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Title

Contact Precautions for Preventing Nosocomial Transmission of Extended-Spectrum β Lactamase-Producing Escherichia coli: A Point/Counterpoint Review

Authors
Tschudin-Sutter, Sarah
Mutters, Nico T
Tacconelli, Evelina
Zahar, Jean Ralph
Published in Clinical Infectious Diseases. 2017, vol. 65, no. 2, p. 342-347
Abstract Contact precautions have been recommended for hospitalized patients colonized or infected with extended-spectrum β-lactamase-producing Escherichia coli (ESBL-EC). Despite such recommendations, a steady, worldwide increase of ESBL-EC has been reported. We discuss arguments in favor of and against contact precautions for ESBL-EC carriers. Healthcare settings with high ESBL-EC colonization pressure, extended hospital stay, and close contact between patients may serve as amplification platforms, further accelerating transmission. However, the evidence base for justifying the implementation of contact precautions for all ESBL-EC carriers remains weak. Until more high-level evidence is available, we support the attitude that hospitals and countries should carefully evaluate their decision on whether to implement contact precautions for ESBL-EC carriers. It is likely that a majority of patients and wards do not need to rely on contact precautions for preventing nosocomial ESBL-EC transmission in nonepidemic settings, without harming patient safety, providing sufficient compliance with standard precautions and ongoing surveillance.
Keywords Esbl-ecESBL-producing Escherichia coliContact precautionsNosocomial transmission
Identifiers
PMID: 28379311
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Article (Published version) (127 Kb) - document accessible for UNIGE members only Limited access to UNIGE
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Research group Groupe Harbarth Stephan (Staphylocoques dorés résistants à la méthicilline) (866)
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TSCHUDIN-SUTTER, Sarah et al. Contact Precautions for Preventing Nosocomial Transmission of Extended-Spectrum β Lactamase-Producing Escherichia coli: A Point/Counterpoint Review. In: Clinical Infectious Diseases, 2017, vol. 65, n° 2, p. 342-347. https://archive-ouverte.unige.ch/unige:99525

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Deposited on : 2017-11-22

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