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: * Estimate the prevalence for carriage of MDR bacteria and CDt toxigenic in HCW in NH. * Identify the risk factors for carriage of MDR bacteria and CDt in residents in nursing home * Identify the risk factors for carriage of MDR bacteria and CDt in healthcare workers in NH * Evaluate the presence of cross-transmission of MDR bacteria and CDt in one or several NH * Evaluate the association between the presence of cross-transmission of MDR bacteria and CDt in a NH and the management of infection control * Establishment a collection of stool samples
Study Type
OBSERVATIONAL
Enrollment
492
Feces sampling at inclusion (J0)
CHU de Nîmes, Hôpital Universitaire Carémeau
Nîmes, France
Presence or absence of multi-drug resistant bacteria in residents' feces.
prevalence of carriage of multi-drug resistant bacteria
Time frame: at inclusion (J0)
Presence or absence of Highly Resistant and Emerging Bacteria in residents' feces.
prevalence of carriage of Highly Resistant and Emerging Bacteria
Time frame: at inclusion (J0)
Presence or absence of Clostridioids difficult toxinogenic in residents' feces.
prevalence of carriage of Clostridioids difficult toxinogenic
Time frame: at inclusion (J0)
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