Nosokomiale Infektionen, systemischer Antibiotikaeinsatz und multiresistente Erreger bei Bewohnern von Altenpflegeheimen

Heudorf, U.; Gustav, Carl; Mischler, D.; Schulze, J.

doi:10.1007/s00103-013-1927-7

Cited by 32 publications

(15 citation statements)

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“…More recent studies reported MRSA prevalence of between 2.3 and 9.2% [21–26]. In other European countries, lower prevalence of 0% and 0.3% was reported in Sweden [27] and the Netherlands [28] respectively, but there was also a higher MRSA prevalence of 12.2% in Belgium [29], 7.2% in Luxembourg [30] and 10.6% in Spain [31].…”

Section: Discussionmentioning

confidence: 99%

MRSA Prevalence and Risk Factors among Health Personnel and Residents in Nursing Homes in Hamburg, Germany – A Cross-Sectional Study

et al. 2017

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IntroductionThe increase of multidrug-resistant organisms in hospitals causes problems in nursing homes. Staff in geriatric nursing homes are at greater risk of MRSA colonisation. The aim of the study was to describe the occupational exposure to MRSA among health personnel in geriatric nursing.MethodsA point prevalence survey was conducted among health personnel and residents of geriatric nursing homes within the greater Hamburg district. Nasal swabs and, where relevant, wound swabs were collected for the screening survey. Risk factors for MRSA colonisation were identified by means of a questionnaire and using the files held on the residents. Where tests on nursing staff were positive, a control swab was taken; when the results were confirmed positive, decolonisation was performed. The responsible general practitioners were notified of positive MRSA findings among residents. A molecular biological examination of the MRSA samples was performed.ResultsA total of 19 institutions participated in the study. Nasal swabs were taken from 759 nursing staff and 422 residents. Prevalence of MRSA was 1.6% among staff and 5.5% among residents. MRSA colonisation among health personnel indicated a correlation with male gender (OR 4.5, 95% CI 1.4–14.1). Among the residents, chronic skin diseases (OR 3.2, 95% CI 1.0–10.3) and indwelling devices (OR 3.2, 95% CI 1.2–8.1) were identified as risk factors. No link between MRSA in residents and in health personnel could be established.ConclusionThe number of MRSA colonisations among nursing staff and residents of geriatric nursing homes in Hamburg was rather low at 1.6% and 5.5% respectively and equates to the results of other surveys in non-outbreak scenarios.

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Section: Discussionmentioning

confidence: 99%

MRSA Prevalence and Risk Factors among Health Personnel and Residents in Nursing Homes in Hamburg, Germany – A Cross-Sectional Study

et al. 2017

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“…4 Antibiotikagruppen (3MRGN, 4MRGN) in Kliniken in Deutschland liegen kaum vordie verfügbaren Daten zum Anteil von multiresistenten Isolaten in Deutschland resultieren im Wesentlichen aus Surveillance-Untersuchungen [5,16]. Deutlich höhere MRSA Prävalenzen sind aus Altenpflegeheimen beschrieben [17,18]. Das MRE-Netz Rhein-Main hat sich zum Ziel gesetzt, die Rehabilitation von Patienten mit MRSA und anderen multiresistenten Erregern zu verbessern [19].…”

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Multiresistente Erreger in Rehabilitationseinrichtungen im Rhein-Main-Gebiet, Deutschland, 2014: I. Prävalenz und Risikofaktoren

et al. 2015

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In the rehabilitation patient population, the prevalence rates of MRSA and ESBL were found to be in the range of rates encountered in the general population (reported rates for MRSA, 0.5%, and ESBL, 6.3%). The known risk factors for MRSA such as skin lesions, medical devices and previous history for MRSA were also confirmed among this patient population. Direct transfer from an acute care hospital, antimicrobial treatment during the past 3 months, and wounds proved significant risk factors for ESBL colonization. Patients of neurologic rehabilitation and geriatric patients showed the highest rates of risk factors and the highest prevalence rates of multidrug-resistant organisms. It appears to be of importance for rehabilitation hospitals to be geared to the needs of patients with multidrug-resistant organisms, and prevent the transmission of these pathogens by appropriate hygiene measures.

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“…Der Vergleich mit anderen Untersuchungen im Rhein-Main-Gebiet in den letzten Jahren zeigt, dass die MRSAPrävalenz der Patienten der ambulanten Pflegedienste mit 3,7 % deutlich unter der MRSA-Prävalenz bei Altenpflegeheimbewohnern (6,5 % resp. 9,2 %) [14,15], aber über der MRSA-Prävalenz bei ambulanten Dialysepatienten (2,1 %) [16] und Rehabilitationspatienten (0,7 %, resp. 1,8 %) [17,18] liegt.…”

Section: Discussionunclassified

“…erhoben und publiziert [11,12]. Darüber hinaus liegen verschiedene Untersuchungen zur MREPrävalenz bei Altenpflegeheimbewohnern vor (Literatur in [22]) [14,15]. Im Gegensatz dazu gibt es praktisch keine Erhebungen in der ambulanten Pflege zu den Patientencharakteristika und nur wenige Untersuchungen zur MRSAPrävalenz [8][9][10] …”

Section: Introductionunclassified

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

Neumann

Mischler

Cuny³

et al. 2015

Bundesgesundheitsbl.

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Nosokomiale Infektionen, systemischer Antibiotikaeinsatz und multiresistente Erreger bei Bewohnern von Altenpflegeheimen

Cited by 32 publications

References 41 publications

MRSA Prevalence and Risk Factors among Health Personnel and Residents in Nursing Homes in Hamburg, Germany – A Cross-Sectional Study

MRSA Prevalence and Risk Factors among Health Personnel and Residents in Nursing Homes in Hamburg, Germany – A Cross-Sectional Study

Multiresistente Erreger in Rehabilitationseinrichtungen im Rhein-Main-Gebiet, Deutschland, 2014: I. Prävalenz und Risikofaktoren

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

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