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Titre : | Carbapenemase-producing Enterobacteriaceae in an inpatient post-acute care facility: Impact on time to functional recovery (2022) |
Auteurs : | Noureddine Henoun Loukili ; Jean-François Jusot ; Étienne Allart ; Gael Celani ; Agnès Perrin ; Olivier Gaillot ; Anne Blanchard ; Vinciane Pardessus ; André Thevenon ; Vincent Tiffreau |
Type de document : | Article |
Dans : | Annals of Physical and Rehabilitation Medicine (Vol. 65, n° 5, September 2022) |
Article en page(s) : | 101621 |
Note générale : | https://doi.org/10.1016/j.rehab.2021.101621 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Récupération fonctionnelle ; Soins de suite |
Mots-clés: | Entérobactéries productrices de carbapénémase |
Résumé : |
Background
The carriage of carbapenemase-producing Enterobacteriaceae (CPE) might lengthen the time to functional recovery (TTFR) for inpatients in post-acute care (PAC) units. Objective We aimed to assess the impact of CPE carriage on TTFR in a PAC facility. Methods This 2-year retrospective cohort study included 20 CPE-positive patients and 54 CPE-negative patients admitted to 3 PAC units (general, orthopaedic and neurological rehabilitation units) in a teaching hospital from January 2017 to December 2019. Potential risk factors and demographic data were collected from patients? medical records, the French national hospital discharge database, and the hospital's CPE surveillance database. Functional recovery was defined as the median difference in functional independence measure (FIM) between admission and discharge from each unit. Survival analysis and multiple Cox regression models were used to predict the TTFR and identify factors associated with functional recovery. Results The overall median [interquartile range] TTFR was 50 days [36?66]. Longer median TTFR was associated with CPE carriage (63 vs 47 days in the CPE-negative group; adjusted hazard ratio (aHR) 0.35, 95% CI 0.13?0.97) and presence of a peripheral venous catheter (aHR 3.51, 1.45?8.46); shorter TTFR was associated with admission to an orthopaedic versus general rehabilitation unit (aHR 3.11, 1.24?7.82). Conclusions CPE carriage in inpatient PAC facilities was associated with long TTFR. Further studies are needed to explore the mechanisms involved in these adverse events and to identify possible preventive measures. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S187706572100138X |