Multidrug-Resistant Bacteria Infection Control: Study of Compliance With Isolation Precautions in a Paris University Hospital

2001 ◽  
Vol 22 (02) ◽  
pp. 109-111 ◽  
Author(s):  
Gwenaëlle M. Vidal-Trecan ◽  
Natalie Delamare ◽  
Stephanie Tcherny-Lessenot ◽  
Jacqueline Lamory ◽  
François Baudin ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Infection Control ◽  
Odds Ratio ◽  
Multidrug Resistant ◽  
Hand Washing ◽  
University Hospital ◽  
Resistant Bacteria ◽  
Multidrug Resistant Bacteria ◽  
Control Study

Abstract Isolation practices in a university hospital were analyzed for 137 patients with multidrug-resistant bacteria. Isolation was ordered in writing by physicians for 40% and instituted by nurses for 60%; 74% were isolated. Compliance depended on physician ordering in writing (odds ratio, 36.3; 95% confidence interval, 4.8-274.9). Nurses complied best with hand washing.

Multidrug-Resistant Bacteria Infection Control: Study of Compliance With Isolation Precautions in a Paris University Hospital

2001 ◽  
Vol 22 (02) ◽  
pp. 109-111 ◽  
Author(s):  
Gwenaëlle M. Vidal-Trecan ◽  
Natalie Delamare ◽  
Stephanie Tcherny-Lessenot ◽  
Jacqueline Lamory ◽  
François Baudin ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Infection Control ◽  
Odds Ratio ◽  
Multidrug Resistant ◽  
Hand Washing ◽  
University Hospital ◽  
Resistant Bacteria ◽  
Multidrug Resistant Bacteria ◽  
Control Study

AbstractIsolation practices in a university hospital were analyzed for 137 patients with multidrug-resistant bacteria. Isolation was ordered in writing by physicians for 40% and instituted by nurses for 60%; 74% were isolated. Compliance depended on physician ordering in writing (odds ratio, 36.3; 95% confidence interval, 4.8-274.9). Nurses complied best with hand washing.

scholarly journals Rapid increase of carbapenemase-producing Klebsiella pneumoniae strains in a large Italian hospital: surveillance period 1 March – 30 September 2010

2011 ◽  
Vol 16 (8) ◽  
Author(s):  
P Gaibani ◽  
S Ambretti ◽  
A Berlingeri ◽  
F Gelsomino ◽  
A Bielli ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Infection Control ◽  
Multidrug Resistant ◽  
Northern Italy ◽  
University Hospital ◽  
Resistant Bacteria ◽  
Surveillance Period ◽  
Multidrug Resistant Bacteria ◽  
First Case ◽  
Klebsiella Pneumoniae Carbapenemases

The first case of carbapenemase-producing Enterobacteriaceae in Italy was reported in 2009. We performed a study over a period of seven months in 2010 to survey the circulation of Klebsiella pneumoniae carbapenemases (KPC) in a 1,500-bed university hospital in northern Italy and report the presence and rapid increase of these multidrug-resistant bacteria. The results raise a major concern about these pathogens and demonstrate the urgent need for infection control and antibiotic stewardship programmes.

scholarly journals Multidrug-resistant bacteria isolated from patients hospitalized in Intensive Care Unit in University Hospital of Constantine, Algeria (2011 - 2015)

2016 ◽  
Vol 10 (33) ◽  
pp. 1328-1336 ◽  
Author(s):  
Hecini-Hannachi Abla ◽  
Bentchouala Chafia ◽  
Lezzar Abdesselam ◽  
Laouar Houcine ◽  
Benlabed Kaddour ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Multidrug Resistant ◽  
University Hospital ◽  
Resistant Bacteria ◽  
Multidrug Resistant Bacteria

scholarly journals The Acquisition of Multidrug-Resistant Bacteria in Patients Admitted to COVID-19 Intensive Care Units: A Monocentric Retrospective Case Control Study

2020 ◽  
Vol 8 (11) ◽  
pp. 1821
Author(s):  
Elisa G. Bogossian ◽  
Fabio S. Taccone ◽  
Antonio Izzi ◽  
Nicolas Yin ◽  
Alessandra Garufi ◽  
...  
Keyword(s):  
Intensive Care ◽  
Risk Analysis ◽  
Case Control Study ◽  
Multidrug Resistant ◽  
Case Control ◽  
Incidence Density ◽  
Resistant Bacteria ◽  
Competing Risk Analysis ◽  
Multidrug Resistant Bacteria ◽  
Control Study

