Prevalence of multidrug-resistant organisms in migrant children admitted to an Italian cardiac surgery department, 2015-2016

J Hosp Infect. 2018 Mar;98(3):309-312. doi: 10.1016/j.jhin.2017.11.005. Epub 2017 Nov 21.

Abstract

Screening on hospital admission to identify multidrug-resistant organism (MDRO) colonization is a frequently discussed topic. We report the results of microbiological screening in 141 Italian and 354 migrant children candidates for cardiac surgery conducted in 2015-2016. In all, 25% of Italian children and more than 65.4% of African and Romanian children carried at least one MDRO (meticillin-resistant Staphylococcus aureus; extended-spectrum β-lactamase enzymes; carbapenemase producers; and vancomycin-resistant enterococci). Based on our findings, we propose that non-geographically limited approaches are needed to improve infection prevention and control.

Keywords: Infection control; MDRO screening; Migrants; Multidrug resistance.

MeSH terms

  • Bacteria / drug effects
  • Bacteria / isolation & purification*
  • Bacterial Infections / epidemiology*
  • Bacterial Infections / microbiology*
  • Carrier State / epidemiology*
  • Carrier State / microbiology*
  • Diagnostic Tests, Routine
  • Drug Resistance, Multiple, Bacterial*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Italy / epidemiology
  • Male
  • Prevalence
  • Transients and Migrants*