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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 ,
Loren G. Miller ,
Raveena Singh ,
Ken Kleinman ,
Ellena M. Peterson ,
Kaye D. Evans ,
Tabitha D. Dutciuc ,
Lauren Heim ,
Adrijana Gombosev  and
Marlene Estevez
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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).
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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
Information
Infection Control & Hospital Epidemiology , Volume 37 , Issue 12 , December 2016 , pp. 1485 - 1488
Copyright
© 2016 by The Society for Healthcare Epidemiology of America. All rights reserved 

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Footnotes

a

Authors with equal contribution.

References

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