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Near-patient environmental contamination of an intensive care unit with Vancomycin-resistant Enterococci (VRE) and Extended-Spectrum Beta-Lactamase-Producing Enterobacteriaceae (ESBL-E) before and after the introduction of chlorhexidine bathing for patients.
McDermott, Hélène; Skally, Mairead; O'Rourke, James; Humphreys, Hilary; Fitzgerald-Hughes, Deirdre
<p>This article has been published in a revised form in Infection Control and Hospital Epidemiology. <a href="https://doi.org/10.1017/ice.2018.146" target="_blank">https://doi.org/10.1017/ice.2018.146</a> This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © <em>copyright holder</em>.</p> <p>In the intensive care unit (ICU), prior room contamination by patients with, for example, vancomycin-resistant Enterococci (VRE), and extended-spectrum β-lactamase–producing Enterobacteriaceae (ESBL-E) is predictive for the acquisition of infections. However, while daily chlorhexidine bathing reduces infection rates due to multidrug-resistant pathogens, the effect of this practice on environmental contamination rates are largely unknown. Surveillance of the healthcare environment is usually only conducted in response to outbreaks along with other infection prevention and control (IPC) investigations and interventions. This is largely due to resource constraints, the transient nature of environmental contamination, low yields from environmental screening, and culture delays, all of which preclude rapid decision making based on these results. In an observational study in a 12-bed adult medical/surgical ICU during non-outbreak periods, we assessed the overall bacterial contamination of near-patient surfaces of occupied beds, including VRE and ESBL-E, before and after the introduction of a chlorhexidine bathing protocol.</p>
Keyword(s): Environmental contamination; Intensive care unit; Vancomycin-resistant Enterococci (VRE); Extended-Spectrum Beta-Lactamase–Producing Enterobacteriaceae (ESBL-E); Medicine and Health Sciences
Publication Date:
2018
Type: Journal article
Peer-Reviewed: Yes
Institution: Royal College of Surgeons in Ireland
Citation(s): McDermott H, Skally M, O'Rourke J, Humphreys H, Fitzgerald-Hughes D. Near-patient environmental contamination of an intensive care unit with Vancomycin-resistant Enterococci (VRE) and Extended-Spectrum Beta-Lactamase-Producing Enterobacteriaceae (ESBL-E) before and after the introduction of chlorhexidine bathing for patients. Infection Control and Hospital Epidemiology. 2018;1-2.
Publisher(s): Cambridge University Press
File Format(s): application/pdf
Related Link(s): https://epubs.rcsi.ie/clinmicart/43
First Indexed: 2018-09-05 07:16:47 Last Updated: 2018-09-05 07:16:47