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dc.contributor.authorCohen, Bevin
dc.contributor.authorCohen, Catherine Crawford
dc.contributor.authorLøyland, Borghild
dc.contributor.authorLarson, Elaine
dc.date.accessioned2017-05-24T11:41:59Z
dc.date.accessioned2017-08-02T08:07:17Z
dc.date.available2017-05-24T11:41:59Z
dc.date.available2017-08-02T08:07:17Z
dc.date.issued2017
dc.identifier.citationCohen B, Cohen CC, Løyland B, Larson E. Transmission of health care-associated infectionsfrom roommates and prior room occupants:a systematic review. Clinical Epidemiology. 2017;9:297-310language
dc.identifier.issn1179-1349
dc.identifier.urihttps://hdl.handle.net/10642/5095
dc.description.abstractPathogens that cause health care-associated infections (HAIs) are known to survive on surfaces and equipment in health care environments despite routine cleaning. As a result, the infection status of prior room occupants and roommates may play a role in HAI transmission. We performed a systematic review of the literature evaluating the association between patients’ exposure to infected/colonized hospital roommates or prior room occupants and their risk of infection/colonization with the same organism. A PubMed search for English articles published in 1990–2014 yielded 330 studies, which were screened by three reviewers. Eighteen articles met our inclusion criteria. Multiple studies reported positive associations between infection and exposure to roommates with influenza and group A streptococcus, but no associations were found for Clostridium difficile, methicillin-resistant Staphylococcus aureus, Cryptosporidium parvum, or Pseudomonas cepacia; findings were mixed for vancomycin-resistant enterococci (VRE). Positive associations were found between infection/colonization and exposure to rooms previously occupied by patients with Pseudomonas aeruginosa and Acinetobacter baumannii, but no associations were found for resistant Gram-negative organisms; findings were mixed for C. difficile, methicillin-resistant S. aureus, and VRE. Although the majority of studies suggest a link between exposure to infected/colonized roommates and prior room occupants, methodological improvements such as increasing the statistical power and conducting universal screening for colonization would provide more definitive evidence needed to establish causality.language
dc.language.isoenlanguage
dc.rights© 2017 Cohen et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).language
dc.rights.urihttp://creativecommons.org/licenses/by-nc/3.0/
dc.subjectHealth care-associated infectionslanguage
dc.subjectHospital roommateslanguage
dc.subjectMultidrug-resistant organismslanguage
dc.titleTransmission of health care-associated infectionsfrom roommates and prior room occupants:a systematic reviewlanguage
dc.typeJournal articlelanguage
dc.typePeer reviewedlanguage
dc.date.updated2017-05-24T11:41:59Z
dc.description.versionpublishedVersionlanguage
dc.identifier.doihttp://doi.org/10.2147/CLEP.S124382
dc.identifier.cristin1471853
dc.identifier.cristin1471853
dc.source.journalClinical Epidemiology


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© 2017 Cohen et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.
php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work 
you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For 
permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
Med mindre annet er angitt, så er denne innførselen lisensiert som © 2017 Cohen et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms. php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).