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Proteeae Groin Skin Carriage Among Nursing Home Resident—Resistance to Antiseptics

Published online by Cambridge University Press:  21 June 2016

Debra G. Eckert ,
N. Joel Ehrenkranz ,
Blanca C. Alfonso  and
Lee B. Moskowitz
Debra G. Eckert
Affiliation:
Florida Consortium for Infection Control and Cedars Medical Center, Miami, Florida
N. Joel Ehrenkranz*
Affiliation:
Florida Consortium for Infection Control and Cedars Medical Center, Miami, Florida
Blanca C. Alfonso
Affiliation:
Florida Consortium for Infection Control and Cedars Medical Center, Miami, Florida
Lee B. Moskowitz
Affiliation:
Florida Consortium for Infection Control and Cedars Medical Center, Miami, Florida
*
Florida Consortium for Infection Control, 5900 SW 73rd Street, Suite 207, Miami, FL 33143
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Abstract

Proteeae carriage was evaluated in groin skin carriers following vigorous antiseptic application. Three Proteus mirabilis carriers were treated with 60% isopropyl alcohol or 4% chlorhexidine, observed to prevent skin contact, and then recultured; at four and eight hours P mirabilis numbers remained undiminished. Ten Proteeae carriers received a series of nine body baths with soap, chlorhexidine, and 0.75% povidone-iodine plus three cefazolin injections over 16 to 34 days; cumulative treatments failed to clear seven carriers. Within three months, all were again carriers. Proteeae carriers also had affinity for groin carriage of various aerobic gram-negative bacilli (AGNB) including cefazolin-resistant strains. In seven subjects, more than one AGNB species were recovered shortly after applying an antiseptic. Proteeae groin skin carriage appears to reflect a major change in the nature of resident bacteria on intact groin skin.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 10 , Issue 4 , April 1989 , pp. 155 - 160
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1989

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