Colonization of Multi-drug Resistant Bacteria in Chronic Neurological Disease Patients in Respite Care: Active Surveillance Study

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  • HARA Hiroshi
    Division of Pharmacy, Yokohama Brain and Spine Center
  • KATO Hideaki
    Infection Control Department, Yokohama City University Medical Center
  • NAGAI Toru
    Division of Pharmacy, Yokohama Brain and Spine Center

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Other Title
  • 神経難病在宅調整入院患者の耐性菌保菌状況のアクティブ・サーベイランス
  • シンケイ ナンビョウ ザイタク チョウセイ ニュウイン カンジャ ノ タイセイキンホキン ジョウキョウ ノ アクティブ ・ サーベイランス

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  Active surveillance was performed to determine the prevalence of multidrug-resistant bacteria in patients with chronic neurological disease who were under respite care. Twenty-six patients were enrolled between April 2010 and August 2014. Positive screening cultures were obtained from sputum samples in 20 patients and from urine samples in 24 patients. Staphylococcus aureus was detected in 8 patients, of whom 6 (75.0%) had methicillin-resistant strains. Escherichia coli was detected in 9 patients (1 from sputum and 8 from urine), of whom 8 (88.9%) showed resistance to fluoroquinolones. Extended-spectrum β-lactamase-producing Enterobacteriaceae were cultured from 9 patients (3 from sputum and 6 from urine). The medical devices frequently used to treat these patients were considered to be the sources of the multidrug-resistant colonization.<br>

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