Isolation strategy for controlling the spread of multidrug-resistant organisms: Is this still an essential option in hospitals?

Larrosa, María Nieves; Almirante, Benito

doi:10.1016/j.eimc.2021.04.010

Cited by 7 publications

(3 citation statements)

References 20 publications

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“…The evolution of these isolation practices reflects an ongoing effort to balance effective infection control with practical implementation in the complex and dynamic environment of healthcare settings (CDC, 2021). Previous research has demonstrated varying degrees of effectiveness for different isolation strategies, including contact precautions, cohorting of patients, and the use of personal protective equipment (PPE) in controlling the spread of multidrug-resistant organisms (MDROs) in healthcare settings (Larrosa , Almirante ,2021). Contact precautions represent a foundational strategy in the prevention and control of MDRO transmission.…”

Section: Literature Reviewmentioning

confidence: 99%

Evaluating the Effectiveness of Isolation Precautions in Controlling the Spread of Multidrug-Resistant Organisms in Hospitals: A meta-analysis

Ayyashi,

Alshahrani,

Alkhathami

et al. 2023

JAZ

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In this meta-analysis, we evaluated the effectiveness of isolation precautions in preventing the spread of Multidrug-Resistant Organisms (MDROs) in hospital settings, focusing on contact precautions, use of Personal Protective Equipment (PPE), and cohorting of patients. Through a comprehensive literature search, 48 studies were included, highlighting the significant role these measures play in mitigating MDRO transmission. Findings demonstrate that isolation precautions, particularly contact precautions and PPE usage, significantly reduce MRSA and VRE transmission rates. Cohorting patients also proves effective, especially during outbreaks. This study underscores the importance of implementing stringent, evidence-based isolation precautions across healthcare settings to enhance patient safety and healthcare quality. The results advocate for continuous education, adherence monitoring, and tailored infection control strategies to address the dynamic challenges of MDROs in healthcare environments.

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Section: Literature Reviewmentioning

confidence: 99%

Evaluating the Effectiveness of Isolation Precautions in Controlling the Spread of Multidrug-Resistant Organisms in Hospitals: A meta-analysis

Ayyashi,

Alshahrani,

Alkhathami

et al. 2023

JAZ

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“…Numerous strategies can be implemented to prevent AMR (Table 2). This may involve placing the patient in a private room or using infection control measures such as hand hygiene and personal protective equipment [60,61].…”

Section: Strategies For Preventing Amrmentioning

confidence: 99%

An Overview of Preventive Strategies and the Role of Various Organizations in Combating Antimicrobial Resistance

Shelke,

Bankar,

Bandre

et al. 2023

Cureus

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The rise of antimicrobial resistance (AMR) is a major global public health threat due to excessive and inappropriate use of antibiotics and is responsible for prolonged illness, longer hospital stays, and economic burden to society. This article aims to review the factors, role of antimicrobial stewardship, preventive strategies, and role of various organizations in combating AMR. Three major factors of AMR are inappropriate and excessive utilization of antibiotics, nonadherence to infection control measures, and the emergence of pathogens that are resistant to multiple drugs. Antimicrobial stewardship initiatives play a vital role in promoting judicious and targeted utilization of antimicrobials, thereby safeguarding their efficacy and mitigating the emergence of resistance. Implementing such programs optimizes patient outcomes by ensuring that individuals receive the most suitable therapeutic interventions. International organizations have a vital role to play in addressing AMR by promoting the responsible use of antimicrobials, developing new drugs, and improving surveillance systems. As AMR's impact grows, it is critical to take a collaborative and interdisciplinary approach to mitigate its consequences effectively.

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“…Beyond disinfection, there are several essential infection prevention methods, such as environmental cleaning, hand hygiene, contact precautions, and active screening. Disinfection offers a universal solution by safeguarding both MDRO carriers and noncarriers [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Radiology Department: A Potential Source of Multidrug-Resistant Microorganisms: A Cross-Sectional Study at Tertiary Hospital, Palestine

Odeh,

Abatli,

Qadi

2023

Canadian Journal of Infectious Diseases and Medical Microbiolog

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Introduction. Globally, healthcare facilities face a great challenge in the form of hospital-acquired infections (HAIs). Aside from the morbidity and mortality they cause, these illnesses are also extremely costly. Research on infection transmission in the medical field has been considerable, but not so much in the radiology department. Aim. This study aims to identify the presence of multidrug-resistant (MDR) microbes on surfaces that are frequently touched in computed tomography (CT), magnetic resonance imaging (MRI), ultrasound (US), plain X-ray examination rooms, and portable radiography that are susceptible to contamination as well as to investigate the potential dangers of contracting MDR organisms to patients and healthcare providers. Materials and Method. In this study, 160 swab samples were collected from the radiology department during May and June 2022. Samples were obtained from 80 predefined surfaces twice within and outside of CT and MRI examination rooms as well as from US and plain X-ray machines and portable X-ray machines. Samples were taken at 7:00 a.m. using cotton swabs following the regular cleaning procedure. Bacterial colony-forming units (CFUs) per square centimeter were calculated after swabbing a 100 cm2 surface. Results. Nearly all of the surfaces tested had bacterial CFUs. The highest contamination rate was found on keyboards ranging from (1.2–8) CFU/cm2, the sides of patient tables (1.2–20) CFU/cm2, knee coil (2.4–3) CFU/cm2, and patient leg supports (1.2–8) CFU/cm2. A noticeable increase in the contamination was noticed in June compared to May, and this was consistent with the increase in the number of isolated patients in the hospital, the workload in the radiology department, and the number of patients referred to the hospital. In our study, none of the examined sites showed contamination with MDR Gram-negative bacteria such as extended-spectrum beta-lactamases producing Enterobacterales (ESPL) or Carbapenemase-producing Enterobacterales (CPE). On the other hand, methicillin-resistant Staphylococcus (MRS), vancomycin-resistant Staphylococcus (VRS), and vancomycin-resistant Enterococcus (VRE) were detected. Conclusion. All of the radiology department equipment and sites could be a source of bacterial infection including MDR, so the obligatory and committed disinfection protocol must be revised and implemented in the morning and between patients.

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Isolation strategy for controlling the spread of multidrug-resistant organisms: Is this still an essential option in hospitals?

Cited by 7 publications

References 20 publications

Evaluating the Effectiveness of Isolation Precautions in Controlling the Spread of Multidrug-Resistant Organisms in Hospitals: A meta-analysis

Evaluating the Effectiveness of Isolation Precautions in Controlling the Spread of Multidrug-Resistant Organisms in Hospitals: A meta-analysis

An Overview of Preventive Strategies and the Role of Various Organizations in Combating Antimicrobial Resistance

Radiology Department: A Potential Source of Multidrug-Resistant Microorganisms: A Cross-Sectional Study at Tertiary Hospital, Palestine

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