title: 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.
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).
authors.affiliation: Service de Bactériologie et Hygiène, Centre Hospitalier Universitaire de Tours, Tours, France. n.vandermee@chu-tours.fr
authors.forename: Nathalie
authors.initials: N
authors.lastname: van der Mee-Marquet
authors.forename: Philippe
authors.initials: P
authors.lastname: Savoyen
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Domelier-Valentin
authors.forename: Chantal
authors.initials: C
authors.lastname: Mourens
authors.forename: Roland
authors.initials: R
authors.lastname: Quentin
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D002511:Cephalosporins; D003428:Cross Infection / Q000188:drug therapy / Q000453:epidemiology; D004926:Escherichia coli / Q000187:drug effects / Q000302:isolation & purification*; D004927:Escherichia coli Infections / Q000188:drug therapy* / Q000453:epidemiology; D005260:Female; D024841:Fluoroquinolones / Q000627:therapeutic use*; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D009735:Nursing Homes; D014552:Urinary Tract Infections / Q000188:drug therapy*; D001618:beta-Lactamases
chemical_list: D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D024841:Fluoroquinolones; D001618:beta-Lactamases