Among BSI, ESBLEc-BSI were associated with healthcare (p=0.004), long-stay unit (p=0.018), recent antibiotherapy (p=0.002).
Among ESBLEc-BSI, clinical determinants and BSI characteristics similar whatever the clonal group excepted for ST131 associated with long-stay unit (p=0.042).
Eligible residents were those who were recently admitted to a long-stay unit for residents with physical illness, and able to understand the study, give informed consent and speak comprehensibly in Dutch.
In the UK, since the Winterbourne View scandal four years ago, the government has been criticised for delays in moving people out of long-stay units and into the community.
Even where abuses are not taking place, "one of the scandals" of long-stay units is that, as well as being inappropriate "warehousing" environments that keep too many people for long periods of time, they are extremely expensive, she says.
It is vital, say campaigners, that if a large number of people are to be moved back from long-stay units in a relatively short period, that the process is carefully and sensitively supported.
Efforts to move people with learning disabilities out of long-stay units, miles from their family, into the community nearer to home will fail, warns a new coalition of care providers, Learning Disability Voices, which launches the Care Crisis Manifesto on Wednesday.
But the start of the housing crisis in the mid-70s demolished or repurposed at least 9,000 of these long-stay units into expensive apartments and office buildings, relegating the remaining SROs to serve as government-sponsored housing for about 30,000 of the city's poorest residents; those who are chronically homeless but stable enough fulfill the bare minimum requirements for welfare.
Recent antibiotherapy (and easy spread into long-stay units for ST131): likely the major risk factor for ESBLEc BSI.
To test the instrument's psychometric properties, data were collected on the general medical wards (long-stay units for people with physical illnesses) of six nursing homes in the Netherlands.
The study settings included an in-patient geriatric rehabilitation unit (GRU) and a long stay veterans' unit (LSVU) in a rehabilitation and long-stay hospital in Ontario.
