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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:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1/elderly dependent persons |
| ||
| 2/healthcare workers (HCW) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Feces sampling at inclusion (J0) | Other | Feces sampling at inclusion (J0) |
|
| Measure | Description | Time Frame |
|---|---|---|
| Presence or absence of multi-drug resistant bacteria in residents' feces. | prevalence of carriage of multi-drug resistant bacteria | at inclusion (J0) |
| Presence or absence of Highly Resistant and Emerging Bacteria in residents' feces. | prevalence of carriage of Highly Resistant and Emerging Bacteria | at inclusion (J0) |
| Presence or absence of Clostridioids difficult toxinogenic in residents' feces. | prevalence of carriage of Clostridioids difficult toxinogenic | at inclusion (J0) |
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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.
The resident refuses to participate.
o healthcare workers : The healthcare workers refuses to participate.
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The target population of the study is all elderly residents of nursing home and their caregivers. The source population of the study corresponds to the residents of the 61 nursing home in the Gard region, and their caregivers.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Nîmes, Hôpital Universitaire Carémeau | Nîmes | France |
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| ID | Term |
|---|---|
| D003428 | Cross Infection |
| ID | Term |
|---|---|
| D007239 | Infections |
| D007049 | Iatrogenic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
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| D013568 |
| Pathological Conditions, Signs and Symptoms |