Long-term care facilities as sources of antibiotic-resistant nosocomial pathogens
Long-term care facilities as sources of antibiotic-resistant nosocomial pathogens
复制标题
长期护理设施是耐抗生素医院病原体的来源
DOI：
10.1097/00001432-200108000-00010
复制
发表时间：
2001
影响因子：
3.9
通讯作者：
K. Crossley
中科院分区：
文献类型：
--
作者：
K. Crossley
长期护理机构收容了通常从急诊护理机构转移过来的个人。因此，耐甲氧西林金黄色葡萄球菌(MRSA)、耐革兰阴性杆菌和万古霉素耐药肠球菌(VRE)的携带率相对较高。当这些患者被重新送入急救机构时，他们会将这些微生物重新引入这些环境中。值得注意的是，对长期护理机构中这些耐药微生物的研究表明，患者之间的转移很少。这些细菌的传播和养老院感染的发展都是罕见的事件。最好将资源用于感染控制的基础知识，而不是隔离被这些微生物定居或感染的患者。
Long-term care facilities house individuals that have usually been transferred from acute-care institutions. For this reason, carriage of methicillin-resistant Staphylococcus aureus (MRSA), resistant Gram-negative bacilli and vancomycin-resistant enterococci (VRE) is relatively frequent. As these patients are readmitted to acute-care institutions, they reintroduce these organisms into those settings. It is notable that studies of these resistant organisms in long-term care facilities demonstrate little transfer between patients. Transmission of these bacteria and the development of infection in nursing homes are both uncommon events. Resources are best devoted to infection-control basics than to isolation of patients colonized or infected with these organisms.