Control of emerging extensively drug-resistant organisms (eXDRO) in France: a survey among infection preventionists from 286 healthcare facilities

Détails

ID Serval
serval:BIB_89790E8B71BA
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Control of emerging extensively drug-resistant organisms (eXDRO) in France: a survey among infection preventionists from 286 healthcare facilities
Périodique
Eur J Clin Microbiol Infect Dis
Auteur(s)
Lepelletier D., Lucet J. C., Astagneau P., Coignard B., Vaux S., Rabaud C., Grandbastien B., Berthelot P.
ISSN
0934-9723
Statut éditorial
Publié
Date de publication
08/2015
Volume
34
Numéro
8
Pages
1615-20
Langue
anglais
Résumé
We performed a multicenter survey in May-June 2012 to assess strategies in preventing the spread of emerging extensively drug-resistant organisms (eXDRO), including glycopeptide-resistant enterococci and carbapenemase-producing Enterobacteriaceae, in a convenient sample of French healthcare facilities (HCFs). The collected data included organization and measures to: (1) identify patients at risk for carrying eXDRO, (2) investigate and control sporadic cases or outbreaks, and (3) describe prior 2010-2012 episodes with one or more colonized patients. Of the 286 participating HCFs, 163 (57 %) and 134 (47 %) reported having a specific procedure to detect repatriates or patients hospitalized in foreign countries within the last year, respectively. Among the 97 HCFs with prior at-risk patient management experience, contact precautions, hospitalization in a single room, and screening for eXDRO carriage were quasi-systematically performed (n = 92/97, 95 %). The alleged time between admission and alert ranged from 24 to 48 h after the patient’s admission; 203 (71 %) HCFs recommended obtaining three successive negative screening samples to declare a patient free of eXDRO colonization. During the last two years, 64 HCFs (23 %) had to manage at least one eXDRO case, with a total of 20 outbreaks with more than one secondary case. This first national survey shows that French HCFs were not totally ready to control eXDRO spread in 2012. Their previous experiences and capacities in controlling eXDRO outbreaks are quite heterogeneous from one hospital to another. Further researches are needed in order to understand the constraints in applying national guidance.
Mots-clé
*Drug Resistance, Multiple, Bacterial, & control, Bacterial Infections/*diagnosis/*drug therapy/microbiology/prevention & control, Carrier State/diagnosis/drug therapy/microbiology, Communicable Diseases, Emerging/*diagnosis/*drug therapy/microbiology/prevention, Cross Infection/*prevention & control, Disease Transmission, Infectious/prevention & control, France, Health Facilities, Humans, Infection Control/*methods
Création de la notice
18/07/2019 12:48
Dernière modification de la notice
21/08/2019 5:33
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