View Item 

Show simple item record

Indwelling Device Use and Antibiotic Resistance in Nursing Homes: Identifying a High-Risk Group
dc.contributor.authorMody, Lonaen_US
dc.contributor.authorMaheshwari, Shwetaen_US
dc.contributor.authorGalecki, Andrzej T.en_US
dc.contributor.authorKauffman, Carol A.en_US
dc.contributor.authorBradley, Suzanne F.en_US
dc.date.accessioned2010-04-01T14:46:21Z
dc.date.available2010-04-01T14:46:21Z
dc.date.issued2007-12en_US
dc.identifier.citationMody, Lona; Maheshwari, Shweta; Galecki, Andrzej; Kauffman, Carol A.; Bradley, Suzanne F. (2007). "Indwelling Device Use and Antibiotic Resistance in Nursing Homes: Identifying a High-Risk Group." Journal of the American Geriatrics Society 55(12): 1921-1926. <http://hdl.handle.net/2027.42/65220>en_US
dc.identifier.issn0002-8614en_US
dc.identifier.issn1532-5415en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/65220
dc.identifier.urihttp://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18081670&dopt=citationen_US
dc.description.abstractTo 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=100) and randomly selected control residents (n=100) 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.en_US
dc.format.extent84770 bytes
dc.format.extent3110 bytes
dc.format.mimetypeapplication/pdf
dc.format.mimetypetext/plain
dc.publisherBlackwell Publishing Incen_US
dc.rights© 2007, The American Geriatrics Societyen_US
dc.subject.otherAntibiotic Resistanceen_US
dc.subject.otherNursing Homesen_US
dc.subject.otherIndwelling Device Useen_US
dc.subject.otherMRSAen_US
dc.titleIndwelling Device Use and Antibiotic Resistance in Nursing Homes: Identifying a High-Risk Groupen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelGeriatricsen_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumInfectious Diseases, University of Michigan Medical School, Ann Arbor, Michigan ; anden_US
dc.contributor.affiliationumInfectious Diseases Section, Veteran Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan.en_US
dc.contributor.affiliationotherGeriatric Medicine anden_US
dc.contributor.affiliationotherGeriatric Research, Education and Clinical Center anden_US
dc.identifier.pmid18081670en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/65220/1/j.1532-5415.2007.01468.x.pdf
dc.identifier.doi10.1111/j.1532-5415.2007.01468.xen_US
dc.identifier.sourceJournal of the American Geriatrics Societyen_US
dc.identifier.citedreferenceStrausbaugh LJ, Joseph CL. The burden of infection in long-term care. Infect Control Hosp Epidemiol 2000 ; 21 : 674 – 679.en_US
dc.identifier.citedreferenceHaley RW, Culver DH, White JW et al. The efficacy of infection surveillance and infection control programs in preventing nosocomial infections in US hospitals. Am J Epidemiol 1985 ; 121 : 182 – 205.en_US
dc.identifier.citedreferenceMody L, McNeil SA, Sun R et al. Introduction of waterless alcohol based handrub in a long-term care facility. Infect Control Hosp Epidemiol 2003 ; 24 : 165 – 171.en_US
dc.identifier.citedreferenceThompson BL, Dwyer DM, Ussery XT et al. Handwashing and glove use in a long-term-care facility. Infect Control Hosp Epidemiol 1997 ; 18 : 97 – 103.en_US
dc.identifier.citedreferenceSmith PW. Nursing home infection control : A status report. Infect Control Hosp Epidemiol 1998 ; 19 : 366 – 369.en_US
dc.identifier.citedreferenceGoldrick BA. Infection control programs in skilled nursing long-term care facilities : An assessment. Am J Infect Control 1999 ; 27 : 4 – 9.en_US
dc.identifier.citedreferenceLeinbach RM, English AJ. Training needs of infection control professionals in long-term care facilities in Virginia. Am J Infect Control 1995 ; 23 : 73 – 77.en_US
dc.identifier.citedreferenceHoran TC, Gaynes RP. Surveillance of nosocomial infections. In : Glen Mayhall C., ed. Hospital Epidemiology and Infection Control, 3rd Ed. Philadelphia : Lippincott Williams & Wilkins, 2004, pp 1659 – 1703.en_US
dc.identifier.citedreferenceSingh N, Squier C, Wannstedt C et al. Impact of an aggressive infection control strategy on endemic Staphylococcus aureus infection in liver transplant recipients. Infect Control Hosp Epidemiol 2006 ; 27 : 122 – 126.en_US
