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[Impact of enterobacteriaceae-producing extended-spectrum beta-lactamases (ESBLE) incidence increasing on barrier precautions implementation in a university hospital].
Pathol Biol (Paris). 2013 Oct; 61(5):217-22.PB

Abstract

AIM OF THE STUDY

The French national surveillance program of multidrug-resistant bacteria (MDR) shows an increase of enterobacteriaceae-producing extended-spectrum beta-lactamases (ESBLE) incidence. The objectives of this study were to assess: the incidence of EBLSE in a large French university hospital between 2005 and 2010, and the difference of barrier precautions implementation between ESBL and other MDR.

METHODS

The ESBLE incidence measure used data from the laboratory of bacteriology. The application of isolation and barrier precautions was analyzed from the MRB national surveillance data over a 3-year period from 2006 to 2008. Data were entered and analyzed using Epi Info software. The Chi(2) test was used for the comparison of proportions.

RESULTS

The overall incidence of ESBLE was significantly higher in 2010 than in 2005 (0.20/1000 patients-days vs 0.03/1000 patients-days, respectively) (P<0.001). The same was observed for Escherichia coli incidence with rates ranging from 0.02/1000 patients-days in 2005 to 0.15/1000 patients-days in 2010. Isolation precautions for patients with EBLSE were applied in relation for most patients with MRB (ESBLE vs others), without significant difference.

CONCLUSION

The surveillance programme of MRB showed a significant increase of ESBLE, especially for E. coli. Isolation and barrier precautions were used for most patients with MRB, including ESBLE.

Authors+Show Affiliations

Unité de gestion du risque infectieux, service de bactériologie-hygiène, Le Tourville, 5, rue du Pr-Yves-Boquien, 44093 Nantes cedex 01, France. Electronic address: celine.bourigault@chu-nantes.fr.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

22841390

Citation

Bourigault, C, et al. "[Impact of Enterobacteriaceae-producing Extended-spectrum Beta-lactamases (ESBLE) Incidence Increasing On Barrier Precautions Implementation in a University Hospital]." Pathologie-biologie, vol. 61, no. 5, 2013, pp. 217-22.
Bourigault C, Corvec S, Bemer P, et al. [Impact of enterobacteriaceae-producing extended-spectrum beta-lactamases (ESBLE) incidence increasing on barrier precautions implementation in a university hospital]. Pathol Biol. 2013;61(5):217-22.
Bourigault, C., Corvec, S., Bemer, P., Juvin, M. E., Guillouzouic, A., Crémet, L., Reynaud, A., Leprince, C., & Lepelletier, D. (2013). [Impact of enterobacteriaceae-producing extended-spectrum beta-lactamases (ESBLE) incidence increasing on barrier precautions implementation in a university hospital]. Pathologie-biologie, 61(5), 217-22. https://doi.org/10.1016/j.patbio.2012.06.001
Bourigault C, et al. [Impact of Enterobacteriaceae-producing Extended-spectrum Beta-lactamases (ESBLE) Incidence Increasing On Barrier Precautions Implementation in a University Hospital]. Pathol Biol. 2013;61(5):217-22. PubMed PMID: 22841390.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Impact of enterobacteriaceae-producing extended-spectrum beta-lactamases (ESBLE) incidence increasing on barrier precautions implementation in a university hospital]. AU - Bourigault,C, AU - Corvec,S, AU - Bemer,P, AU - Juvin,M-E, AU - Guillouzouic,A, AU - Crémet,L, AU - Reynaud,A, AU - Leprince,C, AU - Lepelletier,D, Y1 - 2012/07/26/ PY - 2012/01/17/received PY - 2012/06/18/accepted PY - 2012/7/31/entrez PY - 2012/7/31/pubmed PY - 2014/6/11/medline KW - Bactéries multirésistantes KW - Densités d’incidence KW - Enterobacteriaceae-producing extended-spectrum beta-lactamases KW - Entérobactéries productrices de bêta-lactamases à spectre étendu KW - Escherichia coli KW - Incidence KW - Isolation precautions KW - Multidrug-resistant bacteria KW - Précautions complémentaires SP - 217 EP - 22 JF - Pathologie-biologie JO - Pathol. Biol. VL - 61 IS - 5 N2 - AIM OF THE STUDY: The French national surveillance program of multidrug-resistant bacteria (MDR) shows an increase of enterobacteriaceae-producing extended-spectrum beta-lactamases (ESBLE) incidence. The objectives of this study were to assess: the incidence of EBLSE in a large French university hospital between 2005 and 2010, and the difference of barrier precautions implementation between ESBL and other MDR. METHODS: The ESBLE incidence measure used data from the laboratory of bacteriology. The application of isolation and barrier precautions was analyzed from the MRB national surveillance data over a 3-year period from 2006 to 2008. Data were entered and analyzed using Epi Info software. The Chi(2) test was used for the comparison of proportions. RESULTS: The overall incidence of ESBLE was significantly higher in 2010 than in 2005 (0.20/1000 patients-days vs 0.03/1000 patients-days, respectively) (P<0.001). The same was observed for Escherichia coli incidence with rates ranging from 0.02/1000 patients-days in 2005 to 0.15/1000 patients-days in 2010. Isolation precautions for patients with EBLSE were applied in relation for most patients with MRB (ESBLE vs others), without significant difference. CONCLUSION: The surveillance programme of MRB showed a significant increase of ESBLE, especially for E. coli. Isolation and barrier precautions were used for most patients with MRB, including ESBLE. SN - 1768-3114 UR - https://www.unboundmedicine.com/medline/citation/22841390/[Impact_of_enterobacteriaceae_producing_extended_spectrum_beta_lactamases__ESBLE__incidence_increasing_on_barrier_precautions_implementation_in_a_university_hospital]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0369-8114(12)00095-8 DB - PRIME DP - Unbound Medicine ER -