title: Microbiological methods for surveillance of carrier status of multiresistant bacteria.
abstract: The presence of colonised patients is one of the main routes for the spread of multiresistant bacteria, and its containment is a clinical and public health priority. Surveillance studies are essential for early detection of colonisation by these bacteria. This article discusses the different microbiological methods, both based on culturing and molecular methods, for detection of carriers of multiresistant bacteria. Those species with a high clinical/epidemiological impact or generating therapeutic difficulties are included: Methicillin-resistant Staphylococcus aureus, Enterococcus spp. resistant to glycopeptides, enterobacteriaceae producing extended spectrum β-lactamases and plasmid-mediated AmpC, carbapenemases producing enterobacteriaceae, Acinetobacter baumannii and multiresistant Pseudomonas aeruginosa. The information in this document should be considered as a structure matrix to be tailored to the specific needs of each centre.
authors: Laboratorio de Referencia e Investigación en Resistencia a Antibióticos e Infecciones Relacionadas con la Asistencia Sanitaria, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Majadahonda (Madrid), España. Electronic address: jesus.oteo@isciii.es.
authors: Jesús
authors: J
authors: Oteo
authors: Servicio de Microbiología-INIBIC, Complejo Hospitalario Universitario A Coruña, La Coruña, España.
authors: Germán
authors: G
authors: Bou
authors: Servicio de Microbiología, Hospital Universitario 12 de Octubre, Instituto de Investigación Biomédica, Hospital 12 de Octubre i+12, Madrid, España.
authors: Fernando
authors: F
authors: Chaves
authors: Servicio de Microbiología, Hospital Son Espases, Instituto de Investigación Sanitaria de Palma (IdISPa), Palma de Mallorca, España.
authors: Antonio
authors: A
authors: Oliver
mesh_terms: D001419:Bacteria / Q000187:drug effects / Q000302:isolation & purification*; D001424:Bacterial Infections / Q000382:microbiology* / Q000635:transmission; D001426:Bacterial Proteins / Q000235:genetics / Q000502:physiology; D001431:Bacteriological Techniques; D002353:Carrier State / Q000382:microbiology*; D024901:Drug Resistance, Multiple, Bacterial; D006801:Humans; D025202:Molecular Diagnostic Techniques; D011159:Population Surveillance; D013048:Specimen Handling
chemical_list: D001426:Bacterial Proteins
keywords: Bacterias multirresistentes; Carrier status; Estado de portador; Microbiological surveillance; Multiresistant bacteria; Vigilancia microbiológica