Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Fecal carriage of extended-spectrum and AmpC β-lactamase-producing Enterobacteriaceae in surgical patients before and after antibiotic prophylaxis

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Pneumocystis jirovecii pneumonia in liver transplant recipients in an era of routine prophylaxis

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. All-cause Mortality Due to Bacteremia during a 60-Day Non-Physician Healthcare Worker Strike

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. The effect of migration on the incidence and mortality of bloodstream infection: a Danish register-based cohort study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

The impact of antibiotic prophylaxis on fecal carriage of ESBL-/AmpC-/carbapenemase-producing Enterobacteriaceae (CPE) was investigated. Patients admitted for elective surgery or diagnostic procedure in a Department of Surgical Gastroenterology (SG) (n= 450) and Orthopedic Surgery (OS) (n= 300) provided a fecal swab at admission and responded to a questionnaire on possible exposures. SG patients received gentamicin/penicillin G (±metronidazole); OS patients received cefuroxime. Two days after surgery a second swab was taken. From SG patients, 6% of first swabs and 9% of second swabs were positive for ESBL-/AmpC-producers. A similar carriage rate was observed in OS patients (6% and 8%, respectively). No CPE were detected. Escherichia coli was the predominant species and blaCTX-M-15 (29% and 22%) and blaCTX-M-14 (11% and 17%) were the most prevalent ESBL genotypes among SG and OS patients. Two different prophylactic antibiotic regimens had no impact on carriage rates. Previous hospitalization and antimicrobial treatment were associated with carriage for SG patients.

OriginalsprogEngelsk
TidsskriftDiagnostic Microbiology and Infectious Disease
Vol/bind86
Udgave nummer3
Sider (fra-til)316-321
ISSN0732-8893
DOI
StatusUdgivet - nov. 2016

ID: 49028080