Nation-wide survey of screening practices to detect carriers of multi-drug resistant organisms upon admission to Swiss healthcare institutions

Antimicrobial Resistance and Infection Control
Romain MartischangStephan Harbarth

Abstract

As emergence and spread of multi-drug resistant organisms (MDRO) requires a standardized preventive approach, we aimed to evaluate current MDRO admission screening practices in Swiss hospitals and to identify potential barriers impeding their implementation. In early 2018, all Swiss public and private healthcare institutions providing inpatient care were contacted with a 34-item questionnaire to investigate current MDRO admission screening policies. Among 139 respondents representing 180 institutions (response rate, 79%), 83% (149) of institutions implemented MDRO admission screening, while 28% of private and 9% of public institutions did not perform any screening. Targeted high-risk screening included carbapenemase producers, extended-spectrum beta-lactamase producers and methicillin-resistant Staphylococcus aureus at the institutional level for respectively 78% (115), 81% (118) and 98% (145) of screening institutions. Vancomycin-resistant enterococci (44% of institutions), multi-resistant Acinetobacter baumanii (41%) and Pseudomonas aeruginosa (37%) were systematically searched only by a minority of screening institutions. A large diversity of risk factors for targeted screening and some heterogeneity in body sites screened w...Continue Reading

References

May 24, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Giorgio ZanettiMette M Berger
Mar 31, 2010·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Gonzalo BearmanMichael B Edmond
Jul 8, 2018·American Journal of Infection Control·Zoé CoppéréMichel Djibré
Jul 25, 2018·Antimicrobial Resistance and Infection Control·Philipp KohlerAndreas Kronenberg

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Citations

Sep 23, 2020·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Swetha RamanathanUNKNOWN QUERI CARRIAGE Program
Sep 5, 2020·Euro Surveillance : Bulletin Européen Sur Les Maladies Transmissibles = European Communicable Disease Bulletin·Vanja PiezziUNKNOWN National Centre for Infection Control (Swissnoso)
Nov 23, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·André NohlAlexander Wegner

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