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The sensitivities of multianatomical, nonperianal surveillance were 92.3% for methicillin-resistant <jats:italic>Staphylococcus aureus<\/jats:italic> (MRSA), 58.7% for vancomycin-resistant enterococci (VRE), and 54.9% for resistant Gram-negative bacilli (R-GNB). Sensitivities improved upon adding environmental surveillance (95.5%, 82.9%, and 67.9%, respectively). Multianatomical, nonperianal screening and room environment surveillance may replace perianal screening and reduce healthy participant bias in nursing homes.<\/jats:p>","DOI":"10.1017\/ice.2021.134","type":"journal-article","created":{"date-parts":[[2021,5,21]],"date-time":"2021-05-21T05:59:35Z","timestamp":1621576775000},"page":"1063-1066","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Can alternative anatomical sites and environmental surveillance replace perianal screening for multidrug-resistant organisms in nursing homes?"],"prefix":"10.1017","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8671-7990","authenticated-orcid":false,"given":"Kyle J.","family":"Gontjes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen E.","family":"Gibson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bonnie","family":"Lansing","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Cassone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lona","family":"Mody","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,5,21]]},"reference":[{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref5","DOI":"10.1093\/geront\/9.3_Part_1.179"},{"volume-title":"Development and Validation of a Revised Nursing Home Assessment Tool: MDS 3.0","year":"2008","author":"Saliba","key":"S0899823X21001343_ref6"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref11","DOI":"10.1017\/ice.2020.336"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref2","DOI":"10.1016\/j.cger.2016.02.004"},{"key":"S0899823X21001343_ref3","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1093\/cid\/ciy194","article-title":"Longitudinal assessment of multidrug-resistant organisms in newly admitted nursing facility patients: implications for an evolving population","volume":"67","author":"Mody","year":"2018","journal-title":"Clin Infect Dis"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref10","DOI":"10.1128\/AAC.49.2.798-800.2005"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref7","DOI":"10.1159\/000312871"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref8","DOI":"10.1186\/s12877-018-0934-9"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref12","DOI":"10.1093\/cid\/ciy115"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref4","DOI":"10.1016\/0895-4356(94)90129-5"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref9","DOI":"10.1128\/jcm.34.1.210-212.1996"},{"doi-asserted-by":"publisher","key":"S0899823X21001343_ref1","DOI":"10.1007\/s13670-015-0120-2"}],"container-title":["Infection Control &amp; Hospital Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0899823X21001343","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,2]],"date-time":"2022-08-02T09:20:49Z","timestamp":1659432049000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0899823X21001343\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,21]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8]]}},"alternative-id":["S0899823X21001343"],"URL":"https:\/\/doi.org\/10.1017\/ice.2021.134","relation":{},"ISSN":["0899-823X","1559-6834"],"issn-type":[{"type":"print","value":"0899-823X"},{"type":"electronic","value":"1559-6834"}],"subject":[],"published":{"date-parts":[[2021,5,21]]},"assertion":[{"value":"\u00a9 The Author(s), 2021. 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