Nursing Home Residents and Enterobacteriaceae Resistant to Third-Generation Cephalosporins

Sandoval, Carolyn; Walter, Stephen D.; McGeer, Allison; Simor, Andrew E.; Bradley, Suzanne F.; Moss, Lorraine M.; Loeb, Mark B.

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Nursing Home Residents and Enterobacteriaceae Resistant to Third-Generation Cephalosporins

Published Date:

Jun 2004

Source:

Emerg Infect Dis. 10(6):1050-1055.

[PDF-76.47 KB]

Details:

Alternative Title:

Emerg Infect Dis

Personal Author:

Sandoval, Carolyn ; Walter, Stephen D. ; McGeer, Allison ; Simor, Andrew E. ; Bradley, Suzanne F. ; ... More ▼

Description:

Limited data identify the risk factors for infection with Enterobacteriaceae resistant to third-generation cephalosporins among residents of long-term-care facilities. Using a nested case-control study design, nursing home residents with clinical isolates of Enterobacteriaceae resistant to third-generation cephalosporins were compared to residents with isolates of Enterobacteriaceae susceptible to third-generation cephalosporins. Data were collected on antimicrobial drug exposure 10 weeks before detection of the isolates, facility-level demographics, hygiene facilities, and staffing levels. Logistic regression models were built to adjust for confounding variables. Twenty-seven case-residents were identified and compared to 85 controls. Exposure to any cephalosporin (adjusted odds ratio [OR] 4.0, 95% confidence interval [CI] 1.2 to 13.6) and log percentage of residents using gastrostomy tubes within the nursing home (adjusted OR 3.9, 95% CI 1.3 to 12.0) were associated with having a clinical isolate resistant to third-generation cephalosporins.

Subject:

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Document Type:

Journal Article

Collection(s):

Emerging Infectious Diseases

Main Document Checksum:

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Supporting Files:

	03-0662.nxml	text/plain
	license.txt	text/plain

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