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Prevalence of and Factors Associated With Multidrug Resistant Organism (MDRO) Colonization in 3 Nursing Homes

Published online by Cambridge University Press:  27 September 2016

James A. McKinnell*
Affiliation:
Infectious Disease Clinical OutcomesResearch Unit (ID-CORE), Division of Infectious Disease, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, California Providence Little Company of Mary Medical Center, Torrance, California
Loren G. Miller
Affiliation:
Infectious Disease Clinical OutcomesResearch Unit (ID-CORE), Division of Infectious Disease, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, California
Raveena Singh
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California
Ken Kleinman
Affiliation:
Department of Biostatistics and Epidemiology, University of Massachusetts Amherst School of Public Health and Health Sciences, Amherst, Massachusetts
Ellena M. Peterson
Affiliation:
Department of Pathology and Laboratory Medicine, University of California, Irvine School of Medicine, Irvine, California.
Kaye D. Evans
Affiliation:
Department of Pathology and Laboratory Medicine, University of California, Irvine School of Medicine, Irvine, California.
Tabitha D. Dutciuc
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California
Lauren Heim
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California
Adrijana Gombosev
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California
Marlene Estevez
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California
Bryn Launer
Affiliation:
Infectious Disease Clinical OutcomesResearch Unit (ID-CORE), Division of Infectious Disease, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, California
Tom Tjoa
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California
Steven Tam
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California
Michael A. Bolaris
Affiliation:
Infectious Disease Clinical OutcomesResearch Unit (ID-CORE), Division of Infectious Disease, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, Torrance, California
Susan S. Huang
Affiliation:
Division of Infectious Diseases and Health Policy Research Institute, University of California, Irvine School of Medicine, Irvine, California
*
Address correspondence to James A. McKinnell, MD, Infectious Disease Clinical Outcomes Research Unit (ID-CORE), Division of Infectious Disease, Los Angeles Biomedical Research Institute, Harbor-UCLA Medical Center, 1000 W. Carson Street, Box 466, Torrance, CA 90509 (Dr.McKinnell@yahoo.com).

Abstract

Nursing home residents are at risk for acquiring and transmitting MDROs. A serial point-prevalence study of 605 residents in 3 facilities using random sampling found MDRO colonization in 45% of residents: methicillin-resistant Staphylococcus aureus (MRSA, 26%); extended-spectrum β-lactamase–producing Enterobacteriaceae (ESBL, 17%); vancomycin-resistant Enterococcus spp. (VRE, 16%); carbapenem-resistant Enterobacteriaceae (CRE, 1%). MDRO colonization was associated with history of MDRO, care needs, incontinence, and catheters.

Infect Control Hosp Epidemiol 2016;1485–1488

Type
Concise Communications
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

a

Authors with equal contribution.

References

REFERENCES

1. Antibiotic resistance threats in the United States, 2013. Centers for Disease Control and Prevention website. http://www.cdc.gov/drugresistance/threat-report-2013/. Published 2013. Accessed August 24, 2016.Google Scholar
2. Overview of nursing facility capacity, financing, and ownership in the United States in 2013. Henry J. Kaiser Family Foundation website. http://kff.org/medicaid/report/nursing-facilities-staffing-residents-and-facility-deficiencies-2009-through-2014/. Published 2014. Accessed February 5, 2016.Google Scholar
3. Slayton, RB, Toth, D, Lee, BY, et al. Vital signs: estimated effects of a coordinated approach for action to reduce antibiotic-resistant infections in health care facilities—United States. Morb Mortal Wkly Rep 2015;64:826831.CrossRefGoogle ScholarPubMed
4. Huang, SS, Septimus, E, Kleinman, K, et al. Targeted versus universal decolonization to prevent ICU infection. New Engl J Med 2013;368:22552265.CrossRefGoogle ScholarPubMed
5. Bonomo, RA. Multiple antibiotic-resistant bacteria in long-term-care facilities: an emerging problem in the practice of infectious diseases. Clin Infect Dis 2000;31:14141422.CrossRefGoogle ScholarPubMed
6. Murphy, CR, Quan, V, Kim, D, et al. Nursing home characteristics associated with methicillin-resistant Staphylococcus aureus (MRSA) Burden and Transmission. BMC Infect Dis 2012;12:269.CrossRefGoogle ScholarPubMed
7. Mitchell, SL, Shaffer, ML, Loeb, MB, et al. Infection management and multidrug-resistant organisms in nursing home residents with advanced dementia. JAMA Intern Med 2014;174:16601667.CrossRefGoogle ScholarPubMed
8. Shigei, J, Tan, G, Shiao, A, de la Maza, LM, Peterson, EM. Comparison of two commercially available selective media to screen for vancomycin-resistant enterococci. Am J Clin Pathol 2002;117:152155.CrossRefGoogle ScholarPubMed
9. Smith, PW, Bennett, G, Bradley, S, et al. SHEA/APIC Guideline: infection prevention and control in the long-term care facility. Am J Infect Control 2008;36:504535.CrossRefGoogle ScholarPubMed
10. Weintrob, AC, Roediger, MP, Barber, M, et al. Natural history of colonization with Gram-negative multidrug-resistant organisms among hospitalized patients. Infect Control Hosp Epidemiol 2010;31:330337.CrossRefGoogle ScholarPubMed
11. McKinnell, JA, Huang, SS, Eells, SJ, Cui, E, Miller, LG. Quantifying the impact of extranasal testing of body sites for methicillin-resistant Staphylococcus aureus colonization at the time of hospital or intensive care unit admission. Infect Control Hosp Epidemiol 2013;34:161170.CrossRefGoogle ScholarPubMed