Risk factors for carbapenemase-producing Enterobacteriaceae colonization of asymptomatic carriers on admission to an Italian rehabilitation hospital. Issue 1 (January 2016)

• Record Type: Journal Article
• Authors: Rossini, A.; Di Santo, S.G.; Libori, M.F.; Tiracchia, V.; Balice, M.P.; Salvia, A.
• Is Part Of: Journal of hospital infection. Volume 92:Issue 1(2016)
• Page Start: 78
• Page End: 81
• Publication Date: 2016-01
• Subjects: Carbapenemase -- Carriage -- Rehabilitation -- Resistance epidemiology -- Surveillance; Cross infection -- Periodicals; Cross infection -- Prevention -- Periodicals; Nosocomial infections -- Periodicals; Nosocomial infections -- Prevention -- Periodicals; Cross Infection -- Periodicals; Cross Infection -- prevention & control -- Periodicals; Infection Control -- Periodicals; Electronic journals; 614.44
• DOI: 10.1016/j.jhin.2015.10.012
• Languages: English
• ISSNs: 0195-6701

Abstract

Summary: The spread of carbapenemase-producing Enterobacteriaceae (CPE) has become a worldwide problem. Early identification and isolation of asymptomatic carriers are important for infection prevention and control measures. All inpatients ( N = 1427) admitted to 'Fondazione Santa Lucia' Rehabilitation Hospital in 2014 were screened by rectal swab; 10.2% of them were CPE-colonized. The multivariate analysis on anamnestic data showed that both previous admission to an intensive care unit (odds ratio: 4.04; 95% confidence interval: 2.20–7.44; P < 0.001) or post-acute care hospitals (2.88; 1.74–4.77; P < 0.001) and presence of a central venous catheter (2.19; 1.34–3.59; P < 0.001) were significant risk factors.