SG-APSIC1105: The effectiveness of the infection control interventions in decreasing multidrug-resistant organism transmission in the Department of Neonatology of Hung Vuong Hospital

SG-APSIC1105：洪王医院新生儿科感染控制干预措施在降低多重耐药菌传播方面的有效性

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作者：Karlath,Farha,Thompson,George R 3rd,Kumar,Deepak,Shokohi,Tahereh,Ellison,Richard T 3rd,Fursman,Faith,Fitzsimmons,Natalie,Desmond,Court,Blanton,Kimberly,Hatton,Kevin,Howard,Rachel,Overton,DaNelle,David,Olafsson,McTigue,Sean,Van Sickels,Nicholas,Kobayashi,Takaaki,Rodriguez Nava,Guillermo,Zulli,Alessandro,Grieshop,Matt,Cardenas,Erika Paola Viana,Jong,Sehee,Miranti,Eugenia,Jiang,Mingjun,Ayala,Alvaro,Sampson,Mindy,Bhatt,Ami,Boehm,Alexandria,Salinas,Jorge,Venkatachalam,Indumathi,Sim,Xiang Ying Jean,Conceicao,Edwin Philip,Chow,Weien,Ting Low,Chi,Arora,Shalvi,Sridhar,Revathi,Chan,Laura,Graves,Nicholas,Cai,Yiying,Wu,Sean,Low,Isaac,Sato,Yoran,Kim,Janice,Kang,Grace,Cheng,Yi-ning,Miner,Angela,Beltran,Romina,Rymer,Therese,Cartagena,Debora,Percak,Jeffrey,Beatty,Mark,Shah,Seema,Kadakia,Ankita,Stoltey,Juliet,Epson,Erin,Chinn,Raymond,Prochaska,Erica,Okogun,Aigue Anne,Schumacher,Christina,Carroll,Karen,Decker,Slade,Minor,Alexandra,Gadot,Raphael,Xu,Sophia,Milstone,Aaron,Tourdot,Laura,Lees,Christine,Craft,Bradley,Kaiyalethe,John,Gand,Kari,Krieglmeier,Megan,Sutherland,Jesse,Menier,Terra,Kanelfitz,Jessica,McFarren,Mindy,Dobbins,Ginette,Kline,Susan,Ferrieri,Patricia,Snippes Vagnone,Paula,Dale,Jennifer,Knowles,Krista,Suhs,Tara,Galdys,Alison,Leal,Jenine,Pitchko,Janice,Lee,Bonita,Parsonage,Jennifer,Choo,Philana,Armstrong,Logan,Conly,John,Dembicki,Jared,Ellison,Jennifer,Holroyd-Leduc,Jayna,Mallinson,Sara,Phipps,Janine,Reynolds,Colin,St Jean,Geraldine,Vayalumkal,Joseph,Wiley,Katelyn,Woolsey,Samantha,Rennert-May,Elissa,Sauro,Khara,Gosden,Grant,Szymczak,Julie,Gandhi,Tejal,Petty,Lindsay,Neetz,Robert,Gupta,Ashwin,Horowitz,Jennifer,McLaughlin,Elizabeth,Harrison,James,Malani,Anurag,Younas,Mariam,Flanders,Scott,Vaughn,Valerie,Chee Koh,Sky Wei,Lee,Vivien Min Er,Low,Si Hui,Szuecs,Anna,Keong Loh,Victor Weng,Sundram,Meena,Loon Chua,Linus Kee,Valderas,José M,Hsu,Li Yang,Mustafa,Nor Reah,Mohamad,Fida,Ismail,Fauziah,Hasan,Maimunah,Idris,Fauzi,Muhammad,Noraida,Abdullah,Azrahamiza,Awang,Sharizan,Mat Zan,Nurul Iza,Ab Kadir,Hakimah,Mat Latif,Wan Noor Faradilla,Abdullah,Che Siti Noraini,Mohd Shaufi,Yuslizawati,Asmara Aminudden,Syaidatull,A/P Ea Chum,Silamai,Suraiya,Siti,Adilla,Nurul,Jamaluddin,Hayat,Mohamed,Isa Naina,Periyasamy,Petrick,Lan,Lau Chee,Kori,Najma,Ramli,Ramliza,Leong,Tan Toh,Kuen,Yin Mei,Azman,Nur Jannah,Ponnampalavanar,Sasheela,James,Rodney,Thursky,Karin,Imlay,Hannah,Ciarkowski,Claire,Kassamali Escobar,Zahra,Bryson-Cahn,Chloe,Hersh,Adam,Martinez-Paz,Natalia,Hartlage,Whitney,Chan,Jeannie,Hardin,Hannah,White,Andrea,Wu,Chaorong,Vaughn,Valerie,Pak,Theodore,Kanjilal,Sanjat,McKenna,Cara,Rhee,Chanu,Klompas,Michael,Shrivastwa,Nijika,Strid,Penelope,Walters,Maroya,Perkins,Kiran,Perz,Joseph,Walblay,Kelly,Kopp,Patricia,Salman