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Sökning: id:"swepub:oai:DiVA.org:shh-1128" > Prevalence of antib...

  • 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 ...

  • 2012-06-10
  • Informa UK Limited,2012
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:shh-1128
  • https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1128URI
  • https://doi.org/10.3109/00365548.2012.671956DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:125149983URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • 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 ...)

  • Lindholm, ChristinaSophiahemmet Högskola(Swepub:shh)Christina.Lindholm (författare)
  • Iversen, Aina (författare)
  • Giske, Christian GKarolinska Institutet (författare)
  • Örtqvist, ÅkeKarolinska Institutet (författare)
  • Kalin, MatsKarolinska Institutet (författare)
  • Fossum, BjöörnKarolinska Institutet,Sophiahemmet Högskola(Swepub:shh)bjoorn.fossum (författare)
  • Karolinska InstitutetSophiahemmet Högskola (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Scandinavian journal of infectious diseases: Informa UK Limited44:9, s. 641-6491651-19800036-5548

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