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Proteeae Groin Skin Carriage in Ambulatory Geriatric Outpatients

Published online by Cambridge University Press:  21 June 2016

N. Joel Ehrenkranz ,
Debra G. Eckert ,
Blanca C. Alfonso  and
Lee B. Moskowitz
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
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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
Information
Infection Control & Hospital Epidemiology , Volume 10 , Issue 4 , April 1989 , pp. 150 - 154
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1989

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References

1. 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
2. Alv, R, Maihach, HI: Aerobic microbial flora of intertrigenous akin. Appl Environ Microbiol 1975: 33:97–100.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: 14:404–407.10.1128/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; 8:149–158.CrossRefGoogle Scholar
5. Bodey, GP, Rodriguez, V: Protected environment-Prophylactic antibiotic programmes; microbiological studies. Clinics m Haematology 1976; 5:395–408.10.1016/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; 145:1804–1807.Google Scholar
8. McCue, JD: Cefoxitin resistance in community-acquired gram-negative bacillary bacteremia. Arch Intern Med 1985; 145:834–836.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: 32:499–502.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; 16:422–486.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; 146:719–723.CrossRefGoogle ScholarPubMed
12. McCabe, WR. Jackson, GC; Gram-negative bacteremia. Arch Intern Med 1962; 110:847–855.10.1001/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: 1967:255–264.Google Scholar
14. Williamson, P, Kligman, AM: A new method for the quantitative investigation of cutaneous bacteria. J Invest Dermatol 1965; 45:498–503.10.1038/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; 25:439–441.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 52–63.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): 155–160.10.2307/30144321CrossRefGoogle ScholarPubMed