title: [Multidrug-resistant germs in neurological early rehabilitation (2004-2013)].
abstract: Multidrug-resistant germs are an increasing problem in neurological and neurosurgical early rehabilitation but reliable data is missing. The present study examined the prevalence of methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and multidrug-resistant gram negative germs (MRGN) in a German neurological early rehabilitation facility (BDH Clinic Hessisch Oldendorf). Observation period was 2004-2013 (10 years). MRSA prevalence on admission was 11.4%, MRGN prevalence during rehabilitation 11.8%. A combination of different multidrug-resistant germs (MRSA plus MRGN) was observed in 3.8% of all cases. VRE were first detected in 2009, prevalence was as low as 0.1%. High prevalence of MRSA and MRGN raises major financial, medical, and ethical problems in early rehabilitation facilities. The authors encourage further multi-center studies and suggest a better recompense for this group of patients in the German DRG-system (Diagnosis Related Groups).
authors.affiliation: Institut für neurorehabilitative Forschung (InFo) der BDH-Klinik Hessisch Oldendorf, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Hannover.
authors.forename: J D
authors.initials: JD
authors.lastname: Rollnik
authors.affiliation: Partnerschaftspraxis für Laboratoriumsmedizin, Hameln.
authors.forename: A-M
authors.initials: AM
authors.lastname: Samady
authors.affiliation: Partnerschaftspraxis für Laboratoriumsmedizin, Hameln.
authors.forename: L
authors.initials: L
authors.lastname: Grüter
mesh_terms: D001424:Bacterial Infections / Q000188:drug therapy* / Q000453:epidemiology* / Q000534:rehabilitation; D015897:Comorbidity; D024901:Drug Resistance, Multiple, Bacterial; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D009422:Nervous System Diseases / Q000453:epidemiology* / Q000382:microbiology / Q000534:rehabilitation*; D012307:Risk Factors