Infection prevention and control practices related to carbapenemase-producing Enterobacteriaceae (CPE) in acute-care hospitals in Ontario, Canada
| Autor: | Jennie Johnstone, Matthew P. Muller, Felipe Garcia-Jeldes, Sergio Borgia, Mahin Baqi, Kevin Katz, Allison McGeer, Philipp Kohler, Alainna J Jamal |
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| Rok vydání: | 2019 |
| Předmět: |
Microbiology (medical)
medicine.medical_specialty Carbapenemase-Producing Enterobacteriaceae Epidemiology Cross-sectional study Population Carbapenem-resistant enterobacteriaceae 030501 epidemiology Disease Outbreaks 03 medical and health sciences Surveys and Questionnaires Acute care Humans Medicine Infection control Practice Patterns Physicians' education Ontario Infection Control 0303 health sciences education.field_of_study 030306 microbiology business.industry Enterobacteriaceae Infections Outbreak Hospitals Carbapenem-Resistant Enterobacteriaceae Cross-Sectional Studies Infectious Diseases Emergency medicine 0305 other medical science business Ontario canada |
| Zdroj: | Infection Control & Hospital Epidemiology. 40:1006-1012 |
| ISSN: | 1559-6834 0899-823X |
| DOI: | 10.1017/ice.2019.173 |
| Popis: | Objective:To determine infection prevention and control (IPAC) practices for carbapenemase-producing Enterobacteriaceae (CPE), an emerging threat, at acute-care hospitals in Ontario, Canada.Design:A descriptive cross-sectional survey.Methods:We surveyed IPAC directors and managers at all acute-care hospitals in Ontario, Canada, to gather information on IPAC practices related to CPE, including admission screening, other patient screening, environmental testing, use of precautions to prevent transmission, and outbreak management.Results:Of 116 acute-care hospitals, 105 (91%) responded. Admission screening included patients previously colonized or infected with CPE (n = 64, 61%), patients recently hospitalized outside of Canada (Indian subcontinent, n = 62, 59%; other countries, n = 56, 53%), and patients recently hospitalized in Canada (n = 22, 21%). Fifty-one hospitals (49%) screened patients for colonization during an outbreak. Almost all hospitals (n = 101, 96%) used precautions to prevent transmission from patients with CPE colonization or infection; most hospitals (n = 54, 53%) continued precautions indefinitely. Few hospitals (n = 19, 18%) performed environmental cultures. Eight hospitals (8%) reported at least 1 outbreak, and 6 hospitals (6%) reported transmission from sink or shower drains to patients.Conclusions:Variability in practices may result from lack of evidence and challenges in updating guidelines as evidence emerges. A coordinated approach to slow the emergence of CPE should be considered in our population. |
| Databáze: | OpenAIRE |
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