Details

Autor(en) / Beteiligte

• Jolivet, S.
• Vaillant, L.
• Poncin, T.
• Lolom, I.
• Gaudonnet, Y.
• Rondinaud, E.
• Bendjelloul, G.
• Lomont, A.
• Lucet, J.-C.
• Armand-Lefèvre, L.

Titel

Prevalence of carriage of extended-spectrum β-lactamase-producing enterobacteria and associated factors in a French hospital

Ist Teil von

• Clinical microbiology and infection, 2018-12, Vol.24 (12), p.1311-1314

Ort / Verlag

England: Elsevier Ltd

Erscheinungsjahr

2018

Quelle

MEDLINE

Beschreibungen/Notizen

• Our aim was to evaluate the prevalence and associated factors for carriage of extended-spectrum β-lactamase-producing enterobacteria (ESBL-PE) in a healthcare facility. In 2016 a serial cross-sectional survey of ESBL-PE carriage in a French university hospital was conducted. All patients present on the day of the survey were screened for ESBL-PE carriage. Demographic characteristics and risk factors for ESBL-PE carriage were collected. In all, 146/844 patients (17%) were digestive carriers of ESBL-PE; of these, 96 (66%) had not previously been identified. Among patients carrying ESBL-PE, Escherichia coli (62%) and CTX-M type (94%) predominated. Greater age, recent travel abroad, receipt of antibiotic, and prolonged hospitalization were associated with ESBL-PE carriage. Given the high prevalence of ESBL-PE and the high proportion of unknown carriers, our results strongly suggest reinforcing standard precautions rather than contact precautions for controlling the spread of ESBL-PE.