Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-28T15:11:27.308Z Has data issue: false hasContentIssue false
  • English
  • Français

Association between level of care and colonization with resistant gram-negative bacteria among nursing-home residents

Published online by Cambridge University Press:  22 March 2021

Timileyin Y Adediran Open the ORCID record for Timileyin Y Adediran [Opens in a new window] ,
Kinjal N Sethuraman ,
Surbhi Leekha  and
Mary-Claire Roghmann
Timileyin Y Adediran*
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Kinjal N Sethuraman
Affiliation:
Department of Emergency Medicine, University of Maryland School of Medicine, Baltimore, Maryland
Surbhi Leekha
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
Mary-Claire Roghmann*
Affiliation:
Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, Maryland
*
Author for correspondence: Mary-Claire Roghmann, E-mail: [email protected]. Or Timileyin Adediran, E-mail: [email protected]
Author for correspondence: Mary-Claire Roghmann, E-mail: [email protected]. Or Timileyin Adediran, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

In this cross-sectional study, we examined the relationship between resident level of care in the nursing home and colonization with resistant gram-negative bacteria. Residential-care residents were more likely to be colonized with resistant gram-negative bacteria than were postacute care residents (odds ratio, 2.3; 95% confidence interval, 1.40–3.80; P < .001).

Keywords

Post-acute careResistant gram-negative bacteriacolonizationtransmissionNursing home residents
Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 42 , Issue 6 , June 2021 , pp. 760 - 762
Check for updates
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Mckinnell, JA, Singh, RD, Miller, LG, et al. The SHIELD Orange County Project: Multidrug-resistant Organism Prevalence in 21 Nursing Homes and Long-term Acute Care Facilities in Southern California. Clin Infect Dis. 2019;69(9):1566–1573. doi: 10.1093/cid/ciz119 CrossRefGoogle ScholarPubMed
McKinnell, JA, Miller, LG, Singh, RD, et al. High Prevalence of Multidrug-Resistant Organism Colonization in 28 Nursing Homes: An “Iceberg Effect.” J Am Med Dir Assoc. 2020;0(0). doi: 10.1016/j.jamda.2020.04.007 Google Scholar
Mody, L, Foxman, B, Bradley, S, et al. Longitudinal assessment of multidrug-resistant organisms in newly admitted nursing facility patients: Implications for an evolving population. Clin Infect Dis. 2018;67(6):837–844. doi: 10.1093/cid/ciy194 CrossRefGoogle ScholarPubMed
Blanco, N, Johnson, JK, Sorkin, JD, et al. Transmission of resistant Gram-negative bacteria to healthcare personnel gowns and gloves during care of residents in community-based nursing facilities. Infect Control Hosp Epidemiol. 2018;39(12):1425–1430. doi: 10.1017/ice.2018.247 CrossRefGoogle ScholarPubMed
Center of Medicad and Medicare Services. Minimum Data Set 3.0 Public Reports. https://www.cms.gov/Research-Statistics-Data-and-Systems/Computer-Data-and-Systems/Minimum-Data-Set-3-0-Public-Reports/index.html. Published 2012.Google Scholar
Min, L, Galecki, A, Mody, L. Functional disability and nursing resource use are predictive of antimicrobial resistance in nursing homes. J Am Geriatr Soc. 2015;63(4):659–666. doi: 10.1111/jgs.13353 CrossRefGoogle ScholarPubMed
Center for Medicaid and Medicare Services. CMS RAI Version 3.0 Manual. Baltimore ; 2009.Google Scholar
O’Fallon, E, Gautam, S, D’Agata, EMC. Colonization with Multidrug-Resistant Gram-Negative Bacteria: Prolonged Duration and Frequent Cocolonization. Clin Infect Dis. 2009;48(10):1375–1381. doi: 10.1086/598194 CrossRefGoogle ScholarPubMed
Dumyati, G, Stone, ND, Nace, DA, Crnich, CJ, Jump, RLP. Challenges and Strategies for Prevention of Multidrug-Resistant Organism Transmission in Nursing Homes. Curr Infect Dis Rep. 2017;19(4). doi: 10.1007/s11908-017-0576-7 CrossRefGoogle ScholarPubMed
Kahvecioglu, D, Ramiah, K, McMaughan, D, et al. Multidrug-Resistant Organism Infections in US Nursing Homes: A National Study of Prevalence, Onset, and Transmission across Care Settings, October 1, 2010-December 31, 2011. Infect Control Hosp Epidemiol. 2014;35(S3):S48–S55. doi: 10.1086/677835 CrossRefGoogle ScholarPubMed
Latour, K, Huang, TD, Jans, B, et al. Prevalence of multidrug-resistant organisms in nursing homes in Belgium in 2015. PLoS One. 2019;14(3). doi: 10.1371/journal.pone.0214327 CrossRefGoogle ScholarPubMed