When a Home is Not a Home: MultiDrug-Resistant Organism (MDRO) Colonization and Environmental Contamination in 28 Nursing Homes (NHs)

نویسندگان

  • James A McKinnell
  • Loren Miller
  • Raveena D Singh
  • Job Mendez
  • Ryan Franco
  • Gabrielle Gussin
  • Justin Chang
  • Tabitha D Dutciuc
  • Raheeb Saavedra
  • Ken Kleinman
  • Ellena M Peterson
  • Kaye D Evans
  • Lauren Heim
  • Aaron Miner
  • Marlene Estevez
  • Harold Custodio
  • Stacey Yamaguchi
  • Jenny Nguyen
  • Alex Varasteh
  • Bryn Launer
  • Shalini Agrawal
  • Thomas Tjoa
  • Jiayi He
  • Steven Park
  • Steven Tam
  • Shruti K Gohil
  • Nimalie D Stone
  • Karl Steinberg
  • Jocelyn Montgomery
  • Nancy Beecham
  • Susan S Huang
چکیده

1694. Treatment as Prevention for Hepatitis C (TraP HepC). A Real-world Experience from the First 12 Months of a Nationwide Elimination Program in Iceland Magnus Gottfredsson, MD, PhD; Thorarinn Tyrfingsson, MD; Valgerdur Runarsdottir, MD; Ottar M. Bergmann, MD; Einar S. Bjornsson, MD, PhD; Birgir Johannsson, MD; Bryndis Sigurdardottir, MD; Ragnheidur H. Fridriksdottir, RN, MBA; Arthur Löve, MD, PhD; Thorvardur J. Löve, MD, PhD; Gudrun Sigmundsdottir, MD, PhD; Maria Heimisdottir, MD, PhD, MBA; Sigurdur Olafsson, MD; Infectious Diseases, Landspitali University Hospital, Reykjavik, Iceland; Vogur Hospital, Reykjavik, Iceland; Gastroenterology and Hepatology, Landspitali University Hospital, Reykjavik, Iceland; Virology, Landspitali University Hospital, Reykjavik, Iceland; Science, Landspitali University Hospital, Reykjavik, Iceland; State Epidemiologist, Directorate of Health, Reykjavik, Iceland; Finance, Landspitali University Hospital, Reykjavik, Iceland

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Challenges and Strategies for Prevention of Multidrug-Resistant Organism Transmission in Nursing Homes

PURPOSE OF REVIEW Nursing home residents are at high risk for colonization and infection with bacterial pathogens that are multidrug-resistant organisms (MDROs). We discuss challenges and potential solutions to support implementing effective infection prevention and control practices in nursing homes. RECENT FINDINGS Challenges include a paucity of evidence that addresses MDRO transmission du...

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Swab culture of purulent skin infection to detect infection or colonization with antibiotic-resistant bacteria.

Prescribing systemic antibiotics without susceptibility testing has significant shortcomings, especially in long term care facilities with high rates of multidrug-resistant organisms (MDROs) including methicillin-resistant Staphylococcus aureus. Tissue biopsy or aspiration sampling of infected tissue is the "gold standard" for culture of skin and soft tissue infection and is especially importan...

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Economic burden of multidrug-resistant bacteria in nursing homes in Germany: a cost analysis based on empirical data

OBJECTIVES Infections and colonisations with multidrug-resistant organisms (MDROs) increasingly affect different types of healthcare facilities worldwide. So far, little is known about additional costs attributable to MDROs outside hospitals. The aim of this study was to analysis the economic burden of multidrug-resistant bacteria in nursing homes in Germany. SETTING The cost analysis is perf...

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Network of microbial and antibiotic interactions drive colonization and infection with multidrug-resistant organisms.

The emergence and spread of multidrug-resistant organisms (MDROs) across global healthcare networks poses a serious threat to hospitalized individuals. Strategies to limit the emergence and spread of MDROs include oversight to decrease selective pressure for MDROs by promoting appropriate antibiotic use via antibiotic stewardship programs. However, restricting the use of one antibiotic often re...

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Epidemiology of Multidrug-Resistant Microorganisms among Nursing Home Residents in Belgium

OBJECTIVES A national survey was conducted to determine the prevalence and risk factors of methicillin-resistant Staphylococcus aureus (MRSA), extended-spectrum β-lactamases-producing Enterobacteriaceae (ESBLE) and vancomycin-resistant enterococci (VRE) among nursing home residents in Belgium. METHODS A random stratified, national prevalence survey was conducted in nursing home residents who ...

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عنوان ژورنال:

دوره 4  شماره 

صفحات  -

تاریخ انتشار 2017