Association between excreta management and incidence of extended-spectrum β-lactamase-producing Enterobacteriaceae: role of healthcare workers' knowledge and practices.
Identifieur interne : 000658 ( Main/Exploration ); précédent : 000657; suivant : 000659Association between excreta management and incidence of extended-spectrum β-lactamase-producing Enterobacteriaceae: role of healthcare workers' knowledge and practices.
Auteurs : T T H. N'Guyen [France] ; C. Bourigault [France] ; V. Guillet [France] ; A-C Guille Des Buttes [France] ; E. Montassier [France] ; E. Batard [France] ; G. Birgand [France] ; D. Lepelletier [France]Source :
- The Journal of hospital infection [ 1532-2939 ] ; 2019.
Descripteurs français
- KwdFr :
- Connaissances, attitudes et pratiques en santé (MeSH), Enquêtes et questionnaires (MeSH), Enterobacteriaceae (enzymologie), Enterobacteriaceae (isolement et purification), Humains (MeSH), Infections à Enterobacteriaceae (microbiologie), Infections à Enterobacteriaceae (prévention et contrôle), Infections à Enterobacteriaceae (épidémiologie), Modèles statistiques (MeSH), Personnel de santé (psychologie), Prévention des infections (méthodes), Recherche sur les services de santé (MeSH), Transmission de maladie infectieuse (prévention et contrôle), bêta-Lactamases (métabolisme).
- MESH :
- enzymologie : Enterobacteriaceae.
- isolement et purification : Enterobacteriaceae.
- microbiologie : Infections à Enterobacteriaceae.
- métabolisme : bêta-Lactamases.
- méthodes : Prévention des infections.
- prévention et contrôle : Infections à Enterobacteriaceae, Transmission de maladie infectieuse.
- psychologie : Personnel de santé.
- épidémiologie : Infections à Enterobacteriaceae.
- Connaissances, attitudes et pratiques en santé, Enquêtes et questionnaires, Humains, Modèles statistiques, Recherche sur les services de santé.
English descriptors
- KwdEn :
- Disease Transmission, Infectious (prevention & control), Enterobacteriaceae (enzymology), Enterobacteriaceae (isolation & purification), Enterobacteriaceae Infections (epidemiology), Enterobacteriaceae Infections (microbiology), Enterobacteriaceae Infections (prevention & control), Health Knowledge, Attitudes, Practice (MeSH), Health Personnel (psychology), Health Services Research (MeSH), Humans (MeSH), Infection Control (methods), Models, Statistical (MeSH), Surveys and Questionnaires (MeSH), beta-Lactamases (metabolism).
- MESH :
- chemical , metabolism : beta-Lactamases.
- enzymology : Enterobacteriaceae.
- epidemiology : Enterobacteriaceae Infections.
- isolation & purification : Enterobacteriaceae.
- methods : Infection Control.
- microbiology : Enterobacteriaceae Infections.
- prevention & control : Disease Transmission, Infectious, Enterobacteriaceae Infections.
- psychology : Health Personnel.
- Health Knowledge, Attitudes, Practice, Health Services Research, Humans, Models, Statistical, Surveys and Questionnaires.
Abstract
BACKGROUND
The spread of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-PE) in healthcare environments has become a major public health threat in recent years.
AIM
To assess how healthcare workers (HCWs) manage excreta and the possible association with the incidence of ESBL-PE.
METHODS
Eight hundred HCWs and 74 nurse-supervisors were questioned through two self-report questionnaires in order to assess their knowledge and practices, and to determine the equipment utilized for excreta management in 74 healthcare departments. Performance on equipment utilized, knowledge and practices were scored as good (score of 1), intermediate (score of 2) or poor (score of 3) on the basis of pre-established thresholds. Linear regression was performed to evaluate the association between HCWs' knowledge/practices and the incidence of ESBL-PE.
FINDINGS
Six hundred and eighty-eight HCWs (86%) and all nurse-supervisors participated in the survey. The proportions of respondents scoring 1, 2 and 3 were: 14.8%, 71.6% and 17.6% for equipment; 30.1%, 40.6 % and 29.3% for knowledge; and 2.0%, 71.9% and 26.1% for practices, respectively. The single regression mathematic model highlighted that poor practices (score of 3) among HCWs was significantly associated with increased incidence of ESBL-PE (P = 0.002).
CONCLUSIONS
A positive correlation was found between HCWs' practices for managing excreta and the incidence of ESBL-PE, especially in surgical units. There is an urgent need for development of public health efforts to enhance knowledge and practices of HCWs to better control the spread of multi-drug-resistant bacteria, and these should be integrated within infection control programmes.
