Multiresistente Erreger bei Patienten ambulanter Pflegedienste im Rhein-Main-Gebiet 2014

“…Other non-acute settings outside the hospital which are often neglected as risk factors include ambulatory care-givers [113], intensive in-home care or structured residential services (group care settings) [114], [115]. …”

Section: Risk Factors For Acquiring Infections Caused By Mdr-gnbmentioning

confidence: 99%

Antibiotic resistance: What is so special about multidrug-resistant Gram-negative bacteria?

Exner

Bhattacharya

Christiansen

et al. 2017

GMS Hygiene and Infection Control; 12:Doc05

191

View full text Add to dashboard Cite

“…Other concerns have been raised in terms of spreading multidrug-resistant Gram-negative bacteria (MDRGN) among non-HD chronic-disease patient populations [ 1 , 5 , 6 ] since these pathogens are associated with up to five times higher mortality rates compared with susceptible Gram-negative bacteria regarding blood stream infections [ 7 , 8 ]. In Western Europe, colonization and infection with MDRGN is emerging especially in healthcare-associated facilities such as nursing homes [ 9 , 10 ] and intensive care units (ICUs) reaching colonization rates up to 53% [ 5 ]. In other parts of Europe and the world, MDRGN are even more widely distributed in the community setting [ 11 – 13 ] and among travelers [ 12 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Low colonization rates with Multidrug-resistant Gram-negative bacteria in a German hospital-affiliated hemodialysis center

et al. 2020

View full text Add to dashboard Cite

Background Multidrug-resistant Gram-negative bacteria (MDRGN) are found with rising prevalence in non-hemodialysis risk populations as well as hemodialysis (HD) cohorts in Asia, Europe and North America. At the same time, colonization and consecutive infections with such pathogens may increase mortality and morbidity of affected individuals. We aimed to monitor intestinal MDRGN colonization in a yet not investigated German HD population.

show abstract

“…5 Studies on the frequency of MRSA in outpatient care have mainly focused on patients. They report MRSA colonisation rates of 3.7%, 11 4.7% 12 and 2.1% 13 for Germany. An American study 14 investigated paediatric healthcare personnel in different outpatient settings.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

et al. 2018

View full text Add to dashboard Cite

ObjectivesHealthcare workers frequently come into contact with infected individuals and are at a greater risk of infection than the general population due to their occupation. Multidrug-resistant organisms (MDROs) also pose a significant challenge for personnel and medical facilities. Currently, little is known about the occupational risk of methicillin-resistant Staphylococcus aureus (MRSA) in outpatient care settings. Therefore, a cross-sectional study was conducted in Hamburg to investigate MRSA colonisation among outpatient nursing staff.MethodsMRSA screening with nasal swabs was carried out, the known risk factors for colonisation were determined and information on infection control was inquired. Where tests were positive, a control swab was taken; if this confirmed a positive result, decolonisation was offered. A molecular biological examination of the MRSA samples was performed. The occupational MRSA exposure and risk factors were compared with the situation for personnel in inpatient geriatric care.ResultsA total of 39 outpatient services participated in the study and 579 employees were tested. The MRSA prevalence was 1.2% in all and 1.7% in nursing staff. Most of the employees that tested positive had close or known contact with MRSA patients. Health personnel frequently reported personal protective measures and their application. Compared with inpatient care staff, outpatient staff were older and had worked in their profession for a longer time.ConclusionThis study marks the first time that data has been made available on the occupational MRSA risk of outpatient care personnel in Hamburg. The MRSA prevalence is low and provides a good basis for describing the MRSA risk of occupational exposure by health personnel in outpatient care.

show abstract

Multiresistente Erreger bei Patienten ambulanter Pflegedienste im Rhein-Main-Gebiet 2014

Cited by 15 publications

References 12 publications

Antibiotic resistance: What is so special about multidrug-resistant Gram-negative bacteria?

Antibiotic resistance: What is so special about multidrug-resistant Gram-negative bacteria?

Low colonization rates with Multidrug-resistant Gram-negative bacteria in a German hospital-affiliated hemodialysis center

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

Contact Info

Product

Resources

About