Highly drug-resistant bacteria: Is intra- and inter-hospital communication optimal? |
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Authors: | R. Hue C. Coroller-Bec V. Guilloteau B. Libeau G. Birgand |
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Affiliation: | 1. Équipe opérationnelle d’hygiène, structure locale d’appui et d’expertise ECLIN, centre hospitalier Loire Vendée Océan, 85300 Challans, France;2. Équipe opérationnelle d’hygiène, structure locale d’appui et d’expertise LUTIN, centre hospitalier du Mans, 72037 Le Mans, France;3. Équipe opérationnelle d’hygiène, hôpital de la Corniche Angevine, 49290 Chalonnes, France;4. Équipe opérationnelle d’hygiène, structure locale d’appui et d’expertise COLINES, centre hospitalier de Saint-Nazaire, 44600 Saint-Nazaire, France;5. Centre d’appui à la prévention des infections associées aux soins des Pays de la Loire, CHU – Le Tourville, 5, rue Pr-Yves-Boquien, 44093 Nantes, France.;6. NIHR Health Protection Research Unit, Antimicrobial Resistance and Healthcare Associated Infection at Imperial College London, Hammersmith Campus, W12 0NN London, UK |
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Abstract: | ObjectivesCommunication represents a key component of the control of highly drug-resistant bacteria (HDRB) in healthcare settings. This survey assessed communication strategies developed and adopted in a large hospital network.MethodsAn online survey was sent to 83 infection control specialists working in hospitals of the Pays de la Loire region, France, in June 2016. Internal and external systems of identification and communication of HDRB status (colonized and contact patients) were assessed at the following steps of the hospital pathway: patient admission, during the stay, at discharge, and at readmission.ResultsSixty-one hospitals (73%) participated in the survey: 31 (51%) had recently managed colonized patients and 51 (93%) had recently managed contact patients. At patient admission, 28 (46%) hospitals had an identification system for repatriated patients. During hospital stay, the colonized or contact status was informed in computerized patient records for 47/57 (82%) and 43 (75%) hospitals, respectively. At patient discharge, 56/61 (92%) hospitals declared transmitting the HDRB status to the downstream ward. Twenty-six and 25/60 (43% and 42%) hospitals had an automated alert system at readmission of colonized or contact patients, respectively. This strategy met the expectations of 15/61 (26%) infection control specialists.ConclusionEfforts are still required in terms of communication for HDRB control. Sharing experiences and tools developed by hospitals may be beneficial for the entire hospital network. |
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Keywords: | Corresponding author at: Centre d’appui à la prévention des infections associées aux soins des Pays de la Loire, CHU – Le Tourville, 5, rue Pr-Yves-Boquien, 44093 Nantes, France. Highly drug-resistant bacteria Carbapenemase-producing Enterobacteriaceae Glycopeptide-resistant enterococci Prevention Infection control Bactéries hautement résistantes Entérobactéries productrices de carbapénémase Entérocoques résistants aux glycopeptides Prévention Hygiène hospitalière |
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