ArticleInfection control and hospital epidemiology2015
Multidrug-Resistant Gram-Negative Bacteria: Inter- and Intradissemination Among Nursing Homes of Residents With Advanced Dementia.
Article in Infection control and hospital epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
14 citing papers in PubMed, 34 citations in OpenAlex.
- Efficacy of a far ultraviolet-C light technology for decontamination of surfaces and personal items in long-term care facility resident rooms.Antimicrobial stewardship & healthcare epidemiology : ASHE · 2026Article
- Enhancing bedding hygiene in long-term care facilities: investigating the impact of multilevel antimicrobial polymers (MAP-1) on bacterial and MDRO reduction.Antimicrobial resistance and infection control · 2025Article
- Article
- Epidemiology of resistant gram-negative bacteria in nursing homes.Infection control and hospital epidemiology · 2023Article
- Prevalence and Risk Factors for Multidrug-Resistant Organisms Colonization in Long-Term Care Facilities Around the World: A Review.Antibiotics (Basel, Switzerland) · 2021Review
- Time to Strategically Position Nursing Homes to Effectively Manage Emerging Infections.Journal of the American Medical Directors Association · 2020Article
- Antimicrobial Resistance Gene Prevalence in a Population of Patients with Advanced Dementia Is Related to Specific Pathobionts.iScience · 2020Article
- Improving the Quality of Hospital Antibiotic Use: Impact on Multidrug-Resistant Bacterial Infections in Children.Frontiers in pharmacology · 2020Review
- Dementia Care at End of Life: Current Approaches.Current psychiatry reports · 2018Review
- Risk factors of fecal colonization with extended-spectrum β-lactamase-producingJournal of general and family medicine · 2018Article
- Network of microbial and antibiotic interactions drive colonization and infection with multidrug-resistant organisms.Proceedings of the National Academy of Sciences of the United States of America · 2017Article
- Challenges and Strategies for Prevention of Multidrug-Resistant Organism Transmission in Nursing Homes.Current infectious disease reports · 2017Review
- Antibiotic resistance: What is so special about multidrug-resistant Gram-negative bacteria?GMS hygiene and infection control · 2017Article
- Examining the relationship between multidrug-resistant organism acquisition and exposure to antimicrobials in long-term care populations: a review.Annals of epidemiology · 2016Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo quantify the extent of inter- and intra-nursing home transmission of multidrug-resistant gram-negative bacteria (MDRGN) among residents with advanced dementia and characterize MDRGN colonization among these residents.
designProspective cohort study.
settingTwenty-two nursing homes in the greater Boston, Massachusetts, area. PATIENTS: Residents with advanced dementia.
methodsSerial rectal surveillance cultures for MDRGN and resident characteristics were obtained every 3 months for 12 months or until death. Molecular typing of MDRGN isolates was performed by pulsed-field gel electrophoresis.
resultsA total of 190 MDRGN isolates from 152 residents with advanced dementia were included in the analyses. Both intra- and inter-nursing home transmission were identified. Genetically related MDRGN strains, recovered from different residents, were detected in 18 (82%) of the 22 nursing homes. The percent of clonally related strains in these nursing homes ranged from 0% to 86% (average, 35%). More than 50% of strains were clonally related in 3 nursing homes. Co-colonization with more than 1 different MDRGN species occurred among 28 residents (18.4%). A total of 168 (88.4%), 20 (10.5%), and 2 (1.0%) of MDRGN isolates were resistant to 3, 4, and 5 different antimicrobials or antimicrobial classes, respectively.
conclusionsMDRGN are spread both within and between nursing homes among residents with advanced dementia. Infection control interventions should begin to target this high-risk group of nursing home residents.
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