scholarly journals Infection Control Measures in an Israeli District Hospital Receiving Syrian Civil War Casualties Colonized with Multi-Drug Resistant Bacteria

2015 ◽  
Vol 1 (1) ◽  
pp. 1-3 ◽  
Author(s):  
Seema Biswas ◽  
Keyword(s):  
Civil War ◽  
Infection Control ◽  
District Hospital ◽  
Control Measures ◽  
Resistant Bacteria ◽  
Drug Resistant ◽  
Infection Control Measures ◽  
Drug Resistant Bacteria ◽  
Syrian Civil War

scholarly journals Nosocomial cluster of carbapenemase-producing Enterobacter cloacae in an intensive care unit dedicated COVID-19

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Guillaume Miltgen ◽  
Thomas Garrigos ◽  
Pascal Cholley ◽  
Marine Deleume ◽  
Nicolas Allou ◽  
...  
Keyword(s):  
Intensive Care ◽  
Enterobacter Cloacae ◽  
Control Measures ◽  
Resistant Bacteria ◽  
Drug Resistant ◽  
Infection Control Measures ◽  
Extensively Drug Resistant ◽  
Drug Resistant Bacteria ◽  
Cross Transmission ◽  
Difficult Challenge

AbstractConcomitant prevention of SARS-CoV-2 and extensively drug-resistant bacteria transmission is a difficult challenge in intensive care units dedicated to COVID-19 patients. We report a nosocomial cluster of four patients carrying NDM-1 plasmid-encoded carbapenemase-producing Enterobacter cloacae. Two main factors may have contributed to cross-transmission: misuse of gloves and absence of change of personal protective equipment, in the context of COVID-19-associated shortage. This work highlights the importance of maintaining infection control measures to prevent CPE cross-transmission despite the difficult context and that this type of outbreak can potentially involve several species of Enterobacterales.

scholarly journals Antimicrobial Stewardship Program, COVID-19, and Infection Control: Spread of Carbapenem-Resistant Klebsiella Pneumoniae Colonization in ICU COVID-19 Patients. What Did Not Work?

2020 ◽  
Vol 9 (9) ◽  
pp. 2744 ◽  
Author(s):  
Beatrice Tiri ◽  
Emanuela Sensi ◽  
Viola Marsiliani ◽  
Mizar Cantarini ◽  
Giulia Priante ◽  
...  
Keyword(s):  
Klebsiella Pneumoniae ◽  
Infection Control ◽  
Prone Position ◽  
Antimicrobial Stewardship ◽  
Control Measures ◽  
Resistant Bacteria ◽  
Infection Control Measures ◽  
Carbapenem Resistant ◽  
Stewardship Program ◽  
Prolonged Contact

The Italian burden of disease associated with infections due to antibiotic-resistant bacteria has been very high, largely attributed to Carbapenem-Resistant Klebsiella pneumoniae (CR-Kp). The implementation of infection control measures and antimicrobial stewardship programs (ASP) has been shown to reduce healthcare-related infections caused by multidrug resistance (MDR) germs. Since 2016, in our teaching hospital of Terni, an ASP has been implemented in an intensive care unit (ICU) setting, with the “daily-ICU round strategy” and particular attention to infection control measures. We performed active surveillance for search patients colonized by Carbapenem-Resistant Enterobacteriaceae (CRE). In March 2020, coronavirus disease 2019 (COVID-19) arrived and the same ICU was reserved only for COVID-19 patients. In our retrospective observational study, we analyzed the bimonthly incidence of CRE colonization patients and the incidence of CRE acquisition in our ICU during the period of January 2019 to June 2020. In consideration of the great attention and training of all staff on infection control measures in the COVID-19 era, we would have expected a clear reduction in CRE acquisition, but this did not happen. In fact, the incidence of CRE acquisition went from 6.7% in 2019 to 50% in March–April 2020. We noted that 67% of patients that had been changed in posture with prone position were colonized by CRE, while only 37% of patients that had not been changed in posture were colonized by CRE. In our opinion, the high intensity of care, the prone position requiring 4–5 healthcare workers (HCWs), equipped with personal protective equipment (PPE) in a high risk area, with extended and prolonged contact with the patient, and the presence of 32 new HCWs from other departments and without work experience in the ICU setting, contributed to the spread of CR-Kp in our ICU, determining an increase in CRE acquisition colonization.