DOI: 10.1016/j.jhin.2018.12.006
PubMed: 30557588
Affiliations:
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Birgand</name><affiliation wicri:level="3"><nlm:affiliation>MiHAR Lab, University of Nantes, Nantes, France; Regional Infection Control Centre, Pays de la Loire, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>MiHAR Lab, University of Nantes, Nantes, France; Regional Infection Control Centre, Pays de la Loire, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Lepelletier, D" sort="Lepelletier, D" uniqKey="Lepelletier D" first="D" last="Lepelletier">D. Lepelletier</name><affiliation wicri:level="3"><nlm:affiliation>MiHAR Lab, University of Nantes, Nantes, France; Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, France. 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N'Guyen</name><affiliation wicri:level="3"><nlm:affiliation>MiHAR Lab, University of Nantes, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>MiHAR Lab, University of Nantes, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Bourigault, C" sort="Bourigault, C" uniqKey="Bourigault C" first="C" last="Bourigault">C. Bourigault</name><affiliation wicri:level="3"><nlm:affiliation>MiHAR Lab, University of Nantes, Nantes, France; Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>MiHAR Lab, University of Nantes, Nantes, France; Bacteriology and Infection Control Department, Nantes University Hospital, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Guillet, V" sort="Guillet, V" uniqKey="Guillet V" first="V" last="Guillet">V. 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Montassier</name><affiliation wicri:level="3"><nlm:affiliation>MiHAR Lab, University of Nantes, Nantes, France; Emergency Department, Nantes University Hospital, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>MiHAR Lab, University of Nantes, Nantes, France; Emergency Department, Nantes University Hospital, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Batard, E" sort="Batard, E" uniqKey="Batard E" first="E" last="Batard">E. Batard</name><affiliation wicri:level="3"><nlm:affiliation>MiHAR Lab, University of Nantes, Nantes, France; Emergency Department, Nantes University Hospital, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>MiHAR Lab, University of Nantes, Nantes, France; Emergency Department, Nantes University Hospital, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Birgand, G" sort="Birgand, G" uniqKey="Birgand G" first="G" last="Birgand">G. Birgand</name><affiliation wicri:level="3"><nlm:affiliation>MiHAR Lab, University of Nantes, Nantes, France; Regional Infection Control Centre, Pays de la Loire, Nantes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>MiHAR Lab, University of Nantes, Nantes, France; Regional Infection Control Centre, Pays de la Loire, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author><author><name sortKey="Lepelletier, D" sort="Lepelletier, D" uniqKey="Lepelletier D" first="D" last="Lepelletier">D. Lepelletier</name><affiliation wicri:level="3"><nlm:affiliation>MiHAR Lab, University of Nantes, Nantes, France; Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, France. Electronic address: didier.lepelletier@chu-nantes.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>MiHAR Lab, University of Nantes, Nantes, France; Bacteriology and Infection Control Department, Nantes University Hospital, Nantes</wicri:regionArea><placeName><region type="region">Pays de la Loire</region><region type="old region">Pays de la Loire</region><settlement type="city">Nantes</settlement></placeName></affiliation></author></analytic><series><title level="j">The Journal of hospital infection</title><idno type="eISSN">1532-2939</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Disease Transmission, Infectious (prevention & control)</term><term>Enterobacteriaceae (enzymology)</term><term>Enterobacteriaceae (isolation & purification)</term><term>Enterobacteriaceae Infections (epidemiology)</term><term>Enterobacteriaceae Infections (microbiology)</term><term>Enterobacteriaceae Infections (prevention & control)</term><term>Health Knowledge, Attitudes, Practice (MeSH)</term><term>Health Personnel (psychology)</term><term>Health Services Research (MeSH)</term><term>Humans (MeSH)</term><term>Infection Control (methods)</term><term>Models, Statistical (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>beta-Lactamases (metabolism)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Enterobacteriaceae (enzymologie)</term><term>Enterobacteriaceae (isolement et purification)</term><term>Humains (MeSH)</term><term>Infections à Enterobacteriaceae (microbiologie)</term><term>Infections à Enterobacteriaceae (prévention et contrôle)</term><term>Infections à Enterobacteriaceae (épidémiologie)</term><term>Modèles statistiques (MeSH)</term><term>Personnel de santé (psychologie)</term><term>Prévention des infections (méthodes)</term><term>Recherche sur les services de santé (MeSH)</term><term>Transmission de maladie infectieuse (prévention et contrôle)</term><term>bêta-Lactamases (métabolisme)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>beta-Lactamases</term></keywords><keywords scheme="MESH" qualifier="enzymologie" xml:lang="fr"><term>Enterobacteriaceae</term></keywords><keywords scheme="MESH" qualifier="enzymology" xml:lang="en"><term>Enterobacteriaceae</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Enterobacteriaceae Infections</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Enterobacteriaceae</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Enterobacteriaceae</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Infection Control</term></keywords><keywords