Workload associated with mrsa control in surgery: a prospective study alongside a controlled clinical trial
Identifieur interne : 001150 ( Pmc/Corpus ); précédent : 001149; suivant : 001151Workload associated with mrsa control in surgery: a prospective study alongside a controlled clinical trial
Auteurs : S. Bahrami ; As Lee ; S. Harbarth ; S. Malhotra-Kumar ; C. Brun-Buisson ; I. Durand-ZaleskiSource :
- Antimicrobial Resistance and Infection Control [ 2047-2994 ] ; 2015.
Url:
DOI: 10.1186/2047-2994-4-S1-P188
PubMed: NONE
PubMed Central: 4475084
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Workload associated with mrsa control in surgery: a prospective study alongside a controlled clinical trial</title><author><name sortKey="Bahrami, S" sort="Bahrami, S" uniqKey="Bahrami S" first="S" last="Bahrami">S. Bahrami</name><affiliation><nlm:aff id="I1">AP-HP, Paris, France</nlm:aff></affiliation></author><author><name sortKey="Lee, As" sort="Lee, As" uniqKey="Lee A" first="As" last="Lee">As Lee</name><affiliation><nlm:aff id="I2">Royal Prince Alfred Hospital, Sydney, Australia</nlm:aff></affiliation></author><author><name sortKey="Harbarth, S" sort="Harbarth, S" uniqKey="Harbarth S" first="S" last="Harbarth">S. Harbarth</name><affiliation><nlm:aff id="I3">University of Geneva Hospitals, Switzerland</nlm:aff></affiliation></author><author><name sortKey="Malhotra Kumar, S" sort="Malhotra Kumar, S" uniqKey="Malhotra Kumar S" first="S" last="Malhotra-Kumar">S. Malhotra-Kumar</name><affiliation><nlm:aff id="I4">University of Antwerp, Belgium</nlm:aff></affiliation></author><author><name sortKey="Brun Buisson, C" sort="Brun Buisson, C" uniqKey="Brun Buisson C" first="C" last="Brun-Buisson">C. Brun-Buisson</name><affiliation><nlm:aff id="I5">Inserm U657, Paris, France</nlm:aff></affiliation></author><author><name sortKey="Durand Zaleski, I" sort="Durand Zaleski, I" uniqKey="Durand Zaleski I" first="I" last="Durand-Zaleski">I. Durand-Zaleski</name><affiliation><nlm:aff id="I1">AP-HP, Paris, France</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmc">4475084</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4475084</idno><idno type="RBID">PMC:4475084</idno><idno type="doi">10.1186/2047-2994-4-S1-P188</idno><idno type="pmid">NONE</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">001150</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001150</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Workload associated with mrsa control in surgery: a prospective study alongside a controlled clinical trial</title><author><name sortKey="Bahrami, S" sort="Bahrami, S" uniqKey="Bahrami S" first="S" last="Bahrami">S. Bahrami</name><affiliation><nlm:aff id="I1">AP-HP, Paris, France</nlm:aff></affiliation></author><author><name sortKey="Lee, As" sort="Lee, As" uniqKey="Lee A" first="As" last="Lee">As Lee</name><affiliation><nlm:aff id="I2">Royal Prince Alfred Hospital, Sydney, Australia</nlm:aff></affiliation></author><author><name sortKey="Harbarth, S" sort="Harbarth, S" uniqKey="Harbarth S" first="S" last="Harbarth">S. Harbarth</name><affiliation><nlm:aff id="I3">University of Geneva Hospitals, Switzerland</nlm:aff></affiliation></author><author><name sortKey="Malhotra Kumar, S" sort="Malhotra Kumar, S" uniqKey="Malhotra Kumar S" first="S" last="Malhotra-Kumar">S. Malhotra-Kumar</name><affiliation><nlm:aff id="I4">University of Antwerp, Belgium</nlm:aff></affiliation></author><author><name sortKey="Brun Buisson, C" sort="Brun Buisson, C" uniqKey="Brun Buisson C" first="C" last="Brun-Buisson">C. Brun-Buisson</name><affiliation><nlm:aff id="I5">Inserm U657, Paris, France</nlm:aff></affiliation></author><author><name sortKey="Durand Zaleski, I" sort="Durand