Hostname: page-component-848d4c4894-4hhp2 Total loading time: 0 Render date: 2024-05-16T02:52:16.240Z Has data issue: false hasContentIssue false
  • English
  • Français

Risk Factors for Fecal Colonization With Multiple Distinct Strains of Escherichia coli Among Long-Term Care Facility Residents

Published online by Cambridge University Press:  02 January 2015

Ebbing Lautenbach ,
Pam Tolomeo ,
Nicole Black  and
Joel N. Maslow
Ebbing Lautenbach*
Affiliation:
Division of Infectious Diseases, Department of Medicine, Philadelphia, Pennsylvania Department of Biostatistics and Epidemiology, Philadelphia, Pennsylvania Center for Clinical Epidemiology and Biostatistics, Philadelphia, Pennsylvania Center for Education and Research on Therapeutics, Philadelphia, Pennsylvania
Pam Tolomeo
Affiliation:
Center for Clinical Epidemiology and Biostatistics, Philadelphia, Pennsylvania
Nicole Black
Affiliation:
Center for Clinical Epidemiology and Biostatistics, Philadelphia, Pennsylvania
Joel N. Maslow
Affiliation:
Division of Infectious Diseases, Department of Medicine, Philadelphia, Pennsylvania Center for Education and Research on Therapeutics, Philadelphia, Pennsylvania University of Pennsylvania School of Medicine, and the Section of Infectious Diseases, Department of Veterans Affairs (J.N.M.), Philadelphia, Pennsylvania
*
University of Pennsylvania School of Medicine, Center for Clinical Epidemiology and Biostatistics, 825 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104-6021) ebbing@mail.med.upenn.edu)
Get access Rights & Permissions [Opens in a new window]

Abstract

Of 49 long-term care facility residents, 21 (43%) were colonized with 2 or more distinct strains of Escherichia coli. There were no significant risk factors for colonization with multiple strains of E. coli. These results suggest that future efforts to efficiently identify the diversity of colonizing strains will be challenging.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 30 , Issue 5 , May 2009 , pp. 491 - 493
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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.Donskey, CJ. The role of the intestinal tract as a reservoir and source for transmission of nosocomial pathogens. Clin Infect Dis 2004;39:219–226.CrossRefGoogle ScholarPubMed
2.Lautenbach, E, Harris, AD, Perencevich, EN, Nachamkin, I, Tolomeo, P, Metlay, JP. Test characteristics of perirectal and rectal swab compared to stool sample for detection of fluoroquinolone-resistant Escherichia coli in the gastrointestinal tract. Antimicrob Agents Chemother 2005;49:798–800.CrossRefGoogle ScholarPubMed
3.Lautenbach, E, Bilker, WB, Tolomeo, P, Maslow, JN. Impact of diversity of colonizing strains on strategies for sampling Escherichia coli from fecal specimens. J Clin Microbiol 2008;46:3094–3096.CrossRefGoogle ScholarPubMed
4.Anderson, MA, Whitlock, JE, Harwood, VJ. Diversity and distribution of Escherichia coli genotypes and antibiotic resistance phenotypes in feces of humans, cattle, and horses. Appl Environ Microbiol 2006;72:6914–6922.CrossRefGoogle ScholarPubMed
5.Schlager, TA, Hendley, JO, Bell, AL, Whittam, TS. Clonal diversity of Escherichia coli colonizing stools and urinary tracts of young girls. Infect Immun 2002;70:1225–1229.CrossRefGoogle ScholarPubMed
6.Renter, DG, Sargeant, JM, Oberst, RD, Samadpour, M. Diversity, frequency, and persistence of Escherichia coli O157 strains from range cattle environments. Appl Environ Microbiol 2003;69:542–547.CrossRefGoogle ScholarPubMed
7.Lidin-Janson, G, Kaijser, B, Lincoln, K, Oiling, S, Wedel, H. The homogeneity of the faecal coliform flora of normal school-girls, characterized by serological and biochemical properties. Med Microbiol Immunol 1978;164:247–253.CrossRefGoogle ScholarPubMed
8.Maslow, JN, Lee, B, Lautenbach, E. Fluoroquinolone-resistant Escherichia coli carriage in long-term care facility. Emerg Infect Dis 2005;11:889–894.CrossRefGoogle ScholarPubMed
9.Tenover, FC, Arbeit, RD, Goering, RV, et al. Interpreting chromosomal DNA restriction patterns produced by pulsed-field gel electrophoresis: criteria for bacterial strain typing. J Clin Microbiol 1995;33:2233–2239.CrossRefGoogle ScholarPubMed
10.MacAdam, H, Zaoutis, TE, Gasink, LB, Bilker, WB, Lautenbach, E. Investigating the association between antibiotic use and antibiotic resistance: impact of different methods of categorizing prior antibiotic use. Int J Antimicrob Agents 2006;28:325–332.CrossRefGoogle ScholarPubMed