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. 2008 Sep;36(7):468-71.
doi: 10.1016/j.ajic.2008.01.003.

Prevalence of methicillin-resistant Staphylococcus aureus and Acinetobacter baumannii in a long-term acute care facility

Jon P Furuno  1 , Joan N Hebden, Harold C Standiford, Eli N Perencevich, Ram R Miller, Anita C Moore, Sandra M Strauss, Anthony D Harris
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Prevalence of methicillin-resistant Staphylococcus aureus and Acinetobacter baumannii in a long-term acute care facility

Jon P Furuno et al. Am J Infect Control. 2008 Sep.

Abstract

Background: Patients in long-term acute care (LTAC) facilities often have many known risk factors for acquisition of antibiotic-resistant bacteria. However, the prevalence of resistance in these facilities has not been well described.

Methods: We performed a single-day, point-prevalence study of a 180-bed, university-affiliated LTAC facility in Baltimore to assess the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) and Acinetobacter baumannii in the anterior nares, perirectal area, sputum, and wounds.

Results: Among the 147 patients evaluated, we found a high prevalence of colonization by both MRSA (28%) and A baumannii (30%). Of the A baumannii isolates, 90% were susceptible to imipenem and 92% were susceptible to ampicillin-sulbactam. No isolates were resistant to both imipenem and ampicillin-sulbactam.

Conclusion: The high prevalence of resistance found in this study supports the need for increased surveillance of patients in the LTAC environment. The fact that these patients are often frequently transferred to tertiary care facilities also supports the need for coordination and collaboration among facilities within the same health care system and the broader geographic area.

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References

    1. Eskildsen MA. Long-term acute care: a review of the literature. J Am Geriatr Soc. 2007;55:775–9. - PubMed
    1. Furuno JP, McGregor JC, Harris AD, Johnson JA, Johnson JK, Langenberg P, et al. Identifying groups at high risk for carriage of antibiotic-resistant bacteria. Arch Intern Med. 2006;166:580–5. - PubMed
    1. Furuno JP, Perencevich EN, Johnson JA, Wright MO, McGregor JC, Morris JG, Jr, et al. Methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci co-colonization. Emerg Infect Dis. 2005;11:1539–44. - PMC - PubMed
    1. McGregor JC, Perencevich EN, Furuno JP, Langenberg P, Flannery K, Zhu J, et al. Comorbidity risk-adjustment measures were developed and validated for studies of antibiotic-resistant infections. J Clin Epidemiol. 2006;59:1266–73. - PubMed
    1. Clinical modification. 6. Los Angeles, CA: Practice Management Information Corp; 2006. International classification of diseases, 9th revision.

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