scholarly journals Novel application of a discrete choice experiment to identify preferences for a national healthcare-associated infection surveillance programme: a cross-sectional study

BMJ Open ◽  
2016 ◽  
Vol 6 (5) ◽  
pp. e011397 ◽  
Author(s):  
Philip L Russo ◽  
Gang Chen ◽  
Allen C Cheng ◽  
Michael Richards ◽  
Nicholas Graves ◽  
...  
2019 ◽  
Vol 11 (5) ◽  
Author(s):  
Aristizabal-Bernal Beatriz Helena ◽  
Vasquez Edwin ◽  
Rincon-Caballero Olga Lucia ◽  
Mejía-Pineda Gladys S ◽  
Constain-Franco Alfredo ◽  
...  

2020 ◽  
Vol 20 (4) ◽  
pp. 455-460
Author(s):  
Narges Habibollah-Pourzereshki ◽  
Amir Peymani ◽  
Fatemeh Keshavarz-Saleh

Introduction: Escherichia coli is one of the most important agents involved in healthcare-associated infection, and resistance to quantum ammonium compounds (QACs) has become a major challenge for infection control practitioners. The aim of the current study was to determine the frequency of qacE and qacEΔ1 genes in E. coli isolated from hospitalized patients in Qazvin, Iran. Material and Methods: In the current cross-sectional study, 102 E. coli were collected from hospitals of Qazvin. All bacterial isolates were identified using standard laboratory methods and the antimicrobial susceptibility was evaluated by Kirby-Baer test. The presence of qacE and qacEΔ1 genes was investigated using polymerase chain reaction (PCR) technique. Results: In this study, 65 (63.7%) isolates showed a multidrug resistance (MDR) pattern which was resistant to at least three classes of antimicrobials including ß-lactams, aminoglycosides, and fluoroquinolones. The highest rates of resistance were observed against cefotaxime (75.5%) and nalidixic acid (66.7%). The PCR showed that 5 (4.9%) isolates harbored qacE gene, 62 (60.8%) isolates qacEΔ1, and 10 (9.8%) isolates carried both genes, simultaneously. There was a significant relationship between the QACs resistance and MDR pattern (P=0.03). Conclusion: This study indicated a significant resistance rate against disinfectant compounds in the studied hospitals. However, more attention should be paid to this critical issue in the infection control committees of the hospitals.


2020 ◽  
Vol 30 (6) ◽  
Author(s):  
Emriye Hilal YAYAN ◽  
PıPınar DEMİREL ÖNER ◽  
Didem COŞKUN ŞİMŞEK ◽  
Mürşide ZENGİN

BACKGROUND፡ Hospital infections in pediatric units increase the length of hospital stay and the use of antibiotics, and this causes exposure to more procedures. This study was aimed to determine the microorganisms represented in the hand flora of pediatric patients at the beginning of hospitalization and before discharge.METHODS: The study was designed as a prospective crosssectional study. This prospective study was performed with 124 pediatric patients. After completion of the admission procedures, an initial sample was taken from the hands of the hospitalized patients. Another sample was taken from the patients just before discharging.RESULTS: Growth of coagulase-negative staphylococcus (CNS) was observed in the culture samples of 28 patients. Cultures from 23 patients showed different microorganisms such as Staphylococcus aureus, Escherichia coli, and S. epidermis. Examination of final discharge cultures showed CNS in 43 patients, S. aureus in 5 patients, E. coli in 8 patients, Acinetobacter baumannii in 11 patients, and Kocuria rhizophila, K. kristinae, Candida spp., Pseudomonas spp., and Enterococcus in 1 patient.CONCLUSION: The cultures from samples obtained at discharge showed the presence of antibiotic-resistant pathogenic microorganisms causing healthcare associated infection.


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