NDLI: Profiling the fecal carriage of ß-lactamase genes in long-term care facility residents: A longitudinal study.

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Profiling the fecal carriage of ß-lactamase genes in long-term care facility residents: A longitudinal study.

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Profiling the fecal carriage of ß-lactamase genes in long-term care facility residents: A longitudinal study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Chen, Chang-Hua Chang, Ming-Chuan Chen, Kuan-Hsueh Kuo, Han-Yueh Liou, Ming-Li
Description	Author Affiliation: Chen CH ( Division of Infectious Diseases, Department of Internal Medicine, Changhua Christian Hospital, Changhua City, Taiwan); Chang MC ( Department of Medicine, Nantou Christian Hospital, Nantou City, Taiwan.); Chen KH ( Department of Computer Science and Information Engineering, Providence University, Taichung County, Taiwan.); Kuo HY ( Department of Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu City, Taiwan); Liou ML ( Department of Medical Laboratory Science and Biotechnology, Yuanpei University, Hsin-Chu City, Taiwan. Electronic address: d918229@gmail.com.)
Abstract	BACKGROUND: The fecal carriage of ß-lactamase (BL)-producing bacteria may play a major role in the spread of these organisms in long-term care facilities (LTCFs). The aims of this study were (1) to describe the gene profiles of fecal BL in 3 LCTFs in Taiwan and (2) to analyze the fecal carriage burden of BL genes between the residents (patient group) and staff (staff group) of LTCFs. METHODS: Thirty fecal samples were collected during June 2013 and July 2015: 20 were obtained from 10 residents both during hospitalization (T1) and 1 month after discharge (T2), and 10 were obtained from 10 staff members. RESULTS: In total, 80%, 70%, and 50% of the samples in the patient group at T1, staff group at T2, and patient group at T2, respectively, contained >2 BL genes. In the patient group, the predominant genes belonged to extended-spectrum BL genes (90%-100%) and AmpC BL genes (90%-100%). Furthermore, carbapenemase genes were approximately 20% during T1 and T2. The relative levels of SHV-type BLs were significantly higher (P < .05) in the patient group at T2 compared with the staff group. CONCLUSIONS: In this study, we found a high carriage of fecal BLs among LTCF residents and staff. The monitoring of fecal BL carriage in LTCFs is needed for infection control measures and antibiotic choice for health care-associated infections.
File Format	HTM / HTML
ISSN	01966553
Issue Number	11
Journal	American Journal of Infection Control
Volume Number	44
e-ISSN	15273296
Language	English
Publisher	Elsevier
Publisher Date	2016-11-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Communicable Diseases
Content Type	Text
Resource Type	Article
Subject	Infectious Diseases Public Health, Environmental and Occupational Health Epidemiology Health Policy

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