Elderly, Healthcare Associated Infection
Conditions
Brief summary
Brief summary : Very few studies have evaluated the prevalence of multi-drug resistant (MDR), highly resistant emerging bacteria and Clostridioides difficile toxinogenic (CDt) in residents and in healthcare workers (HCW) in nursing home (NH). Most of study were conducted in acute care services and were limited to specific bacterial species. Hypothesis : The carriage of MDR bacteria in resident may be a risk factor for an outbreak in NH or in healthcare facility. Primary outcome: The objective of this study is to estimate the prevalence for carriage of MDR bacteria and CDt in residents in NH. Secondary outcomes: * Estimate the prevalence for carriage of MDR bacteria and CDt toxigenic in HCW in NH. * Identify the risk factors for carriage of MDR bacteria and CDt in residents in nursing home * Identify the risk factors for carriage of MDR bacteria and CDt in healthcare workers in NH * Evaluate the presence of cross-transmission of MDR bacteria and CDt in one or several NH * Evaluate the association between the presence of cross-transmission of MDR bacteria and CDt in a NH and the management of infection control * Establishment a collection of stool samples
Interventions
OTHERFeces sampling at inclusion (J0)
Feces sampling at inclusion (J0)
Sponsors
Centre Hospitalier Universitaire de Nīmes
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Inclusion criteria: * Resident : The resident must be a member or beneficiary of a health insurance. The resident is in permanent accommodation whose the date of admission is at least 1 month earlier on the day of collection. * healthcare workers : The healthcare workers must be a member or beneficiary of a health insurance. The healthcare workers begin to work in nursing at least 1 month earlier on the day of collection. *
Exclusion criteria
* Resident : The resident refuses to participate. o healthcare workers : The healthcare workers refuses to participate.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence or absence of multi-drug resistant bacteria in residents' feces. | at inclusion (J0) | prevalence of carriage of multi-drug resistant bacteria |
| Presence or absence of Highly Resistant and Emerging Bacteria in residents' feces. | at inclusion (J0) | prevalence of carriage of Highly Resistant and Emerging Bacteria |
| Presence or absence of Clostridioids difficult toxinogenic in residents' feces. | at inclusion (J0) | prevalence of carriage of Clostridioids difficult toxinogenic |
Countries
France
Outcome results
None listed