CTX-M-type fluoroquinolone-resistant Escherichia coli: analysis of the colonization of residents and inanimate surfaces 1 year after a first case of urinary tract infection at a nursing home in France

Infect Control Hosp Epidemiol. 2010 Sep;31(9):968-70. doi: 10.1086/655835.

Abstract

At a nursing home in France, 1 year after a first case of a cluster of urinary tract infections caused by an extended-spectrum beta-lactamase-producing strain of Escherichia coli, 9 (22%) of 49 residents were colonized with the outbreak strain. Colonization was associated with poor state of health (P = .04), incontinence (P = .007), and recent treatment with fluoroquinolones and/or cephalosporins (P = .003).

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Anti-Bacterial Agents / therapeutic use*
  • Cephalosporins
  • Cross Infection / drug therapy
  • Cross Infection / epidemiology
  • Escherichia coli / drug effects
  • Escherichia coli / isolation & purification*
  • Escherichia coli Infections / drug therapy*
  • Escherichia coli Infections / epidemiology
  • Female
  • Fluoroquinolones / therapeutic use*
  • France / epidemiology
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Nursing Homes
  • Urinary Tract Infections / drug therapy*
  • beta-Lactamases

Substances

  • Anti-Bacterial Agents
  • Cephalosporins
  • Fluoroquinolones
  • beta-Lactamases