[Impact of enterobacteriaceae-producing extended-spectrum beta-lactamases (ESBLE) incidence increasing on barrier precautions implementation in a university hospital]. / Impact de l'augmentation de l'incidence des entérobactéries productrices de bêta-lactamases à spectre étendu (EBLSE) sur l'application des précautions complémentaires dans un centre hospitalier universitaire.
Pathol Biol (Paris)
; 61(5): 217-22, 2013 Oct.
Article
en Fr
| MEDLINE
| ID: mdl-22841390
ABSTRACT
AIM OF THE STUDY The French national surveillance program of multidrug-resistant bacteria (MDR) shows an increase of enterobacteriaceae-producing extended-spectrum beta-lactamases (ESBLE) incidence. The objectives of this study were to assess the incidence of EBLSE in a large French university hospital between 2005 and 2010, and the difference of barrier precautions implementation between ESBL and other MDR. METHODS:
The ESBLE incidence measure used data from the laboratory of bacteriology. The application of isolation and barrier precautions was analyzed from the MRB national surveillance data over a 3-year period from 2006 to 2008. Data were entered and analyzed using Epi Info software. The Chi(2) test was used for the comparison of proportions.RESULTS:
The overall incidence of ESBLE was significantly higher in 2010 than in 2005 (0.20/1000 patients-days vs 0.03/1000 patients-days, respectively) (P<0.001). The same was observed for Escherichia coli incidence with rates ranging from 0.02/1000 patients-days in 2005 to 0.15/1000 patients-days in 2010. Isolation precautions for patients with EBLSE were applied in relation for most patients with MRB (ESBLE vs others), without significant difference.CONCLUSION:
The surveillance programme of MRB showed a significant increase of ESBLE, especially for E. coli. Isolation and barrier precautions were used for most patients with MRB, including ESBLE.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Beta-Lactamasas
/
Resistencia a Múltiples Medicamentos
/
Enterobacteriaceae
/
Infecciones por Enterobacteriaceae
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Hospitales Universitarios
Tipo de estudio:
Incidence_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
Fr
Revista:
Pathol Biol (Paris)
Año:
2013
Tipo del documento:
Article