Risk factors associated with extended-spectrum β-lactamase-producing Enterobacteriaceae carriage at admission in an infant cohort at a tertiary teaching hospital in France

Am J Infect Control. 2013 Sep;41(9):844-5. doi: 10.1016/j.ajic.2012.11.016. Epub 2013 Mar 7.

Abstract

We describe risk factors associated with extended-spectrum β-lactamase-producing Enterobacteriaceae fecal carriage at admission in an infant population. 12.6% were carrying extended-spectrum β-lactamase-producing Enterobacteriaceae. Klebsiella pneumoniae, and Escherichia coli were the most frequently identified species. Prior antibiotic therapy (P = .016; odds ratio, 4.07; 95% confidence interval: 1.29-12.81) and the presence tracheostomy or gastrostomy (P = .018; odds ratio, 3.62; 95% confidence interval: 1.24-10.53) were independently associated with carriage at admission.

Keywords: Escherichia coli; Klebsiella pneumoniae; Pediatrics; Rectal screening.

MeSH terms

  • Carrier State / epidemiology*
  • Carrier State / microbiology
  • Enterobacteriaceae / enzymology*
  • Enterobacteriaceae / isolation & purification
  • Enterobacteriaceae Infections / epidemiology*
  • Enterobacteriaceae Infections / microbiology
  • Feces / microbiology
  • Female
  • France / epidemiology
  • Hospitals, Teaching
  • Humans
  • Infant
  • Male
  • Prevalence
  • Risk Factors
  • Tertiary Care Centers
  • beta-Lactamases / metabolism*

Substances

  • beta-Lactamases