug use and the development of resistant strains of Clostridium difficile was studied at a large university hospital in Houston, TX, between May 2007 and September 2011. In 49 of 283 (17.3%) patients with C. difficile infection (CDI), a rifamycin-resistant strain of C. difficile was identified that compares to a rate of 8% using the same definitions in 2006-2...
متن کاملCARBapenem utilizatiON evaluation in a large community hospital (CARBON): A Quality Improvement Study.
Carbapenems constitute a class of broad-spectrum antibiotics for the treatment of documented multidrug-resistant organisms and for use as empiric therapy in severe, life-threatening conditions,1,2 Hospital-acquired infections due to organisms such as Clostridium difficile and multidrug-resistant Pseudomonas aeruginosa are responsible for significant morbidity and mortality in the institutional ...
متن کاملMulticenter study of the impact of community-onset Clostridium difficile infection on surveillance for C. difficile infection.
OBJECTIVE To evaluate the impact of cases of community-onset, healthcare facility (HCF)-associated Clostridium difficile infection (CDI) on the incidence and outbreak detection of CDI. DESIGN A retrospective multicenter cohort study. SETTING Five university-affiliated, acute care HCFs in the United States. METHODS We collected data (including results of C. difficile toxin assays of stool ...
متن کاملEpidemiology of multidrug resistant bacterial organisms and Clostridium difficile in German hospitals in 2014: Results from a nationwide one-day point prevalence of 329 German hospitals
BACKGROUND One important aspect in combatting resistance to antibiotics is to increase the awareness and knowledge by epidemiological studies. We therefore conducted a German-wide point-prevalence survey for multidrug resistant bacterial organisms (MDROs) and Clostridium difficile (CD) to assess the epidemiology and structure quality of infection control in German hospitals. METHOD 1550 hospi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Infection control and hospital epidemiology
دوره 35 11 شماره
صفحات -
تاریخ انتشار 2014