dc.identifier.citedreferenceBradley SF. Issues in the management of resistant bacteria in long-term-care facilities. Infect Control Hosp Epidemiol 1999 ; 20 : 362 – 366.en_US
dc.identifier.citedreferenceTerpenning MS, Bradley SF, Wan JY et al. Colonization and infection with antibiotic-resistant bacteria in a long-term care facility. J Am Geriatr Soc 1994 ; 42 : 1062 – 1069.en_US
dc.identifier.citedreferenceTrick WE, Weinstein RA, DeMarais PL et al. Colonization of skilled-care facilities with antimicrobial-resistant pathogens. J Am Geriatr Soc 2001 ; 49 : 270 – 276.en_US
dc.identifier.citedreferenceSmith PW, Seip CW, Schaefer SC et al. Microbiologic survey of long-term care facilities. Am J Infect Control 2000 ; 28 : 8 – 13.en_US
dc.identifier.citedreferenceLawton MP, Brody EM. Assessment of older people : Self-maintaining and instrumental activities of daily living. Gerontologist 1969 ; 9 : 179 – 186.en_US
dc.identifier.citedreferenceRockwood K, Howlett S, Stadnyk K et al. Responsiveness of goal attainment scaling in a randomized controlled trial of comprehensive geriatric assessment. J Clin Epidemiol 2003 ; 56 : 736 – 743.en_US
dc.identifier.citedreferenceCharlson ME, Pompei P, Ales KL et al. A new method of classifying prognostic comorbidity in longitudinal studies : Development and validation. J Chronic Dis 1987 ; 40 : 373 – 383.en_US
dc.identifier.citedreferenceMody L, McNeil SA, Kauffman CA et al. Mupirocin prophylaxis for staphylococcal infection in nursing homes. CID 2003 ; 37 : 1467 – 1474.en_US
dc.identifier.citedreferenceWeiner J, Quinn JP, Bradford PA et al. Multiple antibiotic-resistant Klebsiella and Escherchia coli in nursing homes. JAMA 1999 ; 281 : 517 – 523.en_US
dc.identifier.citedreferenceMendelson G, Hait V, Ben-Israel J et al. Prevalence and risk factors of extended-spectrum beta-lactamase-producing Escherichia coli and Klebsiella pneumonia in an Israeli long-term care facility. Eur J Clin Microbiol Infect Dis 2005 ; 24 : 17 – 22.en_US
dc.identifier.citedreferenceTerpenning MS, Bradley SF, Wan JY et al. Colonization and infection with antibiotic-resistant bacteria in a long-term care facility. J Am Geriatr Soc 1994 ; 42 : 1062 – 1069.en_US
dc.identifier.citedreferenceBradley SF, Terpenning MS, Ramsey MA et al. Methicillin-resistant Staphylococcus aureus : Colonization and infection in a long-term care facility. Ann Intern Med 1991 ; 115 : 417 – 422.en_US
dc.identifier.citedreferenceTada A, Watanabe T, Yokoe H et al. Oral bacteria influenced by the functional status of elderly people and the type and quality of facilities for the bedridden. J Appl Microbiol 2002 ; 93 : 487 – 491.en_US
dc.identifier.citedreferenceJackson M, Jarvis WR, Scheckler WE. HICPAC/SHEA—conflicting guidelines : What is the standard of care? Am J Infect Control 2004 ; 32 : 504 – 511.en_US
dc.identifier.citedreferenceStrausbaugh LJ, Siegel JD, Weinstein RA. Preventing transmission of multidrug-resistant bacteria in health care settings : A tale of 2 guidelines. Clin Infect Dis 2006 ; 42 : 828 – 835.en_US
dc.identifier.citedreferenceMuto CA, Jernigian JA, Ostrowsky BE et al. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococci. Infect Control Hosp Epidemiol 2003 ; 24 : 362 – 386.en_US
dc.owningcollnameInterdisciplinary and Peer-Reviewed


Files in this item

Name:
j.1532-5415.2007.01468.x.pdf
Size:
82.78KB
Format:
PDF
View/Open

Show simple item record

Remediation of Harmful Language

The University of Michigan Library aims to describe its collections in a way that respects the people and communities who create, use, and are represented in them. We encourage you to Contact Us anonymously if you encounter harmful or problematic language in catalog records or finding aids. More information about our policies and practices is available at Remediation of Harmful Language.

Accessibility

If you are unable to use this file in its current format, please select the Contact Us link and we can modify it to make it more accessible to you.