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.
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).
van der Mee-Marquet
Nathalie
N
Service de Bactériologie et Hygiène, Centre Hospitalier Universitaire de Tours, Tours, France. n.vandermee@chu-tours.fr
Savoyen
Philippe
P
Domelier-Valentin
Anne-Sophie
AS
Mourens
Chantal
C
Quentin
Roland
R
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
D000900:Anti-Bacterial Agents; D002511:Cephalosporins; D024841:Fluoroquinolones; D001618:beta-Lactamases