Infection prevention and control policies in hospitals and prevalence of highly resistant microorganisms: an international comparative study

Manon D. van Dijk, Anne F. Voor in ’t holt, ESCMID Study Group for Nosocomial Infections (ESGNI), Emine Alp, Markus Hell, Nicola Petrosillo, Elisabeth Presterl, Athanasios Tsakris, Juliëtte A. Severin*, Margreet C. Vos

*Corresponding author for this work

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Abstract

Background: There are differences in infection prevention and control (IPC) policies to prevent transmission of highly resistant microorganisms (HRMO). The aim of this study is to give an overview of the IPC policy of six European hospitals and their HRMO prevalence, to compare the IPC policies of these hospitals with international guidelines, and to investigate the hospitals’ adherence to their own IPC policy. Methods: The participating hospitals were located in Salzburg (Austria), Vienna (Austria), Kayseri (Turkey), Piraeus (Greece), Rome (Italy) and Rotterdam (The Netherlands). Data were collected via an online survey. Questions were aimed at prevalence rates in the years 2014, 2015, 2016 of carbapenemase-producing Klebsiella pneumoniae (CPK), carbapenemase-producing Pseudomonas aeruginosa (CPPA), vancomycin-resistant Enterococcus faecium (VRE) and hospitals’ IPC policies of 2017. Implemented IPC measures (i.e. with a self-reported adherence of > 90%) were counted (26 points maximal). Results: The self-reported prevalence of CPK per year was low in the Austrian and Dutch hospitals and high in the Turkish and Greek hospitals. CPPA was highly prevalent in the Turkish hospital only, while the prevalence of VRE in four hospitals, except the Austrian hospitals which reported lower prevalence numbers, was more evenly distributed. The Dutch hospital had implemented the most IPC measures (n = 21), the Turkish and Greek hospitals the least (n = 14 and 7, respectively). Conclusion: Hospitals with the highest self-reported prevalence of CPK and CPPA reported the least implemented IPC measures. Also, hospitals with a higher prevalence often reported a lower adherence to own IPC policy.

Original languageEnglish
Article number152
JournalAntimicrobial Resistance and Infection Control
Volume11
Issue number1
DOIs
Publication statusPublished - 6 Dec 2022

Bibliographical note

Funding
This study was funded by a grant provided by the Erasmus MC University
Medical Centre, The Netherlands (grant no. 2015–15209).

Publisher Copyright: © 2022, The Author(s).

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