The Impact of a Single Ward for Cohorting Patients with Infection due to Multidrug-Resistant Organisms

Multidrug-resistant organisms (MDROs) are emerging and disseminating around the globe. The guidelines for the management of MDROs support the use of various interventions to reduce the burden of MDROs. We conducted a study to assess the impact of the creation of a unit for cohorting of patients with...

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Bibliographic Details
Published in:Infection control and hospital epidemiology 2013-08, Vol.34 (8), p.864-865
Main Authors: Stumpfs, Diego Jung, de Souza, Sonia Beatriz Cocaro, Konkewicz, Loriane Rita, Lovatto, Carem Gorniak, da Silva, Cristófer Farias, Teixeira Macedo, Andréia Barcelos, dos Santos, Rodrigo Pires
Format: Article
Language:English
Subjects:
Bacterial Infections - diagnosis
Bacterial Infections - epidemiology
Bacterial Infections - therapy
Biological and medical sciences
Carrier State - diagnosis
Carrier State - epidemiology
Carrier State - microbiology
Cross Infection - microbiology
Cross Infection - prevention & control
Drug Resistance, Multiple, Bacterial
Hand Hygiene
Hospitals - statistics & numerical data
Humans
Incidence
Medical sciences
Miscellaneous
Nursing
Patient Isolation - methods
Public health. Hygiene
Public health. Hygiene-occupational medicine
Research Brief
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Summary:Multidrug-resistant organisms (MDROs) are emerging and disseminating around the globe. The guidelines for the management of MDROs support the use of various interventions to reduce the burden of MDROs. We conducted a study to assess the impact of the creation of a unit for cohorting of patients with infection due to MDROs. Hospital de Clínicas de Porto Alegre, a 795-bed university, public hospital, is located in the city of Porto Alegre in southern Brazil. In a quasi-experimental study, we assessed the impact of the creation of an MDRO unit for patient cohorting on the overall hospital incidence of infection due to MDROs. The 34 beds of the unit were located in 16 rooms for adult MDRO-infected patients and 2 additional rooms for respiratory isolation. Patients were transferred to the unit when they were identified as infected or colonized with MDROs. The unit staff was trained for MDRO-infected patient care; unit staff, patients, and families attended weekly meetings for education about MDROs with a multidisciplinary team (doctors, nurses, pharmacists, and social assistants).
ISSN:0899-823X
1559-6834
DOI:10.1086/671262