Hostname: page-component-8448b6f56d-qsmjn Total loading time: 0 Render date: 2024-04-19T14:34:14.076Z Has data issue: false hasContentIssue false

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

Published online by Cambridge University Press:  02 January 2015

Nathalie van der Mee-Marquet*
Affiliation:
Service de Bactériologie et Hygiène, France Reseau des Hygienistes du Centre, France
Philippe Savoyen
Affiliation:
Centre Hospitalier Universitaire de Tours, Tours, and the Etablissement D'Hebergement pour Personnes Agees Dependantes, Ecueille, France
Anne-Sophie Domelier-Valentin
Affiliation:
Service de Bactériologie et Hygiène, France
Chantal Mourens
Affiliation:
Reseau des Hygienistes du Centre, France
Roland Quentin
Affiliation:
Service de Bactériologie et Hygiène, France
*
Service de Bacteriologie et Hygiène, Reseau des Hygienistes du Centre, Hopital Trousseau, 37044 Tours CEDEX, France (n.vandermee@chu-tours.fr)

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 β-lac-tamase-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).

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Paterson, D, Bonomo, R. Extended-spectrum β-lactamases: a clinical update. Clin Microbiol Rev 2005;18:657686.CrossRefGoogle ScholarPubMed
2. Nicolas-Chanoine, M, Blanco, J, Leflon-Guibout, V, et al. Intercontinental emergence of Escherichia coli clone 025:H4-ST131 producing CTX-M-15. J Antimicrob Chemother 2008;61:273281.Google Scholar
3. Fihman, V, Lartigue, MF, Jacquier, H, et al. Appearance of aac{6)-Ib-cr gene among extended-spectrum β-lactamase-producing Enterobacteriaceae in a French hospital. J Infect 2008;56:454459.Google Scholar
4. Leflon-Guibout, V, Jurand, C, Bonacorsi, S, et al. Emergence and spread of three clonally related virulent isolates of CTX-M-15-producing Escherichia coli with variable resistance to aminoglycosides and tetracycline in a French geriatric hospital. Antimicrob Agents Chemother 2004;48:37363742.Google Scholar
5. Rooney, P, O'Leary, M, Loughrey, A, et al. Nursing homes as a reservoir of ESBL-producing ciprofloxacin-resistant Escherichia coli . J Antimicrob Chemother 2009;64:635641.Google Scholar
6. Comite de l'Antibiogramme de la Societe Française de Microbiologie. Report 2010. Societe Française de Microbiologie Web site. http://www.sfm.asso.fr/publi/general.php?pa = 1.Google Scholar
7. Gemer-Smidt, P, Scheutz, F. Standardized pulsed-field gel electrophoresis of Shiga toxin-producing Escherichia coli: the PulseNet Europe Feasibility Study. Foodborne Pathog Dis 2006;3:7480.Google Scholar
8. Clermont, O, Dhanjj, H, Upton, M, et al. Rapid detection of the 025b-ST131 clone of Escherichia coli encompassing the CTX-M-15-producing strains. J Antimicrob Chemother 2009;64:274277.CrossRefGoogle Scholar