Zaleski, I" uniqKey="Durand Zaleski I" first="I" last="Durand-Zaleski">I. Durand-Zaleski</name><affiliation><nlm:aff id="I1">AP-HP, Paris, France</nlm:aff></affiliation></author></analytic><series><title level="j">Antimicrobial Resistance and Infection Control</title><idno type="eISSN">2047-2994</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lee, As" uniqKey="Lee A">AS Lee</name></author><author><name sortKey="Cooper, Bs" uniqKey="Cooper B">BS Cooper</name></author><author><name sortKey="Malhotra Kumar, S" uniqKey="Malhotra Kumar S">S Malhotra-Kumar</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="abstract" xml:lang="en"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Antimicrob Resist Infect Control</journal-id><journal-id journal-id-type="iso-abbrev">Antimicrob Resist Infect Control</journal-id><journal-title-group><journal-title>Antimicrobial Resistance and Infection Control</journal-title></journal-title-group><issn pub-type="epub">2047-2994</issn><publisher><publisher-name>BioMed Central</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmc">4475084</article-id><article-id pub-id-type="publisher-id">2047-2994-4-S1-P188</article-id><article-id pub-id-type="doi">10.1186/2047-2994-4-S1-P188</article-id><article-categories><subj-group subj-group-type="heading"><subject>Poster Presentation</subject></subj-group></article-categories><title-group><article-title>Workload associated with mrsa control in surgery: a prospective study alongside a controlled clinical trial</article-title></title-group><contrib-group><contrib contrib-type="author" corresp="yes" id="A1"><name><surname>Bahrami</surname><given-names>S</given-names></name><xref ref-type="aff" rid="I1">1</xref></contrib><contrib contrib-type="author" id="A2"><name><surname>Lee</surname><given-names>AS</given-names></name><xref ref-type="aff" rid="I2">2</xref></contrib><contrib contrib-type="author" id="A3"><name><surname>Harbarth</surname><given-names>S</given-names></name><xref ref-type="aff" rid="I3">3</xref></contrib><contrib contrib-type="author" id="A4"><name><surname>Malhotra-Kumar</surname><given-names>S</given-names></name><xref ref-type="aff" rid="I4">4</xref></contrib><contrib contrib-type="author" id="A5"><name><surname>Brun-Buisson</surname><given-names>C</given-names></name><xref ref-type="aff" rid="I5">5</xref></contrib><contrib contrib-type="author" id="A6"><name><surname>Durand-Zaleski</surname><given-names>I</given-names></name><xref ref-type="aff" rid="I1">1</xref></contrib><contrib contrib-type="author" id="A7"><collab>MOSAR WP9 and WP4 working groups</collab></contrib></contrib-group><aff id="I1"><label>1</label>AP-HP, Paris, France</aff><aff id="I2"><label>2</label>Royal Prince Alfred Hospital, Sydney, Australia</aff><aff id="I3"><label>3</label>University of Geneva Hospitals, Switzerland</aff><aff id="I4"><label>4</label>University of Antwerp, Belgium</aff><aff id="I5"><label>5</label>Inserm U657, Paris, France</aff><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>16</day><month>6</month><year>2015</year></pub-date><volume>4</volume><issue>Suppl 1</issue><supplement><named-content content-type="supplement-title">Antimicrobial Resistance and Infection Control: Abstracts from the 3rd International Conference on Prevention and Infection Control (ICPIC 2015)</named-content><named-content content-type="supplement-editor">Didier Pittet, Stephen Harbarth and Andreas Voss</named-content><named-content content-type="supplement-sponsor">Publication of this supplement has been funded by the International Consortium for Prevention and Infection Control (ICPIC). The Supplement Editors declare that they have no competing interests.