A survey on practices for active surveillance of carriage of multidrug-resistant bacteria in hospitals in the Autonomous Community of Valencia, Spain


Por: Tormo N, Albert E, Borrajo E, Bosque M, Camarena JJ, Domínguez V, Fuentes E, Gascon I, Gomila B, Gonzalo N, Jiménez M, Martínez O, Nogueira JM, Orta N, Prat J, Rodriguez J, Gimeno C and Navarro D

Publicada: 1 nov 2018 Ahead of Print: 13 ago 2018
Resumen:
A questionnaire-based cross-sectional study was conducted to gather information on current microbiological practices for active surveillance of carriage of multidrug-resistant (MDR) bacteria in hospitals from 14 health departments of the Autonomous Community of Valencia (ACV), Spain, which together provided medical attention to 3,271,077 inhabitants in 2017, approximately 70% of the population of the ACV. The survey consisted of 35 questions on MDR bacteria screening policies, surveillance approach chosen (universal vs. targeted), and microbiological methods and processes in use for routine detection and reporting of colonization by MDR bacteria, including the anatomical sites scheduled to be sampled for each MDR bacterial species, and the methodology employed (culture-based, molecular-based, or both). Our study revealed striking differences across centers, likely attributable to the lack of consensus on optimal protocols for sampling, body sites for screening, and microbiological testing, thus underscoring the need for consensus guidelines on these issues.

Filiaciones:
Tormo N:
 Microbiology Service, Consorcio Hospital General Universitario, Valencia, Spain

Albert E:
 Microbiology Service, and Department of Microbiology, School of Medicine, Hospital Clínico Universitario, Av. Blasco Ibáñez 17, 46010, Valencia, Spain

 Microbiology Service, and Department of Microbiology, School of Medicine, Hospital Clinico Universitario, Av. Blasco Ibanez 17, 46010, Valencia, Spain

:
 Microbiology Unit, Hospital Vega Baja, Orihuela, Spain

:
 Microbiology Service, Hospital Arnau de Vilanova, Valencia, Spain

:
 Hospital Universitario Dr. Peset, Valencia, Spain

:
 Microbiology Service, Hospital Arnau de Vilanova, Valencia, Spain

:
 Microbiology Unit, Hospital Virgen de los Lirios, Alcoi, Spain

Gascon I:
 Hospital General Universitario, Elda, Spain

:
 Microbiology Service, Hospital General Universitario, Castellón, Spain

:
 Microbiology Service, Hospital General Universitario, Elche, Spain

Jiménez M:
 Microbiology Unit, Hospital Manises, Manises, Spain

:
 Hospital Universitario de la Ribera, Alzira, Spain

:
 Hospital Universitario Dr. Peset, Valencia, Spain

:
 Microbiology Unit, Hospital Francesc de Borja, Gandía, Spain

:
 Microbiology Unit, Hospital de Sagunto, Valencia, Spain

Rodriguez J:
 Hospital General Universitario, Alicante, Spain

Gimeno C:
 Microbiology Service, Consorcio Hospital General Universitario, Valencia, Spain

Navarro D:
 Microbiology Service, and Department of Microbiology, School of Medicine, Hospital Clínico Universitario, Av. Blasco Ibáñez 17, 46010, Valencia, Spain.

 Microbiology Service, and Department of Microbiology, School of Medicine, Hospital Clinico Universitario, Av. Blasco Ibanez 17, 46010, Valencia, Spain.
ISSN: 09349723





EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES
Editorial
SPRINGER, 233 SPRING ST, NEW YORK, NY 10013 USA, Alemania
Tipo de documento: Article
Volumen: 37 Número: 11
Páginas: 2069-2074
WOS Id: 000448567800004
ID de PubMed: 30105621

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