File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: Proactive infection control measures to prevent nosocomial transmission of vancomycin-resistant enterococci in Hong Kong

TitleProactive infection control measures to prevent nosocomial transmission of vancomycin-resistant enterococci in Hong Kong
Authors
Issue Date2014
PublisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/locate/inca/708700
Citation
Journal of the Formosan Medical Association, 2014, v. 113 n. 10, p. 734–741 How to Cite?
AbstractBackground/Purpose: The study describes a proactive infection control approach to prevent nosocomial transmission of vancomycin-resistant enterococci (VRE) and tests if this approach is effective for controlling multiple-drug resistant organisms in a nonendemic setting. Methods: In response to the increasing prevalence of VRE in Hong Kong since 2011, we adopted a multifaceted assertive approach in our health care network. This included active surveillance culture, extensive contact tracing, directly observed hand hygiene in conscious patients before they received meals and medications, stringent hand hygiene and environmental cleanliness, and an immediate feedback antimicrobial stewardship program. We report the occurrence of VRE outbreaks in our hospital after institution of these measures and compared with the concurrent occurrence in other public hospitals in Hong Kong. Results: Between July 1, 2011 and November 13, 2013, VRE was identified in 0.32% (50/15,851) of admission episodes by active surveillance culture. The risk of VRE carriage was three times higher in patients with a history of hospitalization outside our hospital networks in the past 3 months (0.56% vs. 0.17%; p=0.001) compared with those who were not. Extensive contact tracing involving 3277 patient episodes was performed in the investigation for the 25 VRE index patients upon whom implementation of contact precautions was delayed (more than 48 hours of hospitalization). One episode of VRE outbreak was identified in our hospital network, compared with the 77 VRE outbreaks reported in the other hospital networks (controls) without these proactive infection control measures. Conclusion: Our multifaceted assertive proactive infection control approach can minimize the nosocomial transmission and outbreak of VRE in a nonendemic area. © 2014 .
Persistent Identifierhttp://hdl.handle.net/10722/203112
ISSN
2015 Impact Factor: 2.018
2015 SCImago Journal Rankings: 0.607
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCheng, VCC-
dc.contributor.authorTai, JWM-
dc.contributor.authorChen, JHK-
dc.contributor.authorSo, SYC-
dc.contributor.authorNg, WC-
dc.contributor.authorHung, IFN-
dc.contributor.authorLeung, SSM-
dc.contributor.authorWong, SCY-
dc.contributor.authorChan, TC-
dc.contributor.authorChan, FHW-
dc.contributor.authorHo, PL-
dc.contributor.authorYuen, KY-
dc.date.accessioned2014-09-19T11:31:45Z-
dc.date.available2014-09-19T11:31:45Z-
dc.date.issued2014-
dc.identifier.citationJournal of the Formosan Medical Association, 2014, v. 113 n. 10, p. 734–741-
dc.identifier.issn0929-6646-
dc.identifier.urihttp://hdl.handle.net/10722/203112-
dc.description.abstractBackground/Purpose: The study describes a proactive infection control approach to prevent nosocomial transmission of vancomycin-resistant enterococci (VRE) and tests if this approach is effective for controlling multiple-drug resistant organisms in a nonendemic setting. Methods: In response to the increasing prevalence of VRE in Hong Kong since 2011, we adopted a multifaceted assertive approach in our health care network. This included active surveillance culture, extensive contact tracing, directly observed hand hygiene in conscious patients before they received meals and medications, stringent hand hygiene and environmental cleanliness, and an immediate feedback antimicrobial stewardship program. We report the occurrence of VRE outbreaks in our hospital after institution of these measures and compared with the concurrent occurrence in other public hospitals in Hong Kong. Results: Between July 1, 2011 and November 13, 2013, VRE was identified in 0.32% (50/15,851) of admission episodes by active surveillance culture. The risk of VRE carriage was three times higher in patients with a history of hospitalization outside our hospital networks in the past 3 months (0.56% vs. 0.17%; p=0.001) compared with those who were not. Extensive contact tracing involving 3277 patient episodes was performed in the investigation for the 25 VRE index patients upon whom implementation of contact precautions was delayed (more than 48 hours of hospitalization). One episode of VRE outbreak was identified in our hospital network, compared with the 77 VRE outbreaks reported in the other hospital networks (controls) without these proactive infection control measures. Conclusion: Our multifaceted assertive proactive infection control approach can minimize the nosocomial transmission and outbreak of VRE in a nonendemic area. © 2014 .-
dc.languageeng-
dc.publisherElsevier (Singapore) Pte Ltd, Hong Kong Branch. The Journal's web site is located at http://www.elsevier.com/locate/inca/708700-
dc.relation.ispartofJournal of the Formosan Medical Association-
dc.rights© <year>. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/-
dc.titleProactive infection control measures to prevent nosocomial transmission of vancomycin-resistant enterococci in Hong Kong-
dc.typeArticle-
dc.identifier.emailCheng, VCC: vcccheng@hkucc.hku.hk-
dc.identifier.emailChen, JHK: jonchk@hku.hk-
dc.identifier.emailHung, IFN: ivanhung@hkucc.hku.hk-
dc.identifier.emailWong, SCY: wcy288@hku.hk-
dc.identifier.emailHo, PL: plho@hkucc.hku.hk-
dc.identifier.emailYuen, KY: kyyuen@hkucc.hku.hk-
dc.identifier.authorityHung, IFN=rp00508-
dc.identifier.authorityHo, PL=rp00406-
dc.identifier.authorityYuen, KY=rp00366-
dc.identifier.doi10.1016/j.jfma.2014.04.001-
dc.identifier.pmid24796821-
dc.identifier.scopuseid_2-s2.0-84922599337-
dc.identifier.hkuros238405-
dc.identifier.volume113-
dc.identifier.issue10-
dc.identifier.spage734-
dc.identifier.epage741-
dc.identifier.isiWOS:000343791800010-
dc.publisher.placeHong Kong-

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats