Regional Infection Control Assessment of Antibiotic Resistance Knowledge and Practice
| العنوان: | Regional Infection Control Assessment of Antibiotic Resistance Knowledge and Practice |
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| المؤلفون: | Mary K. Hayden, Susan I. Gerber, Robert A. Weinstein, Kingsley N. Weaver, Michael Y. Lin, Stephanie R. Black, Mary Alice Lavin |
| المصدر: | Infect Control Hosp Epidemiol |
| بيانات النشر: | Cambridge University Press (CUP), 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Chicago, Microbiology (medical), Cross Infection, Infection Control, medicine.medical_specialty, Epidemiology, business.industry, Public health, Psychological intervention, Staffing, Clostridium difficile, Hospitals, Article, Infectious Diseases, Antibiotic resistance, Drug Resistance, Multiple, Bacterial, Surveys and Questionnaires, Acute care, Health care, Humans, Infection control, Medicine, business, Intensive care medicine, Skilled Nursing Facilities |
| الوصف: | OBJECTIVEMultidrug-resistant organisms (MDROs) are an increasing burden among healthcare facilities. We assessed facility-level perceived importance of and responses to various MDROs.DESIGNA pilot survey to assess staffing, knowledge, and the perceived importance of and response to various multidrug resistant organisms (MDROs)SETTINGAcute care and long-term healthcare facilitiesMETHODSIn 2012, a survey was distributed to infection preventionists at ~300 healthcare facilities. Pathogens assessed were Clostridium difficile, carbapenem-resistant Enterobacteriaceae (CRE), carbapenem-resistant Acinetobacter, methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus, multidrug-resistant (defined as bacterial resistance to ≥3 antibiotic classes) Pseudomonas, and extended-spectrum β-lactamase-producing Escherichia coli.RESULTSA total of 74 unique facilities responded, including 44 skilled nursing facilities (SNFs) and 30 acute care facilities (ACFs). While ACFs consistently isolated patients with active infections or colonization due to these MDROs, SNFs had more variable responses. SNFs had more multi-occupancy rooms and reported less specialized training in infection control and prevention than did ACFs. Of all facilities with multi-occupancy rooms, 86% employed a cohorting practice for patients, compared with 50% of those without multi-occupancy rooms; 20% of ACFs and 7% of SNFs cohorted staff while caring for patients with the same MDRO. MRSA and C. difficile were identified as important pathogens in ACFs and SNFs, while CRE importance was unknown or was considered important in CONCLUSIONWe identified stark differences in human resources, knowledge, policy, and practice between ACFs and SNFs. For regional control of emerging MDROs like CRE, there is an opportunity for public health officials to provide targeted education and interventions. Education campaigns must account for differences in audience resources and baseline knowledge.Infect Control Hosp Epidemiol 2015;00(0): 1–6 |
| تدمد: | 1559-6834 0899-823X |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3f4763d0e01b86aacbebdada2d64a945 https://doi.org/10.1017/ice.2014.78 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....3f4763d0e01b86aacbebdada2d64a945 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15596834 0899823X |
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