Enteral feeding tubes are a reservoir for nosocomial antibiotic-resistant pathogens.

Abstract:

BACKGROUND:Patients and their surroundings are known reservoirs for nosocomial pathogens. Enteral feeding tubes and formula are not thought of as reservoirs for nosocomial organisms. METHODS:A prospective observation study was conducted comparing methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus (VRE) cultured from nosocomial infections and MRSA/VRE cultured from enteral feeding tubes used in the same neonatal intensive care unit during the same time period but in different babies. DNA fingerprinting then was used to compare MRSA and VRE cultured from feeding tubes with MRSA/VRE isolates cultured from clinical infections. RESULTS:There were 23 S aureus isolates; 12 of 23 were methicillin resistant (MRSA). There were 4 MRSA infections in patients without feeding tubes. DNA fingerprinting showed that the MRSA species causing each of the clinical infections also was found in the feeding tubes of other babies. There were no vancomycin-resistant Enterococcus infections during the study period. CONCLUSION:Feeding tubes are a reservoir for antibioticresistant pathogens that can be transmitted to other infants.

journal_name

J Pediatr Surg

authors

Mehall JR,Kite CA,Gilliam CH,Jackson RJ,Smith SD

doi

10.1053/jpsu.2002.33831

subject

Has Abstract

pub_date

2002-07-01 00:00:00

pages

1011-2

issue

7

eissn

0022-3468

issn

1531-5037

pii

S0022346802000143

journal_volume

37

pub_type

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