Prevalence of Multi-Resistant Microorganisms and Antibiotic Stewardship among Hospitalized Patients Living in Residential Care Homes in Spain: A Cross-Sectional Study
Metadatos
Mostrar el registro completo del ítemAutor
Rivera Izquierdo, Mario; Láinez Ramos-Bossini, A. J.; Martín de los Reyes, Luis Miguel; Jiménez Mejías, Eladio; Moreno Roldán, Elena; Lardelli Claret, Pablo; Martínez Ruiz, Virginia AnaEditorial
MDPI
Materia
Multidrug resistance Care homes Nursing homes Antibiotic stewardship Hospitalization Elderly Internal medicine Spain
Fecha
2020-06-13Referencia bibliográfica
Rivera-Izquierdo, M., Benavente-Fernández, A., López-Gómez, J., Láinez-Ramos-Bossini, A. J., Rodríguez-Camacho, M., Valero-Ubierna, M. D. C., ... & Martínez-Ruiz, V. (2020). Prevalence of Multi-Resistant Microorganisms and Antibiotic Stewardship among Hospitalized Patients Living in Residential Care Homes in Spain: A Cross-Sectional Study. Antibiotics, 9(6), 324. [doi:10.3390/antibiotics9060324]
Patrocinador
Catedra de Docencia e Investigacion SEMERGEN-Medicina de Familia, University of Granada, SpainResumen
Antimicrobial resistance is a growing global health problem. Patients living in care
homes are a vulnerable high-risk population colonized by multidrug-resistant organisms (MDRO).
We identified a case series of 116 residents of care homes from a cohort of 540 consecutive patients
admitted to the internal medicine service of our hospital. We performed early diagnostic tests of
MDRO through anal exudates in our sample. The prevalence of MDRO colonization was 34.5%
of residents and 70% of them had not been previously identified in the clinical records. Previous
hospitalizations and in-hospital antibiotic administration were significantly associated with the
presence of MDRO. Our results emphasize the need to consider care homes in the planning of regional
and national infection control measures and for implementing surveillance systems that monitor
the spread of antimicrobial resistance in Spain. Systematic early testing upon admission to hospital
services with a high prevalence of patients with MDRO colonization (e.g., internal medicine) could
contribute to the adoption of adequate prevention measures. Specific educational programs for care
home staff should also be implemented to address this increasing problem.