Outcome of Early Neurological Rehabilitation Patients Colonized with Extended-Spectrum Beta-Lactamase (ESBL) Producing Bacteria
Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=53257#.VLh-DMnQrzE Author(s) Jens D. Rollnik Affiliation(s) Institute for Neurorehabilitation Research (InFo), Hannover Medical School (MHH), Hessisch Oldendorf, Germany . ABSTRACT Colonization with multidrug-resistant germs, in particular methicillin-resistant Staphylococcus aureus (MRSA) and extended-spectrum betalactamase producing bacteria (ESBL), is an emerging threat in early neurological rehabilitation. This study examined whether colonization with ESBL bacteria had deteriorating effects on neurological rehabilitation patients because of contact precautions (CP). Medical records have been carefully reviewed with respect to colonization with ESBL, outcome variables (functional independence), morbidity, and length of stay (LOS). 148/643 (23.0%) patients were ESBL positive on admission. ESBL carriers had a significantly longer LOS in early ne...