Admission screening and cohort care decrease carbapenem resistant enterobacteriaceae in Vietnamese pediatric ICUs

Autor: Dien M. Tran, Ngoc Thi Bich Hoang, D Mucchiano, T N Quốc, Ngai Kien Le, S Modeen, L Lagercrantz, Linus Olson, K Garpvall, D Tk Khu, Sofia Linnros, Mattias Larsson, Håkan Hanberger, T Huong, A Edman, Hai Thanh Le, P H Phuc, V Duong
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Microbiology (medical)
Male
medicine.medical_specialty
Vietnamese
Hospital acquired infections
Carbapenem-resistant enterobacteriaceae
Drug resistance
Infectious and parasitic diseases
RC109-216
Nursing
Intensive Care Units
Pediatric
Cohort care
Carbapenem resistant Enterobacteriaceae
Admission screening
Pediatric and neonatal care
Medical microbiology
Internal medicine
Intensive care
medicine
Prevalence
Humans
Pharmacology (medical)
Prospective Studies
business.industry
Diagnostic Tests
Routine
Research
Omvårdnad
Public Health
Environmental and Occupational Health
Enterobacteriaceae Infections
Infant
Newborn
Infant
Length of Stay
Colonization status
Hospitals
Pediatric
language.human_language
Hospitalization
Infectious Diseases
Carbapenem-Resistant Enterobacteriaceae
Vietnam
Child
Preschool
Cohort
language
Female
business
Zdroj: Antimicrobial Resistance and Infection Control, Vol 10, Iss 1, Pp 1-10 (2021)
Antimicrobial Resistance and Infection Control
Popis: Objectives To assess if admission screening for Carbapenem Resistant Enterobacteriaceae (CRE) and cohort care can reduce CRE acquisition (CRE colonization during hospital stay), Hospital Acquired Infections (HAI), hospital-stay, mortality, and costs in three Intensive Care Units (ICU’s) at the Vietnamese National Children’s Hospital. Method CRE screening using rectal swabs and ChromIDCarbas elective culture at admission and if CRE negative, once weekly. Patients were treated in cohorts based on CRE colonization status. Results CRE colonization at baseline point-prevalence screening was 76.9% (103/134). Of 941 CRE screened at admission, 337 (35.8%) were CREpos. 694 patients met inclusion criteria. The 244 patients CRE negative at admission and screened > 2 times were stratified in 8 similar size groups (periods), based on time of admission. CRE acquisition decreased significant (OR − 3.2, p Conclusion Admission CRE screening and cohort care in pediatric ICU’s significantly decreased CRE acquisition, cases of HAI and duration of hospital-stay.
Databáze: OpenAIRE
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