Hostname: page-component-586b7cd67f-r5fsc Total loading time: 0 Render date: 2024-11-24T23:01:41.308Z Has data issue: false hasContentIssue false
  • English
  • Français

Assessment of race and sex as risk factors for colonization with multidrug-resistant organisms in six nursing homes

Published online by Cambridge University Press:  04 June 2020

Kyle J. Gontjes Open the ORCID record for Kyle J. Gontjes [Opens in a new window] ,
Kristen E. Gibson ,
Bonnie J. Lansing ,
Lona Mody  and
Marco Cassone
Kyle J. Gontjes
Affiliation:
Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, Michigan Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, Michigan
Kristen E. Gibson
Affiliation:
Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, Michigan
Bonnie J. Lansing
Affiliation:
Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, Michigan
Lona Mody
Affiliation:
Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, Michigan Geriatrics Research, Education and Clinical Center, Veterans’ Affairs Ann Arbor Healthcare System, Ann Arbor, Michigan
Marco Cassone*
Affiliation:
Division of Geriatric and Palliative Medicine, University of Michigan Medical School, Ann Arbor, Michigan
*
Author for correspondence: Marco Cassone, E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

The role of demographic characteristics, such as sex and race, as risk factors for colonization with multidrug-resistant organisms, has not been established in the nursing home setting. We demonstrate significantly higher prevalence overall in male patients, and sex differences are dependent on organism of interest and body site.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 41 , Issue 10 , October 2020 , pp. 1222 - 1224
Check for updates
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Cassone, M, Mody, L. Colonization with multi-drug resistant organisms in nursing homes: scope, importance, and management. Curr Geriatr Rep 2015;4:87–95.CrossRefGoogle ScholarPubMed
Humphreys, H, Fitzpatick, F, Harvey, BJ. Gender differences in rates of carriage and bloodstream infection caused by methicillin-resistant Staphylococcus aureus: are they real, do they matter and why? Clin Infect Dis 2015;61:1708–1714.Google Scholar
Aliyu, S, Smaldone, A, Larson, E. Prevalence of multidrug-resistant gram-negative bacteria among nursing home residents: a systematic review and meta-analysis. Am J Infect Control 2017;45:512–518.10.1016/j.ajic.2017.01.022CrossRefGoogle ScholarPubMed
Graham, PL III, Lin, SX, Larson, EL. A US population-based survey of Staphylococcus aureus colonization. Ann Intern Med 2006;144:318–325.10.7326/0003-4819-144-5-200603070-00006CrossRefGoogle Scholar
Mody, L, Foxman, B, Bradley, S, et al.Longitudinal assessment of multidrug-resistant organisms in newly admitted nursing facility patients: implications for an evolving population. Clin Infect Dis 2018;67:837–844.CrossRefGoogle ScholarPubMed
Lawton, MP, Brody, EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist 1969;9:179–186.10.1093/geront/9.3_Part_1.179CrossRefGoogle ScholarPubMed
Charlson, M, Szatrowski, TP, Peterson, J, Gold, J. Validation of a combined comorbidity index. J Clin Epidemiol 1994;47:1245–1251.10.1016/0895-4356(94)90129-5CrossRefGoogle ScholarPubMed
Cao, J, Min, L, Lansing, B, Foxman, B, Mody, L. Multidrug-resistant organisms on patients’ hands: a missed opportunity. JAMA Intern Med 2016;176:705–706.10.1001/jamainternmed.2016.0142CrossRefGoogle ScholarPubMed
Grice, EA, Segre, JA. The skin microbiome. Nat Rev Microbiol 2011;9:244–253.CrossRefGoogle ScholarPubMed
Fierer, N, Hamady, M, Lauber, CL, Knight, R. The influence of sex, handedness, and washing on the diversity of hand surface bacteria. Proc Natl Acad Sci U S A 2008;105:17994–17999.10.1073/pnas.0807920105CrossRefGoogle ScholarPubMed