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Dergiler / Türk Geriatri Dergisi / 2018 / Cilt: 21 - Sayı: 1

YAŞLI BAKIMEVİ SAKİNLERİNDE ÇOK İLACA DİRENÇLİ BAKTERİ KOLONİZASYONUNUN PREVALANSI VE RİSK FAKTÖRLERİ

PREVALENCE OF MULTIDRUG-RESISTANT BACTERIAL COLONIZATION AND RISK FACTORS IN GERIATRIC NURSING HOME RESIDENTS

Oya Özlem KUTSOYLU EREN
Nur YAPAR
Vildan AVKAN OĞUZ
Nil TEKİN
Madina ABDULLAYEVA
Sayfa
41–48
Yayın Tarihi
2022-11-05
DOI
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

In nursing homes, for management of multidrug-resistant bacterial infections, risk factors for colonization and surveillance analysis should be considered

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Amaç & Hipotez:Introduction: Aim of this study is to determine the frequency of nasal, axillary and rectal colonization by multidrug-resistant bacteria and the risk factors for colonization in nursing home residents.Materials and Method: In this cross-sectional study, demographic data and risk factors of the residents were recorded.
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Temel Bulgular & Veri:Nasal and axillary swabs were analyzed for methicillin-resistant Staphylococcus aureus and rectal swabs for vancomycin-resistant enterococci, extendedspectrum beta-lactamase-producing Enterobacteriaceae, and carbapenemase-producing Klebsiella pneumoniae.Results: From 247 residents, 247 axillary, 246 nasal, and 245 rectal swabs were obtained.
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Sonuç & Katkı:In nursing homes, for management of multidrug-resistant bacterial infections, risk factors for colonization and surveillance analysis should be considered
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Introduction: Aim of this study is to determine the frequency of nasal, axillary and rectal colonization by multidrug-resistant bacteria and the risk factors for colonization in nursing home residents.Materials and Method: In this cross-sectional study, demographic data and risk factors of the residents were recorded. Data regarding patients’ independence were collected using activities of daily living form. Nasal and axillary swabs were analyzed for methicillin-resistant Staphylococcus aureus and rectal swabs for vancomycin-resistant enterococci, extendedspectrum beta-lactamase-producing Enterobacteriaceae, and carbapenemase-producing Klebsiella pneumoniae.Results: From 247 residents, 247 axillary, 246 nasal, and 245 rectal swabs were obtained. Median age was 85±6.7 and 190 (77%) residents were female. Swab samples from 75 (30%) residents yielded S. aureus, 8 (3.2%) of which were methicillin-resistant. Of the residents, 10 (4.1%) vancomycin-resistant enterococci, 17 (6.9%) extended-spectrum beta-lactamase-producing Enterobacteriaceae, one (0.4%) carbapenemase-producing K. pneumoniae were found. Colonization with more than one type of multidrug-resistant bacteria was found in 3 (1.2%) residents. Colonization rates of multidrug-resistant bacteria were 2.7 times higher with antibiotic use in the last month and 3.1 times with immobility and enteral support. Colonization rate of multidrug-resistant bacteria increased with higher activities of daily living scores (p=0.004).Conclusion: The prevalence of multidrug-resistant bacterial colonization was 12.9% and the risk factors have been changed according to bacterial species. Colonization rate increased with greater dependence in activities of daily living. In nursing homes, for management of multidrug-resistant bacterial infections, risk factors for colonization and surveillance analysis should be considered

Abstract

Received: 03/01/2018Accepted: 28/02/2018

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Bu Makaleye Atıf Yap

EREN, O. Ö. K., YAPAR, N., OĞUZ, V. A., TEKİN, N., ABDULLAYEVA, M. (2022). YAŞLI BAKIMEVİ SAKİNLERİNDE ÇOK İLACA DİRENÇLİ BAKTERİ KOLONİZASYONUNUN PREVALANSI VE RİSK FAKTÖRLERİ. Türk Geriatri Dergisi, Cilt: 21 - Sayı: 1, 41–48. https://ajindex.com/articles/623673

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Kaynakça (11)

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