Healthcare personnel intestinal colonization with multidrug-resistant organisms

Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases
B K DeckerT N Palmore

Abstract

This study aims to assess the association between patient contact and intestinal carriage of multidrug-resistant organisms (MDRO) by sampling healthcare personnel (HCP) and staff without patient contact. For this observational study, we recruited 400 HCP who worked in our 200-bed research hospital and 400 individuals without patient contact between November 2013 and February 2015. Participants submitted two self-collected perirectal swabs and a questionnaire. Swabs were processed for multidrug-resistant Gram-negative bacteria and vancomycin-resistant enterococci (VRE). Questionnaires explored occupational and personal risk factors for MDRO carriage. Among 800 participants, 94.4% (755/800) submitted at least one swab, and 91.4% (731/800) also submitted questionnaires. Extended spectrum β-lactamase-producing organisms were recovered from 3.4% (26/755) of participants, and only one carbapenemase-producing organism was recovered. No VRE were detected. The potential exposure of 68.9% (250/363) of HCP who reported caring for MDRO-colonized patients did not result in a rate of MDRO carriage among HCP (4.0%; 15/379) significantly higher than that of staff without patient contact (3.2%; 12/376; p 0.55). This is the largest US study of H...Continue Reading

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Citations

Mar 21, 2018·Antimicrobial Resistance and Infection Control·Nikos UlrichRalf-Peter Vonberg
Jul 18, 2019·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Mary K Hayden
Jun 19, 2019·Emerging Infectious Diseases·Charles LangelierDaniel T Leung
Jun 7, 2019·International Journal of Environmental Research and Public Health·Claudia PetersAnja Schablon
Jun 11, 2020·Journal of Clinical Medicine·Stefano BibbòAntonio Gasbarrini
Sep 30, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Sahil Khanna, Colleen S Kraft
Dec 18, 2020·Arquivos De Gastroenterologia·Daniel Antônio de Albuquerque TerraLuiz Gonzaga Vaz Coelho
May 26, 2021·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Gianluca IaniroGiovanni Cammarota
Aug 19, 2021·Infection & chemotherapy·Bich Thuy DuongMary Louise McLaws

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