A challenging outbreak of New Delhi metallo-β-lactamase-5 producing Klebsiella pneumoniae in a New Zealand Tertiary Hospital: A case report

Barratt, Ruth; Brown, L. Neville; O'Callaghan, Mike

doi:10.1016/j.idh.2017.05.001

Cited by 1 publication

(1 citation statement)

References 24 publications

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“…Considering IPC standard and transmission-based precautions (Table 3), hand hygiene was described in 19 (63%) of the 30 reviewed studies. Hand hygiene compliance was evaluated using the WHO protocol (Brkic et al, 2017), according to ‘The Five Moments for Hand Hygiene’ (Barratt et al, 2017; Li et al, 2019). In several reviewed studies, hand hygiene compliance was evaluated, using direct observation methodology, included in training sessions and promoted not only to HCW (Ece et al, 2018) but also to other stakeholders, such as the relatives who visit patients (Hernández-García et al, 2019; Protonotariou et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

Infection prevention and control strategies against carbapenem resistant Enterobacteriaceae – a systematic review

Santos-Marques

Ferreira

Pereira

2022

Journal of Infection Prevention

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Background Antimicrobial resistance is exponentially worsening, and the spread of prevalent carbapenem resistant Enterobacteriaceae (CRE) is a major contributor to this global concern. Infection prevention and control strategies are increasingly consolidated key tools to control this worldwide problem. Aim To identify, collect and analyse available evidence regarding the impact of infection prevention and control strategies on prevalent CRE dissemination. Methods Pubmed®, Scopus® and Web of Science® were searched systematically for articles published between 1th January 2017 and 30th June 2020, guided by the research question ‘What are the most effective and efficient strategies to prevent and control infection/colonisation caused by Carbapenem resistant Escherichia coli and Carbapenem resistant Klebsiella pneumoniae?’. Findings Eleven thousand six hundred and thirty-five publications were found, but after applying the inclusion and exclusion criteria, only 30 were selected. The majority of reviewed studies ( n = 24) were performed in outbreak situations, 26 studies occurred in acute care units and of those, 17 in intensive care units . From the set of implemented infection prevention and control measures, in 29 studies surveillance cultures were applied, in 23 studies patients were isolated or cohorted and, in general, all described the implementation of standard and contact precaution measures. Conclusion This systematic review underlines the importance of infection prevention and control strategies in CRE dissemination, standing out the need of further studies outside outbreak and intensive care units contexts. Investment increments and training and educating of all involved are also important contributors to shift this problem, but still with relevant gaps in their implementation, in all types of care units, that need to be addressed.

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