6533b874fe1ef96bd12d6290

RESEARCH PRODUCT

Colonization of pressure ulcers by multidrug-resistant microorganisms in patients receiving home care

Caterina MamminaAnna Rita MattalianoAurora AleoCelestino BonuraMaria Concetta CataldoTeresa FascianaGiovanna RizzoGiuseppe CaputoCinzia CalàDaniela Maria Geraci

subject

MaleMethicillin-Resistant Staphylococcus aureusMicrobiology (medical)medicine.medical_specialtymultidrug-resistantDrug resistancemedicine.disease_causeDrug Resistance Multiple BacterialInternal medicineGram-Negative BacteriaEpidemiologyHumansMedicineIn patientColonizationIntensive care medicineAgedAged 80 and overPressure UlcerGeneral Immunology and Microbiologybiologybusiness.industrySkin Diseases BacterialGeneral MedicineMiddle Agedbiochemical phenomena metabolism and nutritionbacterial infections and mycosesbiology.organism_classificationAntimicrobialHome Care ServicesAnti-Bacterial AgentsMultiple drug resistanceInfectious DiseasesItalyEnterococcusStaphylococcus aureusFemalehome carebusinessEnterococcus

description

Colonization and/or infection with multidrug-resistant microorganisms (MDRO) of pressure ulcers in patients receiving care at home have seldom been investigated. The objective of this study was to assess the prevalence of MDRO colonization in pressure ulcers of patients receiving home care in Palermo, Italy. Vancomycin-resistant Enterococcus (VRE), methicillinresistant Staphylococcus aureus (MRSA), and multidrug-resistant Gram-negative bacilli (MDRGN) were isolated, identifi ed, and characterized from pressure ulcers and selected home environment surfaces. Thirty-two patients were enrolled, of whom 12 were under antimicrobial therapy. Five patients had been admitted to hospital in the preceding year. Nineteen patients tested positive for 1 or more MDROs. In particular, 1 patient was colonized by a vanA-containing strain of VRE, 5 by MRSA, and 17 by MDRGN of different species. Our fi ndings suggest that pressure ulcers in home care patients could play a role in bringing MDROs into the community setting.

yearjournalcountryeditionlanguage
2011-07-05Scandinavian Journal of Infectious Diseases
https://doi.org/10.3109/00365548.2011.591821