Project screening of cattle for 4

Background

 

Unrecognized colonization of patients and environmental contamination may contribute to cross-transmission

PDA LTACHs. We evaluated the sites

PDAs colonization of patients and the environment LTACH. Methods:

assessment of 17 patients found in the larger draft CCP screened at 4

LTACHs. The swab samples from each of the seven anatomical (rectal, inguinal, axillary

, elbow, lower back, urine, oropharyngeal / tracheal secretion), and

20 environmental strattera online facilities (eg, bed rails, overbed table, fan) were collected

. Slides were inoculated into tryptic soy broth + 1 mg / ml meropenem or covered directly MacConkey agar + 2

ertapenem disks. blah was confirmed by PCR. Isolates

identified to the species (MicroScan). Results: Mean age

65, 16 (94%) were receiving mechanical ventilation, 14 (82%) had fecal incontinence

and they were all chained to the bed. On the first day of observation, 14 (82%) patients received

1, an antibiotic and an average length of stay was 55 days LTACH

. extra-rectal colonization

CCP was detected in all patients. 16/17 (94%) patients in the

least one area of ​​skin is positive for CCP. 11/17 (65%) patients had 3 or more anatomic

positive for CCP. Six (35%) patients were identified in the CCP >> << Clinical culture to 2-7 weeks, these patients had more body sites

positive observations than in patients without positive clinical cultures

(an average of 4. 5 to 3. 0 sites, respectively, p = 0. 04). The patients were colonized with the following PDAs

14

K. pneumonia, 1

Enterobacter Aero epez ^ 1

Aero EV ^

epez K. pneumonia << K. pneumonia >> 1

+ Escherichia coli. None of 151

+ patient room or 71 sites total cultivated areas of increased CPC, although 41/222 >> << (18%) environmental sites grew other carbapenems resistant Gram-negative pathogens.

Broth enrichment detected only 1 additional PDA Site Authority, which was negative

direct coverage. Conclusion: In a sample of LTACH

patients, colonization of the CPC in multiple areas of the body was common. We did not find PDAs >> << pollution indoors KPC-colonized patients. Frequent >> << colonization of multiple sites of skin PDAs that antiseptic skin cleansing can be a useful strategy to reduce >> << cross-transmission of the CPC in LTACHs. .