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Article Dans Une Revue Journal of Hospital Infection Année : 2020

Spontaneous decolonization during hospitalization in intensive care unit patients colonized by extended-spectrum beta-lactamase-producing Enterobacterales

Résumé

This study aimed to analyse the frequency of occurrence of spontaneous decolonization in intensive care unit patients colonized by extended-spectrum beta-lactamase-producing Enterobacterales (ESBL-E) in order to assess the added value of continuing weekly ESBL-E rectal carriage screening in these patients. In total, 49,468 weekly rectal screening samples taken from 20,846 patients over 12 years were included. Among the 4280 ESBL-E carriers, only 109 patients (2.5%) could be considered decolonized at the end of their hospitalization with at least three consecutive negative samples. Overall, 7957 samples (16.1%) were requested for patients already identified as ESBL-E carriers. Avoiding unnecessary weekly screening following positive ESBL-E colonization results could decrease nursing and laboratory work loads.
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Dates et versions

hal-03002361 , version 1 (12-11-2020)

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Claire Duployez, Frederic Wallet, Anahita Rouzé, Saad Nseir, Eric Kipnis, et al.. Spontaneous decolonization during hospitalization in intensive care unit patients colonized by extended-spectrum beta-lactamase-producing Enterobacterales. Journal of Hospital Infection, 2020, 106 (3), pp.500-503. ⟨10.1016/j.jhin.2020.07.029⟩. ⟨hal-03002361⟩
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