Can alternative anatomical sites and environmental surveillance replace perianal screening for multidrug-resistant organisms in nursing homes?. (21st August 2022)

• Record Type: Journal Article
• Authors: Gontjes, Kyle J.; Gibson, Kristen E.; Lansing, Bonnie; Cassone, Marco; Mody, Lona
• Is Part Of: Infection control and hospital epidemiology. Volume 43:Number 8(2022)
• Page Start: 1063
• Page End: 1066
• Publication Date: 2022-08-21
• Subjects: Nosocomial infections -- Epidemiology -- Periodicals; Health facilities -- Sanitation -- Periodicals; Hospital buildings -- Sanitation -- Periodicals; Cross Infection -- Periodicals; Epidemiology -- Periodicals; Hospitals -- Periodicals; Infection Control -- Periodicals; 614.44
• DOI: 10.1017/ice.2021.134
• Languages: English
• ISSNs: 0899-823X

Abstract

Abstract: Perianal screening can be intrusive. The sensitivities of multianatomical, nonperianal surveillance were 92.3% for methicillin-resistant Staphylococcus aureus (MRSA), 58.7% for vancomycin-resistant enterococci (VRE), and 54.9% for resistant Gram-negative bacilli (R-GNB). Sensitivities improved upon adding environmental surveillance (95.5%, 82.9%, and 67.9%, respectively). Multianatomical, nonperianal screening and room environment surveillance may replace perianal screening and reduce healthy participant bias in nursing homes.