Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit

<p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p< Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Cheng Vincent CC [verfasserIn] Tai Josepha WM [verfasserIn] Chan WM [verfasserIn] Lau Eric HY [verfasserIn] Chan Jasper FW [verfasserIn] To Kelvin KW [verfasserIn] Li Iris WS [verfasserIn] Ho PL [verfasserIn] Yuen KY [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2010

Übergeordnetes Werk:	In: BMC Infectious Diseases - BMC, 2003, 10(2010), 1, p 263
Übergeordnetes Werk:	volume:10 ; year:2010 ; number:1, p 263

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/1471-2334-10-263

Katalog-ID:	DOAJ023913045

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520			\|a <p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p<
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author_variant	c v c cvc t j w tjw c w cw l e h leh c j f cjf t k k tkk l i w liw h p hp y k yk
matchkey_str	article:14712334:2010----::eunilnrdcinfigeomsltoadadyincmagiteotoomtiilneitnisa
hierarchy_sort_str	2010
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publishDate	2010
allfields	10.1186/1471-2334-10-263 doi (DE-627)DOAJ023913045 (DE-599)DOAJ2da1498b58b549bfa0f4b8026094c6d0 DE-627 ger DE-627 rakwb eng RC109-216 Cheng Vincent CC verfasserin aut Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p< Infectious and parasitic diseases Tai Josepha WM verfasserin aut Chan WM verfasserin aut Lau Eric HY verfasserin aut Chan Jasper FW verfasserin aut To Kelvin KW verfasserin aut Li Iris WS verfasserin aut Ho PL verfasserin aut Yuen KY verfasserin aut In BMC Infectious Diseases BMC, 2003 10(2010), 1, p 263 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:10 year:2010 number:1, p 263 https://doi.org/10.1186/1471-2334-10-263 kostenfrei https://doaj.org/article/2da1498b58b549bfa0f4b8026094c6d0 kostenfrei http://www.biomedcentral.com/1471-2334/10/263 kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1, p 263
spelling	10.1186/1471-2334-10-263 doi (DE-627)DOAJ023913045 (DE-599)DOAJ2da1498b58b549bfa0f4b8026094c6d0 DE-627 ger DE-627 rakwb eng RC109-216 Cheng Vincent CC verfasserin aut Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p< Infectious and parasitic diseases Tai Josepha WM verfasserin aut Chan WM verfasserin aut Lau Eric HY verfasserin aut Chan Jasper FW verfasserin aut To Kelvin KW verfasserin aut Li Iris WS verfasserin aut Ho PL verfasserin aut Yuen KY verfasserin aut In BMC Infectious Diseases BMC, 2003 10(2010), 1, p 263 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:10 year:2010 number:1, p 263 https://doi.org/10.1186/1471-2334-10-263 kostenfrei https://doaj.org/article/2da1498b58b549bfa0f4b8026094c6d0 kostenfrei http://www.biomedcentral.com/1471-2334/10/263 kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1, p 263
allfields_unstemmed	10.1186/1471-2334-10-263 doi (DE-627)DOAJ023913045 (DE-599)DOAJ2da1498b58b549bfa0f4b8026094c6d0 DE-627 ger DE-627 rakwb eng RC109-216 Cheng Vincent CC verfasserin aut Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p< Infectious and parasitic diseases Tai Josepha WM verfasserin aut Chan WM verfasserin aut Lau Eric HY verfasserin aut Chan Jasper FW verfasserin aut To Kelvin KW verfasserin aut Li Iris WS verfasserin aut Ho PL verfasserin aut Yuen KY verfasserin aut In BMC Infectious Diseases BMC, 2003 10(2010), 1, p 263 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:10 year:2010 number:1, p 263 https://doi.org/10.1186/1471-2334-10-263 kostenfrei https://doaj.org/article/2da1498b58b549bfa0f4b8026094c6d0 kostenfrei http://www.biomedcentral.com/1471-2334/10/263 kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1, p 263
allfieldsGer	10.1186/1471-2334-10-263 doi (DE-627)DOAJ023913045 (DE-599)DOAJ2da1498b58b549bfa0f4b8026094c6d0 DE-627 ger DE-627 rakwb eng RC109-216 Cheng Vincent CC verfasserin aut Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p< Infectious and parasitic diseases Tai Josepha WM verfasserin aut Chan WM verfasserin aut Lau Eric HY verfasserin aut Chan Jasper FW verfasserin aut To Kelvin KW verfasserin aut Li Iris WS verfasserin aut Ho PL verfasserin aut Yuen KY verfasserin aut In BMC Infectious Diseases BMC, 2003 10(2010), 1, p 263 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:10 year:2010 number:1, p 263 https://doi.org/10.1186/1471-2334-10-263 kostenfrei https://doaj.org/article/2da1498b58b549bfa0f4b8026094c6d0 kostenfrei http://www.biomedcentral.com/1471-2334/10/263 kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1, p 263
allfieldsSound	10.1186/1471-2334-10-263 doi (DE-627)DOAJ023913045 (DE-599)DOAJ2da1498b58b549bfa0f4b8026094c6d0 DE-627 ger DE-627 rakwb eng RC109-216 Cheng Vincent CC verfasserin aut Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit 2010 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier <p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p< Infectious and parasitic diseases Tai Josepha WM verfasserin aut Chan WM verfasserin aut Lau Eric HY verfasserin aut Chan Jasper FW verfasserin aut To Kelvin KW verfasserin aut Li Iris WS verfasserin aut Ho PL verfasserin aut Yuen KY verfasserin aut In BMC Infectious Diseases BMC, 2003 10(2010), 1, p 263 (DE-627)326645381 (DE-600)2041550-3 14712334 nnns volume:10 year:2010 number:1, p 263 https://doi.org/10.1186/1471-2334-10-263 kostenfrei https://doaj.org/article/2da1498b58b549bfa0f4b8026094c6d0 kostenfrei http://www.biomedcentral.com/1471-2334/10/263 kostenfrei https://doaj.org/toc/1471-2334 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 10 2010 1, p 263
