A survey on practices for active surveillance of carriage of multidrug-resistant bacteria in hospitals in the Autonomous Community of Valencia, Spain.
Nuria TormoEliseo AlbertEmilio BorrajoMonserrat BosqueJuan José CamarenaVictoria DomínguezEncarnación FuentesIsabel GascónBárbara GomilaNieves GonzaloMarta JiménezOlalla MartínezJosé Miguel NogueiraNieves OrtaJosep PratJuan Carlos RodríguezConcepción GimenoDavide Navarronull nullPublished in: European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology (2018)
A questionnaire-based cross-sectional study was conducted to gather information on current microbiological practices for active surveillance of carriage of multidrug-resistant (MDR) bacteria in hospitals from 14 health departments of the Autonomous Community of Valencia (ACV), Spain, which together provided medical attention to 3,271,077 inhabitants in 2017, approximately 70% of the population of the ACV. The survey consisted of 35 questions on MDR bacteria screening policies, surveillance approach chosen (universal vs. targeted), and microbiological methods and processes in use for routine detection and reporting of colonization by MDR bacteria, including the anatomical sites scheduled to be sampled for each MDR bacterial species, and the methodology employed (culture-based, molecular-based, or both). Our study revealed striking differences across centers, likely attributable to the lack of consensus on optimal protocols for sampling, body sites for screening, and microbiological testing, thus underscoring the need for consensus guidelines on these issues.
Keyphrases
- multidrug resistant
- healthcare
- drug resistant
- gram negative
- acinetobacter baumannii
- public health
- clinical practice
- klebsiella pneumoniae
- mental health
- cross sectional
- escherichia coli
- emergency department
- pseudomonas aeruginosa
- working memory
- cystic fibrosis
- cancer therapy
- drug delivery
- risk assessment
- loop mediated isothermal amplification
- social media
- label free
- health promotion
- electronic health record
- sensitive detection