Healthcare-associated infections and infection control

2017 ◽  
pp. 667-674
Author(s):  
Pascal Astagneau ◽  
Elise Seringe ◽  
François Bricaire
Keyword(s):  
Infection Control ◽  
Older People ◽  
Multidrug Resistant ◽  
Control Measures ◽  
Resistant Bacteria ◽  
Healthcare Associated Infections ◽  
Infection Control Measures ◽  
Poor Nutritional Status ◽  
Healthcare Associated

Healthcare-associated infections (HAI) in older people frequently occur in mid or long-term cares facilities. The most frequent infections are those of the urinary tract, respiratory tract, skin/soft tissue, and gastrointestinal tract. The spectrum of pathogens are different in epidemic and endemic situations. Outbreaks occurring in long-term care frequently involve seasonal viruses such influenza, scabies, and multidrug-resistant bacteria such as Clostridium difficile. Ageing is a risk factor for HAI, which impairs immunological, metabolical, and neurological functions. Indwelling devices, poor nutritional status, and lack of mobility also increase the infection risk in the cared-for elderly. Infection control measures have to be implemented according to standard recommendations, including the use of alcohol-based hand rubs. Control measures should be adapted to the organization of healthcare facilites for older people, in particular environment and poor staff ressources. Focus should be made on vaccination programme of healthcare staff, especially against influenza.

scholarly journals Effects of infection control measures on acquisition of five antimicrobial drug-resistant microorganisms in a tetanus intensive care unit in Vietnam

2013 ◽  
Vol 39 (4) ◽  
pp. 661-671 ◽  
Author(s):  
Constance Schultsz ◽  
Martinus C. J. Bootsma ◽  
Huynh T. Loan ◽  
Tran T. T. Nga ◽  
Le T. P. Thao ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Infection Control ◽  
Antimicrobial Drug ◽  
Control Measures ◽  
Drug Resistant ◽  
Infection Control Measures

scholarly journals Preventing Pathogens Proliferation and Reducing Potential Sources of Nosocomial Infections with Biocidal Textiles in Developing Countries

2010 ◽  
Vol 3 (1) ◽  
pp. 81-86
Author(s):  
Gadi Borkow ◽  
Jeffrey Gabbay
Keyword(s):  
Developing Countries ◽  
Infection Control ◽  
Nosocomial Infections ◽  
Close Contact ◽  
Wide Spectrum ◽  
Control Measures ◽  
Resistant Bacteria ◽  
Indirect Contact ◽  
Infection Control Measures ◽  
Risk Patients

Nosocomial infections, especially those caused by antibiotic resistant bacteria, are increasing at an alarming rate over the globe. Unfortunately, standard infection control practices, such as pre-emptive isolation of high-risk patients, wide and targeted surveillance cultures, and proper ventilation systems are lacking in developing countries mainly due to insufficient resources. Patients shed bacteria and contaminate their pyjamas and sheets. The temperature and humidity between the patients and the bed are appropriate conditions allowing for effective bacterial proliferation. Bed making releases large quantities of micro-organisms into the air, which contaminate the immediate and non-immediate surroundings. Personnel in contact with contaminated textiles can also cross-contaminate other surfaces or patients. Thus textiles in hospitals can be an important source of microbes contributing to endogenous, indirect-contact, and aerosol transmission of nosocomial related pathogens. The use of safe wide-spectrum antimicrobial textiles, especially in those textiles that are in close contact with the patients, may significantly reduce bioburden in clinical settings and consequently reduce the risk of nosocomial infections. This is of special significance in resource poor developing countries, where wards are overcrowded and population infection burdens are very high. The use of biocidal textiles is a simple, cost-affordable and feasible measure that may be especially important in developing countries where essential infection control measures are not implemented.

scholarly journals TB Risk Perceptions among Medical Residents at a Tertiary Care Center in India

2017 ◽  
Vol 2017 ◽  
pp. 1-7 ◽  
Author(s):  
Geeta S. Pardeshi ◽  
Dileep Kadam ◽  
Ajay Chandanwale ◽  
Andrea Deluca ◽  
Pranali Khobragade ◽  
...  
Keyword(s):  
Infection Control ◽  
Risk Perceptions ◽  
Care Center ◽  
Tertiary Care ◽  
Control Measures ◽  
Medical Residents ◽  
Drug Resistant ◽  
Infection Control Measures ◽  
Infection Control Guidelines ◽  
Tb Infection Control

Setting. Government tertiary health care center in India.Objective. To understand the perceptions of medical residents about their risk of developing TB in the workplace.Design. Cross-sectional study in which a semistructured questionnaire which included an open-ended question to assess their main concerns regarding TB in workplace was used to collect data.Results. Out of 305 resident doctors approached, 263 (94%) completed a structured questionnaire and 200 of these responded to an open-ended question. Daily exposure to TB was reported by 141 (64%) residents, 13 (5%) reported a prior history of TB, and 175 (69%) respondents were aware of TB infection control guidelines. A majority reported concerns about acquiring TB (78%) and drug-resistant TB (88%). The key themes identified were concerns about developing drug-resistant TB (n=100; 50%); disease and its clinical consequences (n=39; 20%); social and professional consequences (n=37; 19%); exposure to TB patients (n=32; 16%); poor infection control measures (n=27; 14%); and high workload and its health consequences (n=16; 8%).Conclusion. Though many resident doctors were aware of TB infection control guidelines, only few expressed concern about lack of TB infection control measures. Doctors need to be convinced of the importance of these measures which should be implemented urgently.

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