Archives of Epidemiology & Public Health Research(AEPHR)
ISSN: 2833-4353 | DOI: 10.33140/AEPHR
Impact Factor: 1.98
Shinichiro Hayashi
nternational University of Health and Welfare Graduate School of Medicine, Okawa, Japan
Publications
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Research Article
Clinical Significance of Stool Screening for Carbapenem-resistant Enterobacteriaceae in Hospitalized Aged Patients Transferred from other Hospitals in Japan
Author(s): Futoshi Kawaura, Yoshitaka Hirooka, Tsukuru Umemura, Kuniyasu Takagi, Ayako Matsuo, Naomi Kobayashi-Watanabe, Tomohiro Imamura, Kohei Yamanouchi, Ayako Takamor, Takuya Kishi* and Shinichiro Hayashi
Elderly patients transferred from other hospitals or nursing homes may have multiple underlying diseases and were often treat- ed with antimicrobial agents. We aimed to detect CRE carriers by screening stool specimens from elderly patients over 65 who were transferred from other hospitals. A stool sample was collected from all the 2,201 patients aged older than 65 years old who were transferred to the Takagi hospital from other hospitals or nursing homes between July 9, 2017, and May 31, 2021. The rate of the carbapenem-resistant Enterobacteriaceae (CRE) carriers in the stool samples were 1.2%, and CRE-positive patients (n=26) had higher pulse rates and poorer performance status than CRE-negative patients (n=78). They had more extended hos- pital stays and more antibiotic use prior to admission. Gastrointestinal diseases were the most common cause of hospitalization. In multivariate a.. Read More»