Detection of meticillin-resistant
Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are c...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Skjøt-Arkil, H. [verfasserIn] Mogensen, C.B. [verfasserIn] Lassen, A.T. [verfasserIn] Johansen, I.S. [verfasserIn] Chen, M. [verfasserIn] Petersen, P. [verfasserIn] Andersen, K.V. [verfasserIn] Ellermann-Eriksen, S. [verfasserIn] Møller, J.M. [verfasserIn] Ludwig, M. [verfasserIn] Fuglsang-Damgaard, D. [verfasserIn] Nielsen, F.E. [verfasserIn] Petersen, D.B. [verfasserIn] Jensen, U.S. [verfasserIn] Rosenvinge, F.S. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2019 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: The journal of hospital infection - Kidlington [u.a.] : Elsevier, 1980, 104 |
|---|---|
| Übergeordnetes Werk: |
volume:104 |
| DOI / URN: |
10.1016/j.jhin.2019.08.024 |
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ELV00343124X |
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| 245 | 1 | 0 | |a Detection of meticillin-resistant |
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| 520 | |a Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. | ||
| 650 | 4 | |a MRSA | |
| 650 | 4 | |a CPE | |
| 650 | 4 | |a Screening tool | |
| 650 | 4 | |a Emergency department | |
| 650 | 4 | |a Multi-resistant bacteria | |
| 650 | 4 | |a Isolation | |
| 700 | 1 | |a Mogensen, C.B. |e verfasserin |4 aut | |
| 700 | 1 | |a Lassen, A.T. |e verfasserin |4 aut | |
| 700 | 1 | |a Johansen, I.S. |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, M. |e verfasserin |4 aut | |
| 700 | 1 | |a Petersen, P. |e verfasserin |4 aut | |
| 700 | 1 | |a Andersen, K.V. |e verfasserin |4 aut | |
| 700 | 1 | |a Ellermann-Eriksen, S. |e verfasserin |4 aut | |
| 700 | 1 | |a Møller, J.M. |e verfasserin |4 aut | |
| 700 | 1 | |a Ludwig, M. |e verfasserin |4 aut | |
| 700 | 1 | |a Fuglsang-Damgaard, D. |e verfasserin |4 aut | |
| 700 | 1 | |a Nielsen, F.E. |e verfasserin |4 aut | |
| 700 | 1 | |a Petersen, D.B. |e verfasserin |4 aut | |
| 700 | 1 | |a Jensen, U.S. |e verfasserin |4 aut | |
| 700 | 1 | |a Rosenvinge, F.S. |e verfasserin |4 aut | |
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10.1016/j.jhin.2019.08.024 doi (DE-627)ELV00343124X (ELSEVIER)S0195-6701(19)30359-7 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Skjøt-Arkil, H. verfasserin aut Detection of meticillin-resistant 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. MRSA CPE Screening tool Emergency department Multi-resistant bacteria Isolation Mogensen, C.B. verfasserin aut Lassen, A.T. verfasserin aut Johansen, I.S. verfasserin aut Chen, M. verfasserin aut Petersen, P. verfasserin aut Andersen, K.V. verfasserin aut Ellermann-Eriksen, S. verfasserin aut Møller, J.M. verfasserin aut Ludwig, M. verfasserin aut Fuglsang-Damgaard, D. verfasserin aut Nielsen, F.E. verfasserin aut Petersen, D.B. verfasserin aut Jensen, U.S. verfasserin aut Rosenvinge, F.S. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 104 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:104 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 104 |
| spelling |
10.1016/j.jhin.2019.08.024 doi (DE-627)ELV00343124X (ELSEVIER)S0195-6701(19)30359-7 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Skjøt-Arkil, H. verfasserin aut Detection of meticillin-resistant 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. MRSA CPE Screening tool Emergency department Multi-resistant bacteria Isolation Mogensen, C.B. verfasserin aut Lassen, A.T. verfasserin aut Johansen, I.S. verfasserin aut Chen, M. verfasserin aut Petersen, P. verfasserin aut Andersen, K.V. verfasserin aut Ellermann-Eriksen, S. verfasserin aut Møller, J.M. verfasserin aut Ludwig, M. verfasserin aut Fuglsang-Damgaard, D. verfasserin aut Nielsen, F.E. verfasserin aut Petersen, D.B. verfasserin aut Jensen, U.S. verfasserin aut Rosenvinge, F.S. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 104 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:104 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 104 |
