دورية أكاديمية
Implementation of contact precautions for multidrug-resistant organisms in the post–COVID-19 pandemic era: An updated national Emerging Infections Network (EIN) survey
| العنوان: | Implementation of contact precautions for multidrug-resistant organisms in the post–COVID-19 pandemic era: An updated national Emerging Infections Network (EIN) survey |
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| المؤلفون: | Howard-Anderson, Jessica R., Gottlieb, Lindsey B., Beekmann, Susan E., Polgreen, Philip M., Jacob, Jesse T., Uslan, Daniel Z. |
| المصدر: | Infection Control & Hospital Epidemiology ; page 1-6 ; ISSN 0899-823X 1559-6834 |
| بيانات النشر: | Cambridge University Press (CUP) |
| سنة النشر: | 2024 |
| مصطلحات موضوعية: | Infectious Diseases, Microbiology (medical), Epidemiology |
| الوصف: | Objective: To understand how healthcare facilities employ contact precautions for patients with multidrug-resistant organisms (MDROs) in the post–coronavirus disease 2019 (COVID-19) era and explore changes since 2014. Design: Cross-sectional survey. Participants: Emerging Infections Network (EIN) physicians involved in infection prevention or hospital epidemiology. Methods: In September 2022, we sent via email an 8-question survey on contact precautions and adjunctive measures to reduce MDRO transmission in inpatient facilities. We also asked about changes since the COVID-19 pandemic. We used descriptive statistics to summarize data and compared results to a similar survey administered in 2014. Results: Of 708 EIN members, 283 (40%) responded to the survey and 201 reported working in infection prevention. A majority of facilities (66% and 69%) routinely use contact precautions for methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) respectively, compared to 93% and 92% in 2014. Nearly all (>90%) use contact precautions for Candida auris , carbapenem-resistant Enterobacterales (CRE), and carbapenem-resistant Acinetobacter baumannii . More variability was reported for carbapenem-resistant Pseudomonas aeruginosa and extended-spectrum β-lactamase–producing gram-negative organisms. Compared to 2014, fewer hospitals perform active surveillance for MRSA and VRE. Overall, 90% of facilities used chlorhexidine gluconate bathing in all or select inpatients, and 53% used ultraviolet light or hydrogen peroxide vapor disinfection at discharge. Many respondents (44%) reported changes to contact precautions since COVID-19 that remain in place. Conclusions: Heterogeneity exists in the use of transmission-based precautions and adjunctive infection prevention measures aimed at reducing MDRO transmission. This variation reflects a need for updated and specific guidance, as well as further research on the use of contact precautions in healthcare facilities. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1017/ice.2024.11 |
| الإتاحة: | https://doi.org/10.1017/ice.2024.11Test https://www.cambridge.org/core/services/aop-cambridge-core/content/view/S0899823X24000114Test |
| حقوق: | http://creativecommons.org/licenses/by/4.0Test/ |
| رقم الانضمام: | edsbas.FED629B4 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1017/ice.2024.11 |
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