Related Experiment Videos
[Resistant microorganisms in patients transferred from foreign hospitals]
A M Kaiser1, C Schultsz, G J Kruithof
1VU Medisch Centrum, afd. Medische Microbiologie en Infectiepreventie, Postbus 7057, 1007 MB Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|November 16, 2005
Summary
Carriership of resistant microorganisms like MRSA and VRE was high in repatriated patients. Transfer from specific regions, not just prior treatment, increased risk for gentamicin-resistant Gram-negative bacilli.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Context:
- Repatriation of patients from foreign hospitals to The Netherlands presents unique public health challenges.
- The study addresses the increasing global concern regarding antimicrobial resistance.
- Understanding the prevalence of specific resistant microorganisms is crucial for infection control.
Purpose:
- To determine the prevalence of carriers of methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant enterococci (VRE), and gentamicin-resistant Gram-negative bacilli (GGNB) among patients repatriated from abroad.
- To identify risk factors associated with carrying these resistant microorganisms.
- To inform infection control strategies for repatriated patients.
Summary:
- A study of 1167 repatriated patients found an 18.2% prevalence of resistant microorganism carriage.
- Methicillin-resistant Staphylococcus aureus (MRSA) was found in 2.7% of all repatriated patients.
- Gentamicin-resistant Gram-negative bacilli (GGNB) were isolated from 14.1% of patients, with transfer from Asia or Eastern Europe being a significant risk factor.
Impact:
- The findings highlight a significant burden of resistant microorganisms among repatriated patients.
- Identifies specific geographical regions as higher risk for GGNB carriage, emphasizing the importance of origin.
- Results can guide targeted screening and enhanced infection control measures for repatriated individuals to prevent healthcare-associated infections.