| allfields_unstemmed |
10.1016/j.jhin.2019.08.024 doi (DE-627)ELV00343124X (ELSEVIER)S0195-6701(19)30359-7 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Skjøt-Arkil, H. verfasserin aut Detection of meticillin-resistant 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. MRSA CPE Screening tool Emergency department Multi-resistant bacteria Isolation Mogensen, C.B. verfasserin aut Lassen, A.T. verfasserin aut Johansen, I.S. verfasserin aut Chen, M. verfasserin aut Petersen, P. verfasserin aut Andersen, K.V. verfasserin aut Ellermann-Eriksen, S. verfasserin aut Møller, J.M. verfasserin aut Ludwig, M. verfasserin aut Fuglsang-Damgaard, D. verfasserin aut Nielsen, F.E. verfasserin aut Petersen, D.B. verfasserin aut Jensen, U.S. verfasserin aut Rosenvinge, F.S. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 104 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:104 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 104 |
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10.1016/j.jhin.2019.08.024 doi (DE-627)ELV00343124X (ELSEVIER)S0195-6701(19)30359-7 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Skjøt-Arkil, H. verfasserin aut Detection of meticillin-resistant 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. MRSA CPE Screening tool Emergency department Multi-resistant bacteria Isolation Mogensen, C.B. verfasserin aut Lassen, A.T. verfasserin aut Johansen, I.S. verfasserin aut Chen, M. verfasserin aut Petersen, P. verfasserin aut Andersen, K.V. verfasserin aut Ellermann-Eriksen, S. verfasserin aut Møller, J.M. verfasserin aut Ludwig, M. verfasserin aut Fuglsang-Damgaard, D. verfasserin aut Nielsen, F.E. verfasserin aut Petersen, D.B. verfasserin aut Jensen, U.S. verfasserin aut Rosenvinge, F.S. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 104 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:104 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 104 |
| allfieldsSound |
10.1016/j.jhin.2019.08.024 doi (DE-627)ELV00343124X (ELSEVIER)S0195-6701(19)30359-7 DE-627 ger DE-627 rda eng 610 DE-600 44.17 bkl 44.11 bkl Skjøt-Arkil, H. verfasserin aut Detection of meticillin-resistant 2019 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. MRSA CPE Screening tool Emergency department Multi-resistant bacteria Isolation Mogensen, C.B. verfasserin aut Lassen, A.T. verfasserin aut Johansen, I.S. verfasserin aut Chen, M. verfasserin aut Petersen, P. verfasserin aut Andersen, K.V. verfasserin aut Ellermann-Eriksen, S. verfasserin aut Møller, J.M. verfasserin aut Ludwig, M. verfasserin aut Fuglsang-Damgaard, D. verfasserin aut Nielsen, F.E. verfasserin aut Petersen, D.B. verfasserin aut Jensen, U.S. verfasserin aut Rosenvinge, F.S. verfasserin aut Enthalten in The journal of hospital infection Kidlington [u.a.] : Elsevier, 1980 104 Online-Ressource (DE-627)32041986X (DE-600)2002429-0 (DE-576)104344709 1532-2939 nnns volume:104 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_150 GBV_ILN_151 GBV_ILN_224 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2336 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4313 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4338 GBV_ILN_4393 44.17 Stationäres Gesundheitswesen Krankenhauswesen 44.11 Präventivmedizin AR 104 |
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MRSA CPE Screening tool Emergency department Multi-resistant bacteria Isolation |
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Skjøt-Arkil, H. @@aut@@ Mogensen, C.B. @@aut@@ Lassen, A.T. @@aut@@ Johansen, I.S. @@aut@@ Chen, M. @@aut@@ Petersen, P. @@aut@@ Andersen, K.V. @@aut@@ Ellermann-Eriksen, S. @@aut@@ Møller, J.M. @@aut@@ Ludwig, M. @@aut@@ Fuglsang-Damgaard, D. @@aut@@ Nielsen, F.E. @@aut@@ Petersen, D.B. @@aut@@ Jensen, U.S. @@aut@@ Rosenvinge, F.S. @@aut@@ |
