Abstract
Perianal screening can be intrusive. The sensitivities of multianatomical, nonperianal surveillance were 92.3% for methicillin-resistant Staphylococcus aureus (MRSA), 58.7% for vancomycin-resistant enterococci (VRE), and 54.9% for resistant Gram-negative bacilli (R-GNB). Sensitivities improved upon adding environmental surveillance (95.5%, 82.9%, and 67.9%, respectively). Multianatomical, nonperianal screening and room environment surveillance may replace perianal screening and reduce healthy participant bias in nursing homes.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, Non-P.H.S.
MeSH terms
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Bacterial Infections* / epidemiology
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Bacterial Infections* / microbiology
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Bacterial Infections* / prevention & control
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Biological Monitoring / methods
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Drug Resistance, Multiple
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Drug Resistance, Multiple, Bacterial*
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Environmental Monitoring* / methods
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Gram-Negative Bacteria / isolation & purification
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Gram-Negative Bacterial Infections / epidemiology
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Gram-Negative Bacterial Infections / microbiology
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Gram-Negative Bacterial Infections / prevention & control
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Gram-Positive Bacterial Infections / epidemiology
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Gram-Positive Bacterial Infections / microbiology
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Gram-Positive Bacterial Infections / prevention & control
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Humans
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Infection Control* / methods
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Mass Screening* / methods
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Methicillin-Resistant Staphylococcus aureus / isolation & purification
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Nursing Homes*
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Prospective Studies
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Staphylococcal Infections / diagnosis
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Staphylococcal Infections / epidemiology
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Staphylococcal Infections / microbiology
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Vancomycin-Resistant Enterococci / isolation & purification