Präventionsstrategien zur Vermeidung der Übertragung multiresistenter Erreger und praktische Umsetzung in der ambulanten Pflege

Adler, Alexandra; Spegel, H; Wilke, Julianne; Höller, Christiane; Herr, C

doi:10.1055/s-0032-1309014

Cited by 6 publications

(8 citation statements)

References 4 publications

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“… 16 In terms of infection prevention, however, sharing information about MDROs is important for everyone concerned, in order to ensure optimal patient care and employee protection. Similar results regarding risk communication were also obtained by other authors, 17 and these problems were also reported with regard to inpatient geriatric care. 18 …”

Section: Discussionsupporting

confidence: 89%

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

et al. 2018

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ObjectivesHealthcare workers frequently come into contact with infected individuals and are at a greater risk of infection than the general population due to their occupation. Multidrug-resistant organisms (MDROs) also pose a significant challenge for personnel and medical facilities. Currently, little is known about the occupational risk of methicillin-resistant Staphylococcus aureus (MRSA) in outpatient care settings. Therefore, a cross-sectional study was conducted in Hamburg to investigate MRSA colonisation among outpatient nursing staff.MethodsMRSA screening with nasal swabs was carried out, the known risk factors for colonisation were determined and information on infection control was inquired. Where tests were positive, a control swab was taken; if this confirmed a positive result, decolonisation was offered. A molecular biological examination of the MRSA samples was performed. The occupational MRSA exposure and risk factors were compared with the situation for personnel in inpatient geriatric care.ResultsA total of 39 outpatient services participated in the study and 579 employees were tested. The MRSA prevalence was 1.2% in all and 1.7% in nursing staff. Most of the employees that tested positive had close or known contact with MRSA patients. Health personnel frequently reported personal protective measures and their application. Compared with inpatient care staff, outpatient staff were older and had worked in their profession for a longer time.ConclusionThis study marks the first time that data has been made available on the occupational MRSA risk of outpatient care personnel in Hamburg. The MRSA prevalence is low and provides a good basis for describing the MRSA risk of occupational exposure by health personnel in outpatient care.

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Section: Discussionsupporting

confidence: 89%

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

et al. 2018

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“…[ 34 ], 2020 US Survey general Adlers et al. [ 46 ], 2012 Germany Survey general Amuwo et al. [ 64 ], 2011 US Survey Sharps injury/blood exposure prevention Amuwo et al.…”

Section: Resultsmentioning

confidence: 99%

“…Studies also revealed challenges of using a variety of equipment from different providers including patient-procured items (such as, sharps safety devices) [ 39 , 42 ], reliance on third-party delivery of materials, and equipment storage by the patient [ 38 , 43 ]. Provision and financing of equipment and materials: Several studies noticed that costs for IPC materials, such as PPE, were not re-financed, cost coverage was unclear, or dependent on the patient's insurance [ 36 , 38 , 46 ]. Financial constraints further led to the use of unsafe improvised sharps containers by patients [ 44 ], and re-use of disposable materials after cleaning with hand disinfectant [ 43 ].…”

Section: Resultsmentioning

confidence: 99%

“…HHC professionals were found to rely on the varying quality of medical information (e.g. regarding colonisation with multi-drug resistant organisms (MDRO)) being transferred from other stakeholders [ 30 , 36 , 43 , 46 ]. One study described the decision authority on necessary precautions being uncertain, and unsatisfactory if left to physicians [ 46 ].…”

Section: Resultsmentioning

confidence: 99%

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Barriers and facilitators to infection prevention practices in home healthcare: a scoping review and proposed implementation framework

Brockhaus,

Sass,

Labhardt

2024

Infection Prevention in Practice

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“…Key challenges highlighted by participants in this study have been described previously in other high-income countries, most notably including space and cleanliness in the home [ 20 – 23 ], patient priorities [ 21 , 24 ], and inconsistency regarding management of MDRO colonisation [ 21 , 24 ]. When compared to this limited evidence from other high-income countries, it is noticeable that participants in our study largely describe the challenges encountered as manageable rather than overwhelming.…”

Section: Discussionmentioning

confidence: 99%

Infection prevention practice in home healthcare: a mixed-method study in two Swiss home healthcare organisations

Brockhaus,

Lötscher,

Labhardt

2024

BMC Health Serv Res

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Background Infection prevention and control (IPC) research has long neglected the home healthcare sector with its unique challenges. This study aimed to gain an understanding of the barriers to the implementation of infection prevention practices relevant to this setting, the related attitudes, perceived relevance and priorities from the home healthcare worker perspective in Switzerland. Methods The mixed-method study involved semi-structured interviews (n = 18) and an anonymous web-based survey (n = 144) among nursing assistants and nurses from two home healthcare organizations in northwest Switzerland. Questions in both sub-studies focused on perceived challenges to infection prevention practices, perceived relevance, and related attitudes and mitigation strategies. Using an exploratory-sequential design, survey questions were designed to quantify and complement the findings from the interview study. Results Healthcare workers in these two organisations felt adequately protected, trained and supported by their organisations regarding IPC (survey agreement rates > 90%). General challenges to IPC in the home environment most agreed on were lack of cleanliness, lack of space, and the priorities of the patient to be respected (survey agreement rates 85.4%, 77.1%, and 70.8%, respectively). Practices and perceived challenges in the case of colonisation with multi-drug resistant organisms (MDRO) and potentially infectious diarrheal or respiratory illnesses varied highly regarding information transfer, use of protective equipment, and use and disinfection practices of multi-use equipment. Challenges to hand hygiene, sharps safety, waste management and decontamination of equipment did not feature as a prominent concern. Conclusions This study is the first to characterise the implementation of infection prevention practices and the related challenges in home healthcare in Switzerland. Home healthcare workers describe various challenges related to infection prevention practices as largely manageable in their work routine, and generally show satisfaction with the support provided by their organisations regarding IPC precautions. Key findings regarding challenges amenable to interventions include uncertainty and inconsistency regarding the management of MDRO colonisation and acute illnesses, and gaps in information transfer. Those challenges may benefit from both organisational interventions and further research into the level of precautions that are appropriate to the home healthcare setting.

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Präventionsstrategien zur Vermeidung der Übertragung multiresistenter Erreger und praktische Umsetzung in der ambulanten Pflege

Cited by 6 publications

References 4 publications

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

Prevalence and risk factors of MRSA colonisations: a cross-sectional study among personnel in outpatient care settings in Hamburg, Germany

Barriers and facilitators to infection prevention practices in home healthcare: a scoping review and proposed implementation framework

Infection prevention practice in home healthcare: a mixed-method study in two Swiss home healthcare organisations

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