Ashraf,Muhammad,Mitsunaga,Tisha,Stover,Carolyn,Garner,Kelley,Hunter,Jennifer C,Tourdot,Laura,Dale,Jennifer,Lees,Christine,Craft,Bradley,Kaiyalethe,John,Snippes Vagnone,Paula,Lim,Sarah,Knowles,Krista,Hale,Tammy,Juaire,Kristi,Walters,Jacy,Lynfield,Ruth,Barker,Erin,Donnelly,Vivian,Fallon,Susan,Pau,Sara,Curless,Melanie,Prochaska,Erica,Murphy,Shannon,Simner,Patricia,Zhang,Sean,Milstone,Aaron,Sick-Samuels,Anna,Laytner,Lindsey,Trautner,Barbara,Nash,Susan,Faustinella,Fabrizia,Zoorob,Roger,Olmeda,Kiara,Paasche-Orlow,Michael,Grigoryan,Larissa,Furuno,Jon,Noble,Brie,Chan,Dominic,Nguyen,Thuan,Hildebrand,Andrea,McGregor,Jessina,Shephard,Emily,Jolles,Sally,Ham,YoungYoon,Bearden,David,McCracken,Caitlin,Izumi,Seiko,Crnich,Christopher,Howard-Anderson,Jessica,Gottlieb,Lindsey,Grooms,Lori,Holder,Carolyn,Reif,Lisa,Johnson,Krystle,Dotto,Victoria,Kubes,Julianne,Love,Kari,Regina,Rachel,Murphy,David,Jacob,Jesse,Kraft,Colleen,Mumma,Joel,Monsees,Elizabeth,Nedved,Amanda,Suppes,Sarah,Whitt,Megan,Lee,Brian,Petrie,Diane,Olney,Adrienne,El Feghaly,Rana,Armstrong-Pavlik,Fiona,Racila,AM,Ward,Melissa,Tolomeo,Pam,Kellogg,Joseph,Lindsey,Brenna,Herwaldt,Loreen,Nair,Rajeshwari,Jacob,Jesse,Vijayan,Anitha,Pegues,David,Cobb,Jason,Fraer,Mony,Bleasdale,Susan,Dukes,Kimberly,Hockett Sherlock,Stacey,Schweizer,Marin,Dalton,Christian,Willson,Tina,Wilson,Brigid,Bej,Taissa,El Chakhtoura,Nadim,Song,Sunah,Hicks,Oteshia,Kowal,Corinne,Jones,Makoto,Handler,Steven,Jump,Robin,Stevens,Vanessa,Byram,Rebecca,Jackson,Kelly,Czaja,Christopher,Johnston,Helen,Barter,Devra,Lynfield,Ruth,Centurion,Nathan,Tourdot,Laura,Dumyati,Ghinwa,Myers,Christopher,Pierce,Rebecca,Charles Toney,Nadege,Mansour,Adel,Magill,Shelley,See,Isaac,Currie,Dustin,Lewis,Chantal,Hatfield,Kelly,Lutgring,Joseph,Kazakova,Sophia,Baggs,James,Korhonen,Lauren,Correa,Maria,Goodenough,Dana,Olson,Danyel,Szydlowski,Jill,Watkins,Jasmine,Dumyati,Ghinwa,Fridkin,Scott,Wilson,Christopher,Reddy,Sujan,Guh,Alice,McSweeney,Kristen,Liu,Fang Yu,Erdil,Rachel,Alsoubani,Majd,Vindenes,Tine,Doron,Shira,Foong,Kap Sum,Fernandes,Carol,Bezerra,Camila,Castro,Barbara,Santos Júnior,Eusébio,Freire,Maristela,Bollinger,Susan,Lessa,Fernanda,Salomao,Matias,Sater,Mohamad,Briars,Emma,Parrish,Connor,Herriott,Ian,Quan,Kathleen,Madey,Keith,Shimabukuro,Julie,Dickey,Linda,Gohil,Shruti,Wong,Alfred,Hollowell,Talia,Brookhart,Allison,Gassett,Alison,Huntley,Miriam,Huang,Susan,Bittencourt,Cassiana E,McNamara,Kiara,Wilson,W Wyatt,Solanky,Dipesh,Jones,Sophie,Ohlsen,Elizabeth,Bertumen,JB,Beatty,Mark,Moulton-Meissner,Heather,Gable,Paige,LiPuma,John,Kang,Grace,Turner,Margaret,Epson,Erin,Perkin,Kiran,Chinn,Raymond,Siegel,Jane,McNamara,Kiara,Habrun,Caroline,Wilson,W Wyatt,Kollmann,Leslie,Stapleton,G Sean,Stanton,Richard,Benedict,Katharine,Beaudoin,Amanda,Snippes,Paula,Anacker,Melissa,Nichols,Megin,Walters,Maroya,Mason,Jordan,Mueller,Nikki,Wang,Xuetao,Garrod,Matthew,Duncombe,Tamara,Lee,Eunsun,Ng,Katy Short Joyce,Seidelman,Jessica,Moehring,Rebekah,Gettler,Erin,Krishnan,Jay,Polage,Christopher,Murphy,Margaret,Jordan,Rachel,Lewis,Sarah,Smith,Becky,Anderson,Deverick,Mehdiratta,Nitin,Evans,Martin,Da