</named-content></supplement><fpage>P188</fpage><lpage>P188</lpage><permissions><copyright-statement>Copyright © 2015 Bahrami et al; licensee BioMed Central Ltd.</copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Bahrami et al; licensee BioMed Central Ltd.</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><self-uri xlink:href="http://www.aricjournal.com/content/4/S1/P188"></self-uri><conference><conf-date>16-19 June 2015</conf-date><conf-name>3rd International Conference on Prevention and Infection Control (ICPIC 2015)</conf-name><conf-loc>Geneva, Switzerland</conf-loc></conference></article-meta></front><body><sec sec-type="intro"><title>Introduction</title><p>Controversies regarding control of endemic methicillin-resistant <italic>Staphylococcus aureus</italic> (MRSA) stem in part from the paucity of data available on the actual costs of implementing MRSA control strategies.</p></sec><sec><title>Objectives</title><p>To estimate the workloads associated with screening and hand hygiene (HH) promotion interventions for MRSA control.</p></sec><sec sec-type="methods"><title>Methods</title><p>Prospective evaluation of costs associated with MRSA control interventions, alongside the MOSAR–Surgery multicenter intervention trial [<xref ref-type="bibr" rid="B1">1</xref>], emphasizing the workloads associated with interventions. Interventions under study were (1) universal MRSA screening with contact precautions and decolonization (4 hospitals) and (2) enhanced HH promotion (4 hospitals); 2 hospitals implemented a combined strategy using targeted MRSA screening.</p><p>Workloads were estimated from a hospital perspective, using a top-down approach, distinguishing infection control (IC) and ward staff duties, set-up and routine activities, and excluding research-driven tasks.</p></sec><sec sec-type="results"><title>Results</title><p>In the screening arm (13 wards; mean, 27.8 ± 10.4 beds), set-up required 2.6 ± 0.58 weeks of work from the IC team, and the mean annual workload was 20.5 weeks or 8.62 ± 4.39 weeks for a 10-bed ward. In the HH promotion arm (13 wards, 87.8 ± 79.5 beds), set-up required 2.77 ± 1.13 weeks, and mean annual workload was 12.1 weeks (3.29 ± 3.72 per 10 beds). In the combined arm (7 wards, 44.9 ± 24.6 beds), set-up required 7.0 ± 1.93 weeks, and mean annual workload was 23.7 weeks (5.94 ± 1.84 weeks per 10 beds). The burden on ward staff was relatively limited in most wards.</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>Workload associated with the MRSA screening strategy is relatively homogenous and predictable. Investment in the HH promotion strategy showed large variations between centers and was maximal for the successful combined intervention. Further research is needed on the optimal implementation of HH promotion interventions.</p></sec><sec><title>Disclosure of interest</title><p>S. Bahrami: None declared, A. Lee: None declared, S. Harbarth Grant/Research support from: Geneva University Hospitals, B. Braun, Pfizer, Speaker’s bureau of: BioMerieux, Pfizer, Conflict with: Scientific Advisory Board, Destiny Pharma, DaVolterra, BioMérieux, S. Malhotra-Kumar: None declared, C. Brun-Buisson: None declared, I. Durand-Zaleski: None declared.</p></sec></body><back><ref-list><ref id="B1"><mixed-citation publication-type="other"><name><surname>Lee</surname><given-names>AS</given-names></name><name><surname>Cooper</surname><given-names>BS</given-names></name><name><surname>Malhotra-Kumar</surname><given-names>S</given-names></name><etal></etal><source>BMJ Open</source><year>2013</year><volume>3</volume><fpage>e003126</fpage><pub-id pub-id-type="pmid">24056477</pub-id></mixed-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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