language	English
source	In BMC Infectious Diseases 10(2010), 1, p 263 volume:10 year:2010 number:1, p 263
sourceStr	In BMC Infectious Diseases 10(2010), 1, p 263 volume:10 year:2010 number:1, p 263
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Infectious and parasitic diseases
isfreeaccess_bool	true
container_title	BMC Infectious Diseases
authorswithroles_txt_mv	Cheng Vincent CC @@aut@@ Tai Josepha WM @@aut@@ Chan WM @@aut@@ Lau Eric HY @@aut@@ Chan Jasper FW @@aut@@ To Kelvin KW @@aut@@ Li Iris WS @@aut@@ Ho PL @@aut@@ Yuen KY @@aut@@
publishDateDaySort_date	2010-01-01T00:00:00Z
hierarchy_top_id	326645381
id	DOAJ023913045
language_de	englisch
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The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. 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callnumber-first	R - Medicine
author	Cheng Vincent CC
spellingShingle	Cheng Vincent CC misc RC109-216 misc Infectious and parasitic diseases Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit
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topic_title	RC109-216 Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit
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title	Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit
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title_full	Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit
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author_browse	Cheng Vincent CC Tai Josepha WM Chan WM Lau Eric HY Chan Jasper FW To Kelvin KW Li Iris WS Ho PL Yuen KY
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title_sort	sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<staphylococcus aureus </it<in intensive care unit
callnumber	RC109-216
title_auth	Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit
abstract	<p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p<
abstractGer	<p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p<
abstract_unstemmed	<p<Abstract</p< <p<Background</p< <p<After renovation of the adult intensive care unit (ICU) with installation of ten single rooms, an enhanced infection control program was conducted to control the spread of methicillin-resistant <it<Staphylococcus aureus </it<(MRSA) in our hospital.</p< <p<Methods</p< <p<Since the ICU renovation, all patients colonized or infected with MRSA were nursed in single rooms with contact precautions. The incidence of MRSA infection in the ICU was monitored during 3 different phases: the baseline period (phase 1); after ICU renovation (phase 2) and after implementation of a hand hygiene campaign with alcohol-based hand rub (phase 3). Patients infected with extended spectrum beta-lactamase (ESBL)-producing <it<Escherichia coli </it<and <it<Klebsiella species </it<were chosen as controls because they were managed in open cubicles with standard precautions.</p< <p<Results</p< <p<Without a major change in bed occupancy rate, nursing workforce, or the protocol of environmental cleansing throughout the study period, a stepwise reduction in ICU onset nonbacteraemic MRSA infection was observed: from 3.54 (phase 1) to 2.26 (phase 2, p = 0.042) and 1.02 (phase 3, p = 0.006) per 1000-patient-days. ICU onset bacteraemic MRSA infection was significantly reduced from 1.94 (phase 1) to 0.9 (phase 2, p = 0.005) and 0.28 (phase 3, p = 0.021) per 1000-patient-days. Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. However compliance with infection control measures relies largely on a personal commitment, which may increase when personal safety is threatened.</p<
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title_short	Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit
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Infection due to ESBL-producing organisms did not show a corresponding reduction. The usage density of broad-spectrum antibiotics and fluoroquinolones increased from phase 1 to 3. However a significant trend improvement of ICU onset MRSA infection by segmented regression analysis can only be demonstrated when comparison was made before and after the severe acute respiratory syndrome (SARS) epidemic. This suggests that the deaths of fellow healthcare workers from an occupational acquired infection had an overwhelming effect on their compliance with infection control measures.</p< <p<Conclusion</p< <p<Provision of single room isolation facilities and promotion of hand hygiene practice are important. 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Sequential introduction of single room isolation and hand hygiene campaign in the control of methicillin-resistant <it<Staphylococcus aureus </it<in intensive care unit

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