Journal
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
Volume 55, Issue 12, Pages 1921-1926Publisher
WILEY
DOI: 10.1111/j.1532-5415.2007.01468.x
Keywords
antibiotic resistance; nursing homes; indwelling device use; MRSA
Categories
Funding
- NIA NIH HHS [K23 AG022463-01, K23 AG022463-02, K23 AG022463-05, K23 AG022463, K23 AG022463-04, K23 AG022463-03, K23 AG028943] Funding Source: Medline
Ask authors/readers for more resources
OBJECTIVES: To quantify the relationship between indwelling devices (urinary catheters, feeding tubes, and peripherally inserted central catheters) and carriage of antimicrobial-resistant pathogens in nursing home residents. DESIGN: Cross-sectional. SETTING: Community nursing home in Southeast Michigan. PARTICIPANTS: Residents with indwelling devices (n = 5100) and randomly selected control residents (n = 5100) in 14 nursing homes. MEASUREMENTS: Data on age, functional status, and Charlson comorbidity score were collected. Samples were obtained from nares, oropharynx, groin, wounds, perianal area, and enteral feeding tube site. Standard microbiological methods were used to identify methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and ceftazidime-resistant (CTZ-R) gram-negative bacteria (GNB). RESULTS: Use of indwelling devices was associated with colonization with MRSA at any site (odds ratio (OR) = 2.0, P = .04), groin (OR = 4.8, P = .006), and perianal area (OR = 3.6, P = .01) and CTZ-R GNB at any site (OR = 5.6, P = .003). Use of enteral feeding tubes was associated with MRSA colonization in the oropharynx (OR = 3.3, P = .02). CONCLUSION: Use of indwelling devices is associated with greater colonization with antimicrobial- resistant pathogens. This study serves as an initial step in defining a high-risk group that merits intensive infection control efforts.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available