Costa,Ana,Hartsough,Kieran,Safstrom,Jacqueline,Herzig,Carolyn,Abubeker,Rajiha,Alebachew,Gebrie,Dinku,Surafel Fentaw,Abdeta,Abera,Tsige,Estifanos,Adamu,Etsehiwot,Beyene,Degefu,Ebrahim,Semira,Seyoum,Elias,Urrego,Maritza,Addis,Tesfa,Ray,Cara,Goedken,Cassie Cunningham,Hughes,Ashley,Suda,Katie,Guihan,Marylou,Wilson,Geneva,Hicks,Natalie,Evans,Martin,Jones,Makoto,Pfeiffer,Christopher,Fitzpatrick,Margaret,Klutts,Stacey,Evans,Charlesnika,Mody,Lona,Gibson,Kristen,Cassone,Marco,Saint,Sanjay,Krein,Sarah,Mantey,Julia,Janevic,Mary,Nguyen,Alexandria,Bej,Taissa,Hicks,Oteshia,Min,Lillian,Galecki,Andrzej,Greene,M Todd,Chigurupat,Laxmi,Jump,Robin,Pak,Theodore,Rhee,Chanu,Klompasl,Michael,Kitaura,Satoshi,Okamoto,Koh,Yamaguchi,Ryo,Yamamoto,Takehito,Kishida,Toshiyuki,Inoue,Daisuke,Miyashita,Hirotaka,Ueda,Masayuki,Hashimoto,Hideki,Harada,Sohei,Okugawa,Shu,Tsutsumi,Takeya,Moriya,Kyoji,Kang,HeeEun,Stewart,Kathleen O,Khan,Asif,Casale,Stephanie C,Barker,Caitlin Adams,Kim,Justin,Sundermann,Alexander,Griffith,Marissa,Srinivasa,Vatsala Rangachar,Waggle,Kady,Marsh,Jane,Tyne,Daria Van,Ayres,Ashley,Pless,Lora,Snyder,Graham,Harrison,Lee,Ouyang,Megan,Shemsu,Munira,Marusinec,Rachel,Pena,April,Trivedi,Kavita,Dunne,Eileen,Yette,Emily,Moss,Nicholas,Bayard,Paul,Edmunds,Magdalen,Lai,Sunny,Nguyen,Mychi,Rajagopal,Sumanth,Slome,Sally,Tang,Michele,Ayala,George,Chitnis,Amit,Vaughn,Valerie,Petty,Lindsay,Ratz,David,McLaughlin,Elizabeth,Czilok,Tawny,Horowitz,Jennifer,Malani,Anurag,Osterholzer,Danielle,Flanders,Scott,Gandhi,Tejal,Srialluri,Swetha,Collins,Curtis,Murphy,Holly,Tayyar,Ralph,Kiener,Melanie,Ferguson,Jessica,Liang,Jane W,Anez,Gustavo Contreras,Nava,Guillermo Rodriguez,Contag,Caitlin A,Zimmet,Alex,Srinivasan,Krithika,Shepard,John,Pinsky,Benjamin A,Tompkins,Lucy,Subramanian,Aruna,Salinas,Jorge,Hartsough,Kieran,Safstrom,Jacqueline,Evans,Martin,Pierre,Manise,Schroder,Edward,Herzig,Carolyn,Da Costa,Ana,Githii,Susan,Abubeker,Rajiha,Alebachew,Gebrie,Dinku,Surafel Fentaw,Abdeta,Abera,Tsige,Estifanos,Urrego,Maritza,Jones,Sophie,Forsberg,Kaitlin,Preste,Christopher,Sexton,Joe,Gable,Paige,Glowicz,Janet,Jones,Heather,Walters,Maroya,Lyman,Meghan,Njoku,Chidinma,Causey,Kimisha,Ruff,Jeanne,Smith,Dallas,Wu,Karen,Misas,Elizabeth,Lynn,Teri,Lewis,Chantal,Min,Brian,Osman,Fathia,Archer,Erin,Doughman,Danielle,Weber,David,Mavrogiorgos,Nikolaos,Summerlin-Long,Shelley,Swartwood,Michael,Commanday,Alexander,Stancill,Lisa,Kane,Nicholas,Vavalle,Emily Sickbert-Bennett,Barrett,Aaron,Graves,Amanda,Jesus,Elaine De,Edelschick,Jennifer,McCotter,Diandrea,Anderson,Deverick,Turner,Nicholas,Warren,Bobby,Zhou,Kelvin,Wang,Melinda,Shay,Sabra,Herlihy,James,Siddique,Muhammad Asim,Castillo,Sergio Trevino,Lasco,Todd,Barrett,Miriam,Mohajer,Mayar Al,Choi,Wonchul,Han,Hyuk-Soo,Kim,Tae-Woo,Chang,Moon Jong,Kim,Joong Il,Ro,Du Hyun,Yeo,Kevin,Gordon,Daniel,Perry,Lori,Raymond-Loher,Ilfra,Tati,Nita,Yeo,Kevin,Lin,Grace,DiPietro,Gina,Selmani,Alex,Decker,Michael,Phan,Dung Tien,Dung,Phan