scheme="MESH" qualifier="microbiologie" xml:lang="fr"><term>Infections à Enterobacteriaceae</term></keywords><keywords scheme="MESH" qualifier="microbiology" xml:lang="en"><term>Enterobacteriaceae Infections</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>bêta-Lactamases</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Prévention des infections</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Transmission, Infectious</term><term>Enterobacteriaceae Infections</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Infections à Enterobacteriaceae</term><term>Transmission de maladie infectieuse</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Personnel de santé</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Health Personnel</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Infections à Enterobacteriaceae</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Health Knowledge, Attitudes, Practice</term><term>Health Services Research</term><term>Humans</term><term>Models, Statistical</term><term>Surveys and Questionnaires</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Connaissances, attitudes et pratiques en santé</term><term>Enquêtes et questionnaires</term><term>Humains</term><term>Modèles statistiques</term><term>Recherche sur les services de santé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>The spread of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-PE) in healthcare environments has become a major public health threat in recent years.</p></div><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>To assess how healthcare workers (HCWs) manage excreta and the possible association with the incidence of ESBL-PE.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Eight hundred HCWs and 74 nurse-supervisors were questioned through two self-report questionnaires in order to assess their knowledge and practices, and to determine the equipment utilized for excreta management in 74 healthcare departments. Performance on equipment utilized, knowledge and practices were scored as good (score of 1), intermediate (score of 2) or poor (score of 3) on the basis of pre-established thresholds. Linear regression was performed to evaluate the association between HCWs' knowledge/practices and the incidence of ESBL-PE.</p></div><div type="abstract" xml:lang="en"><p><b>FINDINGS</b></p><p>Six hundred and eighty-eight HCWs (86%) and all nurse-supervisors participated in the survey. The proportions of respondents scoring 1, 2 and 3 were: 14.8%, 71.6% and 17.6% for equipment; 30.1%, 40.6 % and 29.3% for knowledge; and 2.0%, 71.9% and 26.1% for practices, respectively. The single regression mathematic model highlighted that poor practices (score of 3) among HCWs was significantly associated with increased incidence of ESBL-PE (P = 0.002).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>A positive correlation was found between HCWs' practices for managing excreta and the incidence of ESBL-PE, especially in surgical units. There is an urgent need for development of public health efforts to enhance knowledge and practices of HCWs to better control the spread of multi-drug-resistant bacteria, and these should be integrated within infection control programmes.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30557588</PMID><DateCompleted><Year>2019</Year><Month>06</Month><Day>10</Day></DateCompleted><DateRevised><Year>2019</Year><Month>06</Month><Day>13</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-2939</ISSN><JournalIssue CitedMedium="Internet"><Volume>102</Volume><Issue>1</Issue><PubDate><Year>2019</Year><Month>May</Month></PubDate></JournalIssue><Title>The Journal of hospital infection</Title><ISOAbbreviation>J Hosp Infect</ISOAbbreviation></Journal><ArticleTitle>Association between excreta management and incidence of extended-spectrum β-lactamase-producing Enterobacteriaceae: role of healthcare workers' knowledge and practices.</ArticleTitle><Pagination><MedlinePgn>31-36</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0195-6701(18)30710-2</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jhin.2018.12.006</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The spread of extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-PE) in healthcare environments has become a major public health threat in recent years.</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">To assess how healthcare workers (HCWs) manage excreta and the possible association with the incidence of ESBL-PE.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Eight hundred HCWs and 74 nurse-supervisors were questioned through two self-report questionnaires in order to assess their knowledge and practices, and to determine the equipment utilized for excreta management in 74 healthcare departments. Performance on equipment utilized, knowledge and practices were scored as good (score of 1), intermediate (score of 2) or poor (score of 3) on the basis of pre-established thresholds. Linear regression was performed to evaluate the association between HCWs' knowledge/practices and the incidence of ESBL-PE.</AbstractText><AbstractText Label="FINDINGS" NlmCategory="RESULTS">Six hundred and eighty-eight HCWs (86%) and all nurse-supervisors participated in the survey. The proportions of respondents scoring 1, 2 and 3 were: 14.8%, 71.6% and 17.6% for equipment; 30.1%, 40.6 % and 29.3% for knowledge; and 2.0%, 71.9% and 26.1% for practices, respectively. The single regression mathematic model highlighted that poor practices (score of 3) among HCWs was significantly associated with increased incidence of ESBL-PE (P = 0.002).