Assignment: Producing Enterobacteriaceae

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Assignment: Producing Enterobacteriaceae

Assignment: Producing Enterobacteriaceae

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Historically, Multidrug resistant organisms including the Extended-Spectrum β-Lactamases (ESBLs) are a major public health predicament not only in the United States but also globally as infections caused by those organisms are linked to severe health complications and great financial liability to the healthcare system. There are many interventions strategies have been put in place to eliminate or to reduce the risk of the ESBL infections, yet the search for an effective prevention control strategy will always stay a challenge to the public health. Objective: The purpose of this review is to measure the effectiveness of the hand hygiene as an intervention to reduce the spread of the ESBLs among severely ill patients in the ICU. Methods: An article search was performed in PubMed, EMBASE and CINAHL databases to identify publications on the effectiveness of hand hygiene intervention to reduce the spread of the ESBLs among ICU’s patients. The search was limited to English language, human subjects, and date range of 2002-current. A total of 10 articles were eligible for this review. Results: Strategic and organizational efforts were made to improve hand hygiene compliances. Among the observed opportunities for hand hygiene, increased staff compliances were noted. 8 out of 10 of those studies showed that increase rate of hand hygiene compliance was correlated with a significant reduction in the prevalence of ESBLs infections among hospital patients, however 2 of the studies did not show any correlation. Conclusions: The results of this review suggest that a systemic approach is needed to improve compliances with the hand hygiene intervention among hospital staff to be an effective strategy to eliminate or to reduce the transmission of ESBLs among ICU’s patients.

We conducted a systematic review to examine the efficacy of infection control interventions for the control of ESBL-producing Enterobacteriaceae in hospitals in the non-outbreak setting. Although 4 uncontrolled, retrospective studies were included in the review, no well designed prospective studies capable of informing infection control practice were identified, underscoring the ur- gent need for research in this area. Key Words: ESBL; infection control; systematic review; Enterobacteriaceae; multi-drug resistant gram negative bacteria.

Copyright ª 2011 by the Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved. (Am J Infect Control 2011;39:599-601.)

Despite the increasing global incidence of extended- spectrum b-lactamase (ESBL)-producing Enterobacteri- aceae (ESBL-E), there are no evidence-based guidelines specifying the infection control interventions that should be used to control ESBL-E transmission in hos- pitals in the absence of a defined outbreak.1

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