Spread of ESBL-producing Escherichia coli in nursing home residents in Ireland and the Netherlands may reflect infrastructural differences

Publication date: Available online 9 May 2019Source: Journal of Hospital InfectionAuthor(s): Elisabeth M. Terveer, Muireann Fallon, Margriet E.M. Kraakman, Angela Ormond, Margaret Fitzpatrick, Monique A.A. Caljouw, Alan Martin, Sofie M. van Dorp, Man C. Wong, Ed J. Kuijper, Fidelma FitzpatrickSummaryA prevalence study in two nursing homes (ine each in the Netherlands and Ireland) found four (11%) Dutch and six (9%) Irish residents colonised with 11 extended-spectrum B-lactamase (ESBL)-producing Escherichia coli, ten containing CTX-M-15. Four Dutch isolates, from three residents of the same ward belonged to E. coli O25:H4, sequence type (ST) 131 and were part of the same cluster type by whole genome sequencing. Four Irish residents on three different wards were colonised with an identical E. coli O89:H9, ST131, complex type 1478. Cross-transmission between three Irish wards may reflect differences in nursing home infrastructure specifically communal areas and multi-bedded resident rooms.
Source: Journal of Hospital Infection - Category: Infectious Diseases Source Type: research