Whether the risk of multidrug-resistant bacteria (MDRB) acquisition in the intensive care unit (ICU) is modified by the COVID-19 crisis is unknown. In this single center case control study, we measured the rate of MDRB acquisition in patients admitted in COVID-19 ICU and compared it with patients admitted in the same ICU for subarachnoid hemorrhage (controls) matched 1:1 on length of ICU stay and mechanical ventilation. All patients were systematically and repeatedly screened for MDRB carriage. We compared the rate of MDRB acquisition in COVID-19 patients and in control using a competing risk analysis. Of note, although we tried to match COVID-19 patients with septic shock patients, we were unable due to the longer stay of COVID-19 patients. Among 72 patients admitted to the COVID-19 ICUs, 33% acquired 31 MDRB during ICU stay. The incidence density of MDRB acquisition was 30/1000 patient days. Antimicrobial therapy and exposure time were associated with higher rate of MDRB acquisition. Among the 72 SAH patients, 21% acquired MDRB, with an incidence density was 18/1000 patient days. The septic patients had more comorbidities and a greater number of previous hospitalizations than the COVID-19 patients. The incidence density of MDRB acquisition was 30/1000 patient days. The association between COVID-19 and MDRB acquisition (compared to control) risk did not reach statistical significance in the multivariable competing risk analysis (sHR 1.71 (CI 95% 0.93–3.21)). Thus, we conclude that, despite strong physical isolation, acquisition rate of MDRB in ICU patients was at least similar during the COVID-19 first wave compared to previous period.

scholarly journals Next-Generation Epidemiology: Using Real-Time Core Genome Multilocus Sequence Typing To Support Infection Control Policy

2016 ◽  
Vol 54 (12) ◽  
pp. 2850-2853 ◽  
Author(s):  
John P. Dekker ◽  
Karen M. Frank
Keyword(s):  
Infection Control ◽  
Real Time ◽  
Core Genome ◽  
Hospital Setting ◽  
Control Policy ◽  
Multidrug Resistant ◽  
Resistant Bacteria ◽  
Multidrug Resistant Bacteria ◽  
Substantial Morbidity ◽  
Multilocus Sequencing

Multidrug-resistant bacteria are responsible for substantial morbidity and mortality worldwide. Tracking the nosocomial spread of resistant bacteria is critical to infection control. Mellmann et al. (J. Clin. Microbiol. 54:2874–2881, 2016, http://dx.doi.org/10.1128/JCM.00790-16 ) have described prospective whole-genome sequencing with core genome multilocus sequencing typing (cgMLST) analysis for real-time surveillance and have addressed the practical aspects of implementing this type of operation in the hospital setting.

Risk Factors for Groin Wound Infection After Femoral Artery Catheterization A Case-Control Study

2006 ◽  
Vol 27 (1) ◽  
pp. 34-37 ◽  
Author(s):  
Philip M. Polgreen ◽  
Daniel J. Diekema ◽  
Jeff VandeBerg ◽  
R. Todd Wiblin ◽  
Yi Yi Chen ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Wound Infection ◽  
Femoral Artery ◽  
Odds Ratio ◽  
Case Control Study ◽  
Medical Center ◽  
Case Control ◽  
University Hospital ◽  
Hematoma Formation ◽  
Control Study

Objective.Groin wound infection (GWI) after femoral artery catheterization is unusual. However, several reports of GWI associated with the use of a Perclose device appear in the surgical literature.Design.A case-control study.Setting.We pooled 23 cases and 83 controls from a university hospital and a community medical center.Patients.A case was defined as a patient who developed a GWI after a femoral artery catheterization. At the university hospital, 3 controls were randomly selected from the at-risk population and matched to each case by time of procedure only (within 2 weeks). At the community medical center, 4 controls were selected and matched to each case by time of procedure (within 2 weeks), sex, and age (within 5 years).Results.We considered several covariates, including age, sex, body mass index, medical conditions, Perclose use, hematoma formation, and antithrombotic therapy. In a multivariate model, only hematoma formation (odds ratio, 68.8; 95% confidence interval, 12.1-391.4) and glycoprotein IIb/IIIa platelet inhibitor therapy (odds ratio, 6.1; 95% confidence interval, 1.1-33.6) were statistically significant predictors of GWI; Perclose use (odds ratio, 0.9; 95% confidence interval, 0.2-3.7) was not a statistically significant predictor of GWI. However, most of the hematomas (15/17) formed after procedures during which a Perclose device was used.Conclusion.Perclose use did not have any additional effect on GWI risk beyond the effect that hematoma formation had.

scholarly journals Bacteremia caused by multidrug-resistant bacteria in a French university hospital center: 3 years of collection

2015 ◽  
Vol 43 (9) ◽  
pp. 960-964 ◽  
Author(s):  
Romain Picot-Guéraud ◽  
Pierre Batailler ◽  
Yvan Caspar ◽  
Aurélie Hennebique ◽  
Marie-Reine Mallaret
Keyword(s):  
Multidrug Resistant ◽  
University Hospital ◽  
Resistant Bacteria ◽  
Multidrug Resistant Bacteria ◽  
Hospital Center
Sign in / Sign up

Export Citation Format

Share Document