Zeitschrift fur Geburtshilfe und Neonatologie
Volume 221, Issue 3, 2017, Pages 132-136

Prevalence of Multidrug Resistant Bacteria in Refugees: A Prospective Case Control Study in an Obstetric Cohort (Article)

De Murcia K.O.* , Glatz B. , Willems S. , Kossow A. , Strobel M. , Stühmer B. , Schaumburg F. , Mellmann A. , Kipp F. , Schmitz R. , Möllers M.
  • a Albert-Schweitzer-Campus 1, University Hospital Münster, Gynecology and Obstetrics, Münster, 48149, Germany
  • b Albert-Schweitzer-Campus 1, University Hospital Münster, Gynecology and Obstetrics, Münster, 48149, Germany
  • c Institute for Hygiene, DRK Kliniken Berlin, Berlin, Germany
  • d Institute for Medical Microbiology, University Hospital Münster, Münster, Germany
  • e Albert-Schweitzer-Campus 1, University Hospital Münster, Gynecology and Obstetrics, Münster, 48149, Germany
  • f International Patient Management, University Hospital Münster, Münster, Germany
  • g Institute for Medical Microbiology, University Hospital Münster, Münster, Germany
  • h Institute for Hygiene, University Hospital Münster, Münster, Germany
  • i Institute for Hygiene, DRK Kliniken Berlin, Berlin, Germany
  • j Albert-Schweitzer-Campus 1, University Hospital Münster, Gynecology and Obstetrics, Münster, 48149, Germany
  • k Albert-Schweitzer-Campus 1, University Hospital Münster, Gynecology and Obstetrics, Münster, 48149, Germany

Abstract

Purpose To determine the prevalence of multidrug resistant (MDR) bacteria in a cohort of pregnant refugee women. Methods In a prospective case control study, surveillance cultures for MDR bacteria (methicillin-resistant Staphylococcus aureus [MRSA], vancomycin-resistant enterococci [VRE], MDR Gram-negative bacteria [MRGN]) were analysed between October 2015 and June 2016 from a cohort of 50 pregnant refugee women and 50 resident controls in the obstetric unit of a German tertiary referral hospital. Results Prevalence of MRSA was noticeably higher among refugee women compared to residents (6 vs. 0%). In addition, a trend towards a higher prevalence of VRE and MDR Gram-negative bacteria in refugees was shown (1.8 vs. 0%). Conclusions Due to the higher prevalence of MDR bacteria, surveillance cultures are justified in order to prevent nosocomial spread of MDR bacteria. © Georg Thieme Verlag KG Stuttgart New York.

Author Keywords

refugee medical care MRSA multidrug resistant Gram-negative bacteria VRE hospital hygiene

Index Keywords

prospective study Germany refugee mass screening Pregnancy Complications, Infectious university hospital pregnancy complication Population Surveillance Prospective Studies human Refugees middle aged Cohort Studies statistics and numerical data comparative study Vancomycin-Resistant Enterococci Cross-Sectional Studies Drug Resistance, Multiple, Bacterial Young Adult cross-sectional study Humans Hospitals, University Adolescent female pregnancy Gram negative bacterium multidrug resistance adult Bacterial Infections bacterial infection Methicillin-Resistant Staphylococcus aureus Gram-Negative Bacteria vancomycin resistant Enterococcus cohort analysis Case-Control Studies case control study methicillin resistant Staphylococcus aureus health survey
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85021681697&doi=10.1055%2fs-0043-102579&partnerID=40&md5=14012f8431b9c886dc1aa8cbf397a262
DOI: 10.1055/s-0043-102579
ISSN: 09482393
Cited by: 1
Original Language: German