PMID- 21728745
OWN - NLM
STAT- MEDLINE
DCOM- 20120221
LR  - 20111108
IS  - 1651-1980 (Electronic)
IS  - 0036-5548 (Linking)
VI  - 43
IP  - 11-12
DP  - 2011 Dec
TI  - Colonization of pressure ulcers by multidrug-resistant microorganisms in patients 
      receiving home care.
PG  - 947-52
LID - 10.3109/00365548.2011.591821 [doi]
AB  - Colonization and/or infection with multidrug-resistant microorganisms (MDRO) of 
      pressure ulcers in patients receiving care at home have seldom been investigated. 
      The objective of this study was to assess the prevalence of MDRO colonization in 
      pressure ulcers of patients receiving home care in Palermo, Italy. 
      Vancomycin-resistant Enterococcus (VRE), methicillin-resistant Staphylococcus 
      aureus (MRSA), and multidrug-resistant Gram-negative bacilli (MDRGN) were 
      isolated, identified, and characterized from pressure ulcers and selected home 
      environment surfaces. Thirty-two patients were enrolled, of whom 12 were under 
      antimicrobial therapy. Five patients had been admitted to hospital in the 
      preceding year. Nineteen patients tested positive for 1 or more MDROs. In 
      particular, 1 patient was colonized by a vanA-containing strain of VRE, 5 by 
      MRSA, and 17 by MDRGN of different species. Our findings suggest that pressure 
      ulcers in home care patients could play a role in bringing MDROs into the 
      community setting.
FAU - Cataldo, Maria Concetta
AU  - Cataldo MC
AD  - Geriatric Assessment and Integrated Home Care Unit , District 10, Local Health 
      Agency Palermo, Palermo, Italy.
FAU - Bonura, Celestino
AU  - Bonura C
FAU - Caputo, Giuseppe
AU  - Caputo G
FAU - Aleo, Aurora
AU  - Aleo A
FAU - Rizzo, Giovanna
AU  - Rizzo G
FAU - Geraci, Daniela Maria
AU  - Geraci DM
FAU - Cala, Cinzia
AU  - Cala C
FAU - Fasciana, Teresa
AU  - Fasciana T
FAU - Mattaliano, Anna Rita
AU  - Mattaliano AR
FAU - Mammina, Caterina
AU  - Mammina C
LA  - eng
PT  - Journal Article
DEP - 20110705
PL  - England
TA  - Scand J Infect Dis
JT  - Scandinavian journal of infectious diseases
JID - 0215333
RN  - 0 (Anti-Bacterial Agents)
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Anti-Bacterial Agents/pharmacology/therapeutic use
MH  - *Drug Resistance, Multiple, Bacterial
MH  - Enterococcus/drug effects/*isolation & purification
MH  - Female
MH  - Gram-Negative Bacteria/drug effects/*isolation & purification
MH  - Home Care Services
MH  - Humans
MH  - Italy/epidemiology
MH  - Male
MH  - Methicillin-Resistant Staphylococcus aureus/drug effects/*isolation & 
      purification
MH  - Middle Aged
MH  - Pressure Ulcer/*complications/microbiology
MH  - Skin Diseases, Bacterial/epidemiology/*microbiology
EDAT- 2011/07/07 06:00
MHDA- 2012/02/22 06:00
CRDT- 2011/07/07 06:00
PHST- 2011/07/07 06:00 [entrez]
PHST- 2011/07/07 06:00 [pubmed]
PHST- 2012/02/22 06:00 [medline]
AID - 10.3109/00365548.2011.591821 [doi]
PST - ppublish
SO  - Scand J Infect Dis. 2011 Dec;43(11-12):947-52. doi: 10.3109/00365548.2011.591821. 
      Epub 2011 Jul 5.