Multidrug-Resistant Gram-Negative Bacteria in a Long-Term Care Facility: Prevalence and Risk Factors

• Published in: Journal of the American Geriatrics Society (JAGS) Vol. 56; no. 7; pp. 1276 - 1280
• Main Authors: Pop-Vicas, Aurora, Mitchell, Susan L., Kandel, Ruth, Schreiber, Robert, D'Agata, Erika M. C.
• Format: Journal Article
• Language: English
• Published: Malden, USA Blackwell Publishing Inc 01.07.2008; Blackwell; Wiley Subscription Services, Inc
• Subjects: Activities of Daily Living; advanced dementia; Aged; Aged, 80 and over; antimicrobial resistance; Biological and medical sciences; Boston - epidemiology; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases; Dementia - complications; Disease transmission; Drug resistance; Drug Resistance, Multiple, Bacterial; Female; General aspects; Gram-negative bacteria; Gram-Negative Bacterial Infections - epidemiology; Gram-Negative Bacterial Infections - microbiology; Gram-Negative Bacterial Infections - transmission; Health facilities; Humans; Long term health care; Long-Term Care; long-term care facility; Male; Medical sciences; Methicillin Resistance; methicillin-resistant Staphylococcus aureus; Middle Aged; Miscellaneous; multidrug-resistant gram-negative bacteria; Neurology; Nursing Homes; Prevalence; Public health. Hygiene; Public health. Hygiene-occupational medicine; Risk Factors; Staphylococcus aureus; Vancomycin Resistance; vancomycin-resistant enterococci; Boston; USA, Massachusetts, Boston; Prevalence; Peptides; Drug susceptibility test; methicillin-resistant Staphylococcus aureus; Vancomycin; Antimicrobial agent; Glycopeptide; antimicrobial resistance; Multiple resistance; Bacteria; Micrococcales; Advanced stage; Degenerative disease; Micrococcaceae; Public health; Staphylococcus aureus; Gram negative bacteria; Human; Enterococcus; Treatment resistance; vancomycin-resistant enterococci; long-term care facility; multidrug-resistant gram-negative bacteria; Care; Streptococcaceae; Antibiotic; Health care facility; Polypeptide; Risk factor; Antibacterial agent; Elderly; Long term care; Dementia; Geriatrics; advanced dementia

OBJECTIVES: To quantify the prevalence, risk factors, and mode of transmission associated with colonization by multidrug‐resistant gram‐negative bacteria (MDRGN) in the long‐term care (LTC) setting. DESIGN: Cross‐sectional. SETTING: Four nursing units in a 648‐bed LTC facility in Boston, Massachuset...