Tien,Ven,Le Thi,Ly,Nguyen Anh,My,Tran Thi,Dung,Truong Anh,Thuy,Vu Thi,Wu,Tuodi,Jie,Li,Cabahug,Maria Theresa Mapalo Muyot,Liew,Philomena,Hairu,Chai,Nasir,Suhailah Binte,Kaur,Harminder,Rongyan,An,Yun,Foo Shi,Yen,Tan Seow,Yen,Tan Thean,Huei,Tan Si,Minh,Chau Nguyen Ngoc,Thuy Le,Thi Thanh,Nguye,Thanh Hung,Ngo,Ngoc Quang Minh,Do,Van Niem,Nguyen,Thi Thanh Huong,Ong,Jin Min Sheena,Ismail,Bushra Binte Shaik,Min,Sheena Ong Jin,Xin,Gillian Lee Li,Chee,Lee Lai,Bien,Molly How Kue,Lin,Ling Moi,Gwee,Min Yi,Wah,Lim John,Venkatachalam,Indumathi,Ying,Jean Sim Xiang,Aung,May Kyawt,Yong,Yang,Philip,Conceicao Edwin,Arora,Shalvi,Oo,Aung Myat,Jin,Shawn See Wee,Nhung,Ngo,Hang,Tran Thi Thuy,Nhung,Ngo My,Nhung,Ngo My,Tham,Ngo Thi Thanh,Tien,Bui Thi Thuy,Hang,Phan Thi
期刊：Antimicrobial Stewardship Healthcare Epidemiology影响因子：1.800
时间：2023起止号：2023 Feb;3(Suppl 1):s21-2
doi：10.1017/ash.2025.10154

Abstract

Objectives: Infection control and prevention (IPC) is one of the most important factors in decreasing multidrug-resistant organism (MRDO) transmission. We evaluated the effectiveness of the IPC program in reducing the spread of MDROs at the Department of Neonatology of Hung Vuong Hospital. Methods: This research was conducted from April 2020 to September 2020 in the neonatology department in 3 phases: (1) We determined the compliance rate of hand hygiene and high-touch surfaces cleaning (via camera monitoring). (2) We conducted the following interventions: We developed specific cleaning protocols for the neonatology department. We provided training regarding MRDO transmission control and prevention for healthcare workers. We implemented a counseling program for active screening and isolation for hospitalized children; added isolation rooms for children with MRDO asymptomatic infections. And we improved feedback efficiency through an online group between the infection control and prevention team and the department of neonatology. (3) We re-evaluated compliance with hand hygiene practices and cleaning of high-touch surfaces, then we compared the rates of positive MRDO cultures before and after these interventions. Results: Before the interventions, 453 hand hygiene observations were recorded and 322 high-touch-surface cleaning observations were recorded. The hand hygiene compliance rate improved significantly from 33.2% to 85.5% (PR, 11.9; 95% CI, 7.4–19.3; P< .01). The high-touch-surface cleaning rate increased from 82.4% to 93.5% (PR, 3.1, 95% CI, 1.5–6.4; P < .01). The rate of high-touch surfaces being cleaned with proper technique increased from 38.5% to 87.9% (PR, 11.6; 95% CI, 6.3–21.3; P < .01). In total, 103 swab samples were positive for MRDOs by culture before and after the intervention. The rate of positive MRDO cultures decreased from 80.8% to 64.7% (P = .017). Conclusions: Enhancing hand hygiene and high-touch-surface cleaning compliance helped reduce MRDO transmission in the Department Neonatology of Hung Vuong Hospital.

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