Not too close! impact of roommate status on MRSA and VRE colonization and contamination in Nursing Homes
Abstract Multiple room occupancy is common in Nursing Homes (NHs), and its role in transmission of antibiotic-resistant pathogens is unclear. We investigated prevalence of patient colonization and environmental contamination with vancomycin-resistant enterococci (VRE) and methicillin-resistant Staph...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | Antimicrobial Resistance and Infection Control |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13756-021-00972-1 |
| _version_ | 1831590255444099072 |
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| author | Marco Cassone Meghan Linder Cheon Jee Shin Julia Mantey Kristen Gibson Bonnie Lansing Lona Mody |
| author_facet | Marco Cassone Meghan Linder Cheon Jee Shin Julia Mantey Kristen Gibson Bonnie Lansing Lona Mody |
| author_sort | Marco Cassone |
| collection | DOAJ |
| description | Abstract Multiple room occupancy is common in Nursing Homes (NHs), and its role in transmission of antibiotic-resistant pathogens is unclear. We investigated prevalence of patient colonization and environmental contamination with vancomycin-resistant enterococci (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) in NH roommates, compared it with expected prevalence, and determined specific body and environmental sites that may act as sources of roommate colonization. Roommate contamination was associated with index patient’s colonization (relative risk (RR): 2.57 (95% CI 1.04–6.37)) for MRSA, and index patient’s immediate environment contamination for VRE (RR: 3.60 (95% CI 1.59–8.12)). When specific index patient sites associated with roommate colonization were investigated, the side table (Fisher’s p = 0.029 and 0.047 for VRE and MRSA, respectively) and the nurse call button (p = 0.001 and 0.052) stood out, together with patient hands in the case of VRE (p = 0.026). Future studies should be carried out to establish whether these sites should be a specific target of infection prevention campaigns in NHs with multiple occupancy rooms. |
| first_indexed | 2024-12-18T01:01:08Z |
| format | Article |
| id | doaj.art-02604f46717c4e41ad57ee05519bded4 |
| institution | Directory Open Access Journal |
| issn | 2047-2994 |
| language | English |
| last_indexed | 2024-12-18T01:01:08Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Antimicrobial Resistance and Infection Control |
| spelling | doaj.art-02604f46717c4e41ad57ee05519bded42022-12-21T21:26:22ZengBMCAntimicrobial Resistance and Infection Control2047-29942021-07-011011510.1186/s13756-021-00972-1Not too close! impact of roommate status on MRSA and VRE colonization and contamination in Nursing HomesMarco Cassone0Meghan Linder1Cheon Jee Shin2Julia Mantey3Kristen Gibson4Bonnie Lansing5Lona Mody6Division of Geriatric and Palliative Care Medicine, Department of Internal Medicine, University of Michigan Medical SchoolSchool of Public Health, University of MichiganDivision of Geriatric and Palliative Care Medicine, Department of Internal Medicine, University of Michigan Medical SchoolDivision of Geriatric and Palliative Care Medicine, Department of Internal Medicine, University of Michigan Medical SchoolDivision of Geriatric and Palliative Care Medicine, Department of Internal Medicine, University of Michigan Medical SchoolDivision of Geriatric and Palliative Care Medicine, Department of Internal Medicine, University of Michigan Medical SchoolDivision of Geriatric and Palliative Care Medicine, Department of Internal Medicine, University of Michigan Medical SchoolAbstract Multiple room occupancy is common in Nursing Homes (NHs), and its role in transmission of antibiotic-resistant pathogens is unclear. We investigated prevalence of patient colonization and environmental contamination with vancomycin-resistant enterococci (VRE) and methicillin-resistant Staphylococcus aureus (MRSA) in NH roommates, compared it with expected prevalence, and determined specific body and environmental sites that may act as sources of roommate colonization. Roommate contamination was associated with index patient’s colonization (relative risk (RR): 2.57 (95% CI 1.04–6.37)) for MRSA, and index patient’s immediate environment contamination for VRE (RR: 3.60 (95% CI 1.59–8.12)). When specific index patient sites associated with roommate colonization were investigated, the side table (Fisher’s p = 0.029 and 0.047 for VRE and MRSA, respectively) and the nurse call button (p = 0.001 and 0.052) stood out, together with patient hands in the case of VRE (p = 0.026). Future studies should be carried out to establish whether these sites should be a specific target of infection prevention campaigns in NHs with multiple occupancy rooms.https://doi.org/10.1186/s13756-021-00972-1Multiple occupancyAntimicrobial resistanceNursing HomesVRES. aureusEnvironment |
| spellingShingle | Marco Cassone Meghan Linder Cheon Jee Shin Julia Mantey Kristen Gibson Bonnie Lansing Lona Mody Not too close! impact of roommate status on MRSA and VRE colonization and contamination in Nursing Homes Antimicrobial Resistance and Infection Control Multiple occupancy Antimicrobial resistance Nursing Homes VRE S. aureus Environment |
| title | Not too close! impact of roommate status on MRSA and VRE colonization and contamination in Nursing Homes |
| title_full | Not too close! impact of roommate status on MRSA and VRE colonization and contamination in Nursing Homes |
| title_fullStr | Not too close! impact of roommate status on MRSA and VRE colonization and contamination in Nursing Homes |
| title_full_unstemmed | Not too close! impact of roommate status on MRSA and VRE colonization and contamination in Nursing Homes |
| title_short | Not too close! impact of roommate status on MRSA and VRE colonization and contamination in Nursing Homes |
| title_sort | not too close impact of roommate status on mrsa and vre colonization and contamination in nursing homes |
| topic | Multiple occupancy Antimicrobial resistance Nursing Homes VRE S. aureus Environment |
| url | https://doi.org/10.1186/s13756-021-00972-1 |
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