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The Impact of a Single Ward for Cohorting Patients with Infection due to Multidrug-Resistant Organisms

Published online by Cambridge University Press:  02 January 2015

Diego Jung Stumpfs ,
Sonia Beatriz Cocaro de Souza ,
Loriane Rita Konkewicz ,
Carem Gorniak Lovatto ,
Cristófer Farias da Silva ,
Andréia Barcelos Teixeira Macedo  and
Rodrigo Pires dos Santos
Diego Jung Stumpfs
Affiliation:
Infection Control Committee, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Sonia Beatriz Cocaro de Souza
Affiliation:
Multidrug-Resistant Organism-Infected Patient Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Loriane Rita Konkewicz
Affiliation:
Infection Control Committee, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Carem Gorniak Lovatto
Affiliation:
Infection Control Committee, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Cristófer Farias da Silva
Affiliation:
Infection Control Committee, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Andréia Barcelos Teixeira Macedo
Affiliation:
Multidrug-Resistant Organism-Infected Patient Unit, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil
Rodrigo Pires dos Santos*
Affiliation:
Infection Control Committee, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil Fundaçao Universitária de Cardiologia do Rio Grande do Sul, Porto Alegre, Brazil
*
2350, CEP: 90035-903, Porto Alegre-RS, Brazil (rpsrodrigo@gmail.com)
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Extract

Multidrug-resistant organisms (MDROs) are emerging and disseminating around the globe. The guidelines for the management of MDROs support the use of various interventions to reduce the burden of MDROs. We conducted a study to assess the impact of the creation of a unit for cohorting of patients with infection due to MDROs.

Hospital de Clínicas de Porto Alegre, a 795-bed university, public hospital, is located in the city of Porto Alegre in southern Brazil. In a quasi-experimental study, we assessed the impact of the creation of an MDRO unit for patient cohorting on the overall hospital incidence of infection due to MDROs.

The 34 beds of the unit were located in 16 rooms for adult MDRO-infected patients and 2 additional rooms for respiratory isolation. Patients were transferred to the unit when they were identified as infected or colonized with MDROs. The unit staff was trained for MDRO-infected patient care; unit staff, patients, and families attended weekly meetings for education about MDROs with a multidisciplinary team (doctors, nurses, pharmacists, and social assistants).

Type
Research Briefs
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 8 , August 2013 , pp. 864 - 865
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Pitout, JD, Laupland, KB. Extended-spectrum 0-lactamase-pro-ducing Enterobacteriaceae: an emerging public-health concern. Lancet Infect Dis 2008;8:159–166.CrossRefGoogle ScholarPubMed
2.Gupta, N, Limbago, BM, Patel, JB, Kallen, AJ. Carbapenem-resistant Enterobacteriaceae: epidemiology and prevention. Clin Infect Dis 2011;53:60–67.Google Scholar
3.Siegel, JD, Rhinehart, E, Jackson, M, Chiarello, L; Healthcare Infection Control Management of multidrug-resistant organisms in health care settings, 2006. Am J Infect Control 2007;35(suppl 2):S165–S193.Google Scholar
4.Shardell, M, Harris, AD, El-Kamary, SS, Furano, JP, Miller, RR, Perencevich, EN. Statistical analysis and application of quasi experiments to antimicrobial resistance intervention studies. Clin Infect Dis 2007;45:901–907.Google Scholar
5.Jochimsen, EM, Fish, L, Manning, K, et al.Control of vancomycin-resistant enterococci at a community hospital: efficacy of patient and staff cohorting. Infect Control Hosp Epidemiol 1999; 20:106–109.Google Scholar
6.Tschudin-Sutter, S, Frei, R, Dangel, M, Stranden, A, Widmer, ARRate of transmission of extended-spectrum β-lactamase-producing Enterobacteriaceae without contact isolation. Clin Infect Dis 2012;55:1505–1511.Google Scholar
7.D'Agata, EM, Horn, MA, Ruan, S, Webb, GF, Wares, JR. Efficacy of infection control interventions in reducing the spread of multidrug-resistant organisms in the hospital Setting. PLoS One 2012;7:e30170.Google Scholar
8.Abad, C, Fearday, A, Safdar, N. Adverse effects of isolation in hospitalized patients: a systematic review. J Hosp Infect 2010; 76: 97–102.Google Scholar
9.Morgan, DJ, Pineles, L, Shardell, M, et al.The effect of contact precautions on healthcare worker activity in acute care hospitals. Infect Control Hosp Epidemiol 2013;34:69–73.Google Scholar
10.Stelfox, HT, Bates, DW, Redelmeier, DA. Safety of patients isolated for infection control. JAMA 2003;290:1899–1905.CrossRefGoogle ScholarPubMed