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Prevalence of antib...
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Andersson, HeleneKarolinska Institutet,Sophiahemmet Högskola
(författare)
Prevalence of antibiotic-resistant bacteria in residents of nursing homes in a Swedish municipality : healthcare staff knowledge of and adherence to principles of basic infection prevention
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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2012-06-10
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Informa UK Limited,2012
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:shh-1128
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https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1128URI
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https://doi.org/10.3109/00365548.2012.671956DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:125149983URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Abstract Background: The aims of this study were to investigate the prevalence of methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE) and extended-spectrum β-lactamase (ESBL)-producing Enterobacteriaceae in residents living in Swedish nursing homes, and if carriage of resistant bacteria was related to antibiotic treatment, other risk factors, and/or staff's adherence to guidelines for infection control. Methods: Five hundred and sixty residents from 9 nursing homes on a total of 67 wards participated in the study and had microbiological cultures taken. Faecal samples were obtained from 495 residents (88.3%). ESBL-positive residents were followed for 2 y with repeated sampling. Two hundred and ninety-six staff members were interviewed and observed regarding familiarity with and adherence to infection control guidelines. Results: No resident was positive for MRSA or VRE. Fifteen of the residents were found to be ESBL-positive. Residents living on wards where ESBL-positive residents were identified had been treated more frequently with antibiotics (42%), compared to those on wards where no residents with ESBL were found (28%; p = 0.02). ESBL-positive Escherichia coli isolates from residents living in adjacent rooms were found to be closely genetically related when analysed by pulsed-field gel electrophoresis, indicating transmission between residents. Staff adherence to infection control guidelines sometimes revealed shortcomings, but no significant differences regarding compliance to the guidelines could be found. Conclusion: Carriage of resistant bacteria was uncommon and only ESBL-producing Enterobacteriaceae were identified in Swedish nursing homes. Usage of antibiotics was higher on wards where ESBL-positive residents were detected and there was an indication of transmission of ESBL between residents.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Lindholm, ChristinaSophiahemmet Högskola(Swepub:shh)Christina.Lindholm
(författare)
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Iversen, Aina
(författare)
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Giske, Christian GKarolinska Institutet
(författare)
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Örtqvist, ÅkeKarolinska Institutet
(författare)
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Kalin, MatsKarolinska Institutet
(författare)
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Fossum, BjöörnKarolinska Institutet,Sophiahemmet Högskola(Swepub:shh)bjoorn.fossum
(författare)
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Karolinska InstitutetSophiahemmet Högskola
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Scandinavian journal of infectious diseases: Informa UK Limited44:9, s. 641-6491651-19800036-5548
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