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Title

Nation-wide survey of screening practices to detect carriers of multi-drug resistant organisms upon admission to Swiss healthcare institutions

Authors
Buetti, Niccolo
Balmelli, Carlo
Widmer, Andreas
Published in Antimicrobial Resistance and Infection Control. 2019, vol. 8, no. 4, 37
Abstract As emergence and spread of multi-drug resistant organisms (MDRO) requires a standardized preventive approach, we aimed to evaluate current MDRO admission screening practices in Swiss hospitals and to identify potential barriers impeding their implementation. In early 2018, all Swiss public and private healthcare institutions providing inpatient care were contacted with a 34-item questionnaire to investigate current MDRO admission screening policies. Among 139 respondents representing 180 institutions (response rate, 79%), 83% (149) of institutions implemented MDRO admission screening, while 28% of private and 9% of public institutions did not perform any screening. Targeted high-risk screening included carbapenemase producers, extended-spectrum beta-lactamase producers and methicillin-resistant Staphylococcus aureus at the institutional level for respectively 78% (115), 81% (118) and 98% (145) of screening institutions. Vancomycin-resistant enterococci (44% of institutions), multi-resistant Acinetobacter baumanii (41%) and Pseudomonas aeruginosa (37%) were systematically searched only by a minority of screening institutions. A large diversity of risk factors for targeted screening and some heterogeneity in body sites screened were also observed. Admission-screening practices were mostly impeded by a difficulty to identify high-risk patients (44%) and non-compliance of healthcare workers (35%). Heterogeneous practices and gaps in small and privately-owned institutions, as well as a mismatch between current epidemiologic MDRO trends and screening practices were noticed. These results highlight the need for uniform national MDRO screening standards.
Keywords Admission screeningCarbapenem-resistantContact isolationCross-infectionEnterobacteriaceaeExtended-spectrum beta-lactamaseInfection prevention and controlMulti-drug resistantSurvey
Identifiers
PMID: 30809380
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Article (Published version) (332 Kb) - public document Free access
Supplemental data (350 Kb) - public document Free access
Supplemental data (349 Kb) - public document Free access
Other version: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6375162/
Structures
Research group Groupe Harbarth Stephan (Staphylocoques dorés résistants à la méthicilline) (866)
Project FNS: 407240_177454
Citation
(ISO format)
MARTISCHANG, Romain et al. Nation-wide survey of screening practices to detect carriers of multi-drug resistant organisms upon admission to Swiss healthcare institutions. In: Antimicrobial Resistance and Infection Control, 2019, vol. 8, n° 4, p. 37. doi: 10.1186/s13756-019-0479-5 https://archive-ouverte.unige.ch/unige:132724

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Deposited on : 2020-03-21

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