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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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References

1. Ehrenkranz, NJ, Eckerl, DG, Alfonso, BC, et al: Proteeae groin skin carriage in ambulatory geriatric outpatients. Infect Control Hasp Epidemiol 1989; 10(4): 150–154.CrossRefGoogle ScholarPubMed
2. Skinner, FA, Carr, JG: The Normal Microbial Flora of Man. London, Academic Press, 1974, pp 222–239.Google Scholar
3. Somerville, DA, Lancaster-Smith, M: The aerobic cutaneous microflora of diabetic subjects. Br J Dermatol 1973; 89:395–400.10.1111/j.1365-2133.1973.tb02994.xCrossRefGoogle ScholarPubMed
4. Aly, R. Maibach, HI: Aerobic microflora of intertrigenous skin. Appl Environ Microbiol 1977; 33:97–100.10.1128/aem.33.1.97-100.1977CrossRefGoogle ScholarPubMed
5. Sherman, FT, Tucci, V, Libow, LS, et al: Nosocomial urinary tract infections in a skilled nursing facility. J Am Geriatr Soc 1980; 28:456–461.10.1111/j.1532-5415.1980.tb01119.xCrossRefGoogle Scholar
6. Magnussen, MH, Robb, SS: Nosocomial infections in a long-term care facility. Am J Infect Control 1980; 8:12–17.10.1016/S0196-6553(80)80073-3CrossRefGoogle Scholar
7. Antimicrobial prophylaxis in surgen. The Medical Letter 1987; 29:91–94.Google Scholar
8. Williamson, P, Kligman, AM: A new method for the quantitative investigation of cutaneous bacteria. J Invest Dermatol 1965; 45:498–503.CrossRefGoogle ScholarPubMed
9. Chester, B, Moskowitz, LB: Rapid catatase supplemental test for identification of members of the family Enterobacteriaceae. J Clin Microbiol 1987; 25:439–441.CrossRefGoogle Scholar
10. D'Amato, RF, McLaughlin, JC. Fenaro, MJ: Rapid manual and mechanized/automated methods for the detection and identification of bacteria and yeast, in Lennette, EH, Balows, A, Hausier, WJ. et al (eds): Manual of Clinical Microbiology, ed 4. Washington, DC, American Society for Microbiology. 1985. pp 52–65.Google Scholar
11. Winer, BJ: Statistical Principles in Experimental Design, ed 3. New York, McGraw Hill. 1971, pp 514–603.Google Scholar
12. Knittle, MA, Eitzman, DV, Baer, H: Role of hand contamination of personnel in the epidemiology of gram negative nosocomial infections. J Pediatr 1975: 86:433–437.CrossRefGoogle ScholarPubMed
13. Graham, DR, Anderson, RL, Ariel, FC, et al: Epidemic nosocomial meningitis due to Citrobacter diversus in neonate. J Infect Dis 1981; 144:203–209.10.1093/infdis/144.3.203CrossRefGoogle Scholar
14. Fawcett, C, Chawla, JC, Quoraishi, A, et al: A study of the skin Hora of spinal cord injured patients. J Hosp Infect 1986; 8:149–158.CrossRefGoogle Scholar
15. Casewell, M, Phillips, I: Hands as route of transmission for Klebsiella species. Brit Med J Clin Res 1977; ii:1315–1317.10.1136/bmj.2.6098.1315CrossRefGoogle Scholar
16. French, GL, Casewell, MW, Rancoroni, AJ, et al: A hospital outbreak of antibiotic-resistant Acinetobacter anitratus: Epidemiology and control. J Hosp Infect 1980; 1:125–131.10.1016/0195-6701(80)90044-4CrossRefGoogle ScholarPubMed