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">A positive correlation was found between HCWs' practices for managing excreta and the incidence of ESBL-PE, especially in surgical units. There is an urgent need for development of public health efforts to enhance knowledge and practices of HCWs to better control the spread of multi-drug-resistant bacteria, and these should be integrated within infection control programmes.</AbstractText><CopyrightInformation>Copyright © 2018 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>N'Guyen</LastName><ForeName>T T H</ForeName><Initials>TTH</Initials><AffiliationInfo><Affiliation>MiHAR Lab, University of Nantes, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bourigault</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>MiHAR Lab, University of Nantes, Nantes, France; Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guillet</LastName><ForeName>V</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Buttes</LastName><ForeName>A-C Guille des</ForeName><Initials>AGD</Initials><AffiliationInfo><Affiliation>Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Montassier</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>MiHAR Lab, University of Nantes, Nantes, France; Emergency Department, Nantes University Hospital, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Batard</LastName><ForeName>E</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>MiHAR Lab, University of Nantes, Nantes, France; Emergency Department, Nantes University Hospital, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Birgand</LastName><ForeName>G</ForeName><Initials>G</Initials><AffiliationInfo><Affiliation>MiHAR Lab, University of Nantes, Nantes, France; Regional Infection Control Centre, Pays de la Loire, Nantes, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lepelletier</LastName><ForeName>D</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>MiHAR Lab, University of Nantes, Nantes, France; Bacteriology and Infection Control Department, Nantes University Hospital, Nantes, France. Electronic address: didier.lepelletier@chu-nantes.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>12</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Hosp Infect</MedlineTA><NlmUniqueID>8007166</NlmUniqueID><ISSNLinking>0195-6701</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>EC 3.5.2.6</RegistryNumber><NameOfSubstance UI="D001618">beta-Lactamases</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D018562" MajorTopicYN="N">Disease Transmission, Infectious</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004755" MajorTopicYN="N">Enterobacteriaceae</DescriptorName><QualifierName UI="Q000201" MajorTopicYN="Y">enzymology</QualifierName><QualifierName UI="Q000302" MajorTopicYN="N">isolation & purification</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004756" MajorTopicYN="N">Enterobacteriaceae Infections</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000382" MajorTopicYN="N">microbiology</QualifierName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D007722" MajorTopicYN="Y">Health Knowledge, Attitudes, Practice</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006282" MajorTopicYN="N">Health Personnel</DescriptorName><QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006302" MajorTopicYN="N">Health Services Research</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017053" MajorTopicYN="N">Infection Control</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D015233" MajorTopicYN="N">Models, Statistical</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001618" MajorTopicYN="N">beta-Lactamases</DescriptorName><QualifierName UI="Q000378" MajorTopicYN="Y">metabolism</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">ESBL-PE</Keyword><Keyword MajorTopicYN="N">Excreta</Keyword><Keyword MajorTopicYN="N">Hospital practices</Keyword><Keyword MajorTopicYN="N">Infection control</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>08</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>12</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>12</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>6</Month><Day>14</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>12</Month><Day>18</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30557588</ArticleId><ArticleId IdType="pii">S0195-6701(18)30710-2</ArticleId><ArticleId IdType="doi">10.1016/j.jhin.2018.12.006</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Pays de la Loire</li></region><settlement><li>Nantes</li></settlement></list><tree><country name="France"><region name="Pays de la Loire"><name sortKey="N Guyen, T T H" sort="N Guyen, T T H" uniqKey="N Guyen T" first="T T H" last="N'Guyen">T T H. N'Guyen</name></region><name sortKey="Batard, E" sort="Batard, E" uniqKey="Batard E" first="E" last="Batard">E. Batard</name><name sortKey="Birgand, G" sort="Birgand, G" uniqKey="Birgand G" first="G" last="Birgand">G. Birgand</name><name sortKey="Bourigault, C" sort="Bourigault, C" uniqKey="Bourigault C" first="C" last="Bourigault">C. Bourigault</name><name sortKey="Buttes, A C Guille Des" sort="Buttes, A C Guille Des" uniqKey="Buttes A" first="A-C Guille Des" last="Buttes">A-C Guille Des Buttes</name><name sortKey="Guillet, V" sort="Guillet, V" uniqKey="Guillet V" first="V" last="Guillet">V. Guillet</name><name sortKey="Lepelletier, D" sort="Lepelletier, D" uniqKey="Lepelletier D" first="D" last="Lepelletier">D. Lepelletier</name><name sortKey="Montassier, E" sort="Montassier, E" uniqKey="Montassier E" first="E" last="Montassier">E. Montassier</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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