Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-05T05:41:55.719Z Has data issue: false hasContentIssue false

Proteeae Groin Skin Carriage in Ambulatory Geriatric Outpatients

Published online by Cambridge University Press:  21 June 2016

N. Joel Ehrenkranz*
Affiliation:
Florida Consortium for Infection Control and Cedars Medical Center, Miami, Florida
Debra G. Eckert
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

Abstract

Aerobic gram-negative bacillus (AGNB) groin skin carriage was prospectively studied in ambulatory geriatric outpatients: 42 from three nursing homes and 44 from private homes. Initially, 12 (28.6%) Proteeae carriers were in the former group and 3 (6.8%) were in the latter (P =0.01). At one year, 6 of 7 surviving nursing home carriers remained Proteeae carriers while none from private homes remained carriers (P =0.007). The annual prevalence of Proteeae carriage was 14 (33.3%) in nursing homes and 4 (9.1%) in private homes (P =0.008); of non-Proteeae AGNB carriage, the annual prevalence was 2 (4.8%) and 4 (11.4%), respectively. Nursing home subjects had similar initial health characteristics; however, by one year, 5 of 12 carriers in contrast to 3 of 30 noncarriers were dead of chronic disease (P =0.03). These nursing homes included persons with chronic diseases that apparently facilitated Proteeae carriage. Urethral catheters, skin ulcers, and recent antibiotics were not factors.

Type
Original Articles
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1989

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

1. Somerville, DA, Lancaster-Smith, M: The aerobic cutaneous microflora of diabetic subjects. Br J Dermatol 1973; 89:395400.10.1111/j.1365-2133.1973.tb02994.xCrossRefGoogle ScholarPubMed
2. Alv, R, Maihach, HI: Aerobic microbial flora of intertrigenous akin. Appl Environ Microbiol 1975: 33:97100.Google Scholar
3. Gilmore, DS. Aeilts, BA, Alldis, BA. et al: Effects of bathing on Pseudomonas and Klebsiella colonization in patients with spinal cord injuries. J Clin Microbiol 19x1: 14:404407.10.1128/jcm.14.4.404-407.1981CrossRefGoogle Scholar
4. Fawcett, C, Chawla, JC, Quoraishi, A, et al: A study of the skin Hora of spinal cord injured patients. J Hosp Infect 1986; 8:149158.CrossRefGoogle Scholar
5. Bodey, GP, Rodriguez, V: Protected environment-Prophylactic antibiotic programmes; microbiological studies. Clinics m Haematology 1976; 5:395408.10.1016/S0308-2261(21)00032-1CrossRefGoogle ScholarPubMed
6. Stratford, B, Gallus, AS, Matthiesson, AM, et al: Alteration of superficial bacterial flora in severely ill patients. Lancet 1968: 1:68.10.1016/S0140-6736(68)90068-8CrossRefGoogle ScholarPubMed
i. Gavnes, RP, Weinstein, R. 4, Chamberlin, W, et al: Antibiotic-resistant Hora in nursing home patients admitted to the hospital. Arch Intern Med 1985; 145:18041807.Google Scholar
8. McCue, JD: Cefoxitin resistance in community-acquired gram-negative bacillary bacteremia. Arch Intern Med 1985; 145:834836.CrossRefGoogle ScholarPubMed
9. Farber, BF, Brennan, C, Puntereri, AJ. et al: A prospective study of nosocomial infection in a chronic care facility. J Am Geriatr Soc 1984: 32:499502.CrossRefGoogle Scholar
10. Hawkey, PM. Penner, JL. Potten, MR, et al: Prospective survey of fecal, urinary tract and environmental colonization by Providencia stuardi in two geriatric wards. J Clin Microbiol 1982; 16:422486.CrossRefGoogle Scholar
11. Warren, JW, Tenney, JH. Hoopes, JM, et al: A prospective microbiological study of bacteriuria in patients with chronic indwelling urethral catheters. J Infect Dis 1982; 146:719723.CrossRefGoogle ScholarPubMed
12. McCabe, WR. Jackson, GC; Gram-negative bacteremia. Arch Intern Med 1962; 110:847855.10.1001/archinte.1962.03620240029006CrossRefGoogle Scholar
13. Ehrenkranz, NJ, Taplin, D, Butts, P: Antibiotic-resistant bacteria on the nose and skin, colonization and cross infection. Antimicrob Agents Chemother 1966: 1967:255264.Google Scholar
14. Williamson, P, Kligman, AM: A new method for the quantitative investigation of cutaneous bacteria. J Invest Dermatol 1965; 45:498503.10.1038/jid.1965.164CrossRefGoogle ScholarPubMed
15. Chester, B. Moskowilz, LB: Rapid catalase supplemental test for identification of members of the family Enterobacteriaceae. J Clin Microbiol 1987; 25:439441.CrossRefGoogle ScholarPubMed
16. D'Amato, RF, McLaughlin, JC, Ferraro, MJ: Rapid manual and mechanized/automated methods for the detection and identification of bacteria and yeasts, in Lennette, EH, Balows, A, Hausler, WJ, et al (eds): Manual of Clinical Microbiology, ed 4. Washington, DC, American Society for Microbiology, 1985. pp 5263.Google Scholar
17. Mathews, DE, Farewell, VT: Using and Understanding Medical Statistics. New York, Karger, S., 1985.Google Scholar
18. Eckert, DG, Ehreukranz, NJ, Alfonso, BC. et al: Proteeae groin skin carriage among nursing home residents-Resistance to antiseptics. Infect Control Hosp Epidemiol 1989: 10(4): 155160.10.2307/30144321CrossRefGoogle ScholarPubMed