Methods:

Background: 

Unrecognized colonization of patients and environmental contamination may contribute

cross-transmission of the CPC in LTACHs. We rated the sites

PDA colonization of patients and among the LTACH. Methods:

assessment of 17 patients were found in the wider CCP project screening for 4

LTACHs. Tampon samples from each of the seven anatomical (rectal, inguinal, axillary

, elbow, lower back, urine, oropharyngeal / tracheal secretion) and

to 20 environmental facilities (eg, bed rails, nadkrovatnyy table fan) were collected

. Swabs were inoculated into tryptic soy broth plus 1 mg / ml meropenem or coated directly McConkie agar + 2

ertapenem disks. bla was confirmed by PCR. Isolates

identified to species (MicroScan). Results: The average age

65, 16 (94%) were on mechanical ventilation, 14 (82%) had fecal incontinence

and all of them were bedridden. On the first day of observation, 14 (82%) patients received

1 antibiotic and average length of stay was 55 days LTACH

. Extra-rectal colonization

CCP was detected in all patients. 16/17 (94%) patients in the

least 1 positive skin for PDA. 11/17 (65%) patients had 3 or more

anatomical positive for CCP. Six (35%) patients identified in the CCP >> << Clinical culture to 7.2 weeks, these patients had more parts of the body

positive observation than in patients without positive clinical cultures

(average 4. 5 to 3. 0 sites, respectively, p = 0. 04). Patients were colonized with

next device: 14

K. pneumonia, 1

Enterobacter Aeho ^ epez, 1

E. Aeho epez ^

K. pneumonia << K. pneumonia >> 1

+ Escherichia coli. None of 151

+ patient room or 71 sites strattera without prescritpion total area cultivated districts grew PDA, although 41/222

(18%) environmental sites grew other gram-negative pathogens resistant karbapenemov.

Broth enrichment identified handheld only one additional site of the body that was negative

direct coverage. Conclusion: In a sample of LTACH

patients CCP colonization in several parts of the body was common. We found no PDA >> << pollution in areas KPC-colonized patients. Frequent >> << colonization of multiple sites of skin PDA that antiseptic cleansing may be useful strategy >> << to reduce cross-transmission of the CPC in LTACHs. .