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2019-01-01T00:00:00Z |
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Skjøt-Arkil, H. |
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Skjøt-Arkil, H. ddc 610 bkl 44.17 bkl 44.11 misc MRSA misc CPE misc Screening tool misc Emergency department misc Multi-resistant bacteria misc Isolation Detection of meticillin-resistant |
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610 DE-600 44.17 bkl 44.11 bkl Detection of meticillin-resistant MRSA CPE Screening tool Emergency department Multi-resistant bacteria Isolation |
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ddc 610 bkl 44.17 bkl 44.11 misc MRSA misc CPE misc Screening tool misc Emergency department misc Multi-resistant bacteria misc Isolation |
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Detection of meticillin-resistant |
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Detection of meticillin-resistant |
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Skjøt-Arkil, H. |
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Skjøt-Arkil, H. Mogensen, C.B. Lassen, A.T. Johansen, I.S. Chen, M. Petersen, P. Andersen, K.V. Ellermann-Eriksen, S. Møller, J.M. Ludwig, M. Fuglsang-Damgaard, D. Nielsen, F.E. Petersen, D.B. Jensen, U.S. Rosenvinge, F.S. |
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Skjøt-Arkil, H. |
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10.1016/j.jhin.2019.08.024 |
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detection of meticillin-resistant |
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Detection of meticillin-resistant |
| abstract |
Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. |
| abstractGer |
Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. |
| abstract_unstemmed |
Background: Multi-resistant bacteria (MRB) are an emerging problem. Early identification of patients colonized with MRB is mandatory to avoid in-hospital transmission and to target antibiotic treatment. Since most patients pass through specialized emergency departments (EDs), these departments are crucial in early identification. The Danish National Board of Health (DNBH) has developed exposure-based targeted screening tools to identify and isolate carriers of meticillin-resistant Staphylococcus aureus (MRSA) and carbapenemase-producing Enterobacteriaceae (CPE).Aim: To assess the national screening tools for detection of MRSA and CPE carriage in a cohort of acute patients. The objectives were to investigate: (i) if the colonized patients were detected; and (ii) if the colonized patients were isolated.Methods: This was a multi-centre cross-sectional survey of adults visiting EDs. The patients answered the DNBH questions, and swabs were taken from the nose, throat and rectum. The collected samples were examined for MRSA and CPE. Screening performances were calculated.Findings: Of the 5117 included patients, 16 were colonized with MRSA and four were colonized with CPE. The MRSA screening tool had sensitivity of 50% [95% confidence interval (CI) 25–75%] for carrier detection and 25% (95% CI 7–52%) for carrier isolation. The CPE screening tool had sensitivity of 25% (95% CI 1–81%) and none of the CPE carriers were isolated.Conclusion: The national screening tools were of limited use as the majority of MRSA and CPE carriers passed unidentified through the EDs, and many patients were isolated unnecessarily. |
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Detection of meticillin-resistant |
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Mogensen, C.B. Lassen, A.T. Johansen, I.S. Chen, M. Petersen, P. Andersen, K.V. Ellermann-Eriksen, S. Møller, J.M. Ludwig, M. Fuglsang-Damgaard, D. Nielsen, F.E. Petersen, D.B. Jensen, U.S. Rosenvinge, F.S. |
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7.3993044 |