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Hospital Infection Control: Considerations for the Management and Control of Drug-Resistant Organisms

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Antimicrobial Drug Resistance

Part of the book series: Infectious Disease ((ID))

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The prevalence of nosocomially acquired, antibiotic–resistant organisms has increased signifi cantly over the last 20 years. Data from the National Nosocomial Infections Surveillance (NNIS) system report published in 2000 revealed an alarming proportion of drug–resistant pathogens (1). The NNIS system data comprise a nonrandom sample of 290 hospitals from 42 states. Monthly reports of nosocomial infections and microbiology data from participating institutions are analyzed. From the sample, in 2000, 52% of all Staphylococcus aureus isolates were resistant to methicillin, 25% of enterococci were vancomycin resistant, and 88% of coagulase negative staphylococci were methicillin resistant (1). An increase in drug-resistant staphylococci and enterococci has also been reported in Europe and South America (2–4).

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References

  1. National Nosocomial Infections Surveillance (NNIS) system report, data summary from January 1992–April 2000, issued June 2000. American Journal of Infection Control. 2000;28:429

    Google Scholar 

  2. Reacher M, Shah A, Livermore D, et al. Bacteraemia and antibiotic resistance of its pathogens reported in England and Wales between 1990 and 1998: trend analysis. British Medical Journal. 2000;320:213

    Article  PubMed  CAS  Google Scholar 

  3. Diekema D, Pfaller M, Jones R, et al. Trends in antimicrobial susceptibility of bacterial pathogens isolated from patients with bloodstream infections in the USA, Canada and Latin America. International Journal of Antimicrobial Agents. 2000;13:257

    Article  PubMed  CAS  Google Scholar 

  4. Kresken M, Hafner D. Drug resistance among clinical isolates of frequently encountered bacterial species in central Europe during. 1975–1995. Infection. 1999;27 Suppl 2:S2

    Article  PubMed  Google Scholar 

  5. Wong M, Kauffman C, Standiford H, Linden P, Fort G, Fuchs H, et al. Effective suppression of vancomycin-resistant Enterococcus species in asymptomatic gastrointestinal carriers by a novel glycolipodepsipeptide, ramoplanin. Clinical Infectious Diseases. 2001;33:1476

    Article  PubMed  CAS  Google Scholar 

  6. Noble W, Valkenburg H, Wolters C. Carriage of Staphylococcus aureus in random samples of a normal population. Journal of Hygiene. 1967;65:567

    Article  PubMed  CAS  Google Scholar 

  7. Casewell M, Hill R. The carrier state: methicillin-resistant Staphylococcus aureus. Journal of Antimicrobial Chemotherapy. 1986;18 Suppl A:1

    Google Scholar 

  8. Willems FTC. Epidemiology of nasal carriage of Staphylococcus aureus. In: van der Meer JWM, ed. Nasal Carriage of Staphylococcus aureus. A Round-Table Discussion. Amsterdam: Excerpta Medica; 1990:3

    Google Scholar 

  9. Dupeyron C, Campillo B, Mangeney N, Bordes M, Richardet J, Leluan G. Carriage of Staphylococcus aureus and of gram-negative bacilli resistant to third-generation cephalosporins in cirrhotic patients: a prospective assessment of hospital-acquired infections. Infection Control and Hospital Epidemiology. 2001;22:427

    Article  PubMed  CAS  Google Scholar 

  10. Jernigan J, Clemence M, Stott G, Titus M, Alexander C, Palumbo C, Farr B. Control of methicillin-resistant Staphylococcus aureus at a university hospital: one decade later. Infection Control and Hospital Epidemiology. 1995;16:686–696

    PubMed  CAS  Google Scholar 

  11. Sheckler W, Peterson P. Infections and infection control among residents of eight rural Wisconsin nursing homes. Archives of Internal Medicine. 1986;146:1981–1984

    Article  Google Scholar 

  12. Hsu C. Serial survey of methicillin-resistant Staphylococcus aureus nasal carriage among residents in a nursing home. Infection Control and Hospital Epidemiology. 1991;12:416–421

    PubMed  CAS  Google Scholar 

  13. Lee Y, Cesario T, Gupta G, Flionis L, Tran C, Decker M, Thrupp L. Surveillance of colonization and infection with Staphylococcus aureus susceptible or resistant to methicillin in a community skilled-nursing facility. American Journal of Infection Control. 1997;25:312–321

    Article  PubMed  Google Scholar 

  14. Garrouste-Orgeas M, Timsit J, Kallel H, Ali A, Dumay M, Paoli B, Misset B, Carlet J. Colonization with methicillin-resistant Staphylococcus aureus in ICU patients: morbidity, mortality, and glycopeptide use. Infection Control and Hospital Epidemiology. 2001;22:687

    Article  PubMed  CAS  Google Scholar 

  15. Girou E, Pujade G, Legrand P, Cizeau F, Brun-Buisson C. Selective screening of carriers for control of methicillin-resistant Staphylococcus aureus (MRSA) in high-risk hospital areas with a high level of endemic MRSA. Clinical Infectious Diseases. 1999;27:543

    Article  Google Scholar 

  16. Trick W, Weinstein R, DeMarais P, Kuehnert M, Tomaska W, Nathan C, et al. Colonization of skilled-care facility residents with antimicrobial-resistant pathogens. Journal of the American Geriatrics Society. 2001;49:270

    Article  PubMed  CAS  Google Scholar 

  17. Warren D, Nitin A, Hill C, Fraser V, Kollef M. Occurrence of co-colonization or co-infection with vancomycin-resistant enterococci and methicillin-resistant Staphylococcus aureus in a medical intensive care unit. Infection Control and Hospital Epidemiology. 2004;25:99

    Article  PubMed  Google Scholar 

  18. Franchi D, Climo M, Wong A, Edmond M, Wenzel R. Seeking vancomycin resistant Staphylococcus aureus among patients with vancomycin-resistant enterococci. Clinical Infectious Diseases. 1999;29:1566

    Article  PubMed  CAS  Google Scholar 

  19. Davis K, Stewart J, Crouch H, Florez C, Hospenthal D. Methicillinresistant Staphylococcus aureus (MRSA) Nares colonization at hospital admission and its effect on subsequent MRSA infection. Clinical Infectious Diseases. 2004;39:776

    Article  PubMed  Google Scholar 

  20. Saxena An, Panhotra B, Venkateshappa C, Sundaram D, Naguib M, Uzzaman W, Mulhim K. The impact of nasal carriage of methicillin-resistant and methicillin-susceptible Staphylococcus aureus (MRSA & MSSA) on vascular access-related septicemia among patients with type-II diabetes on dialysis. Renal Failure. 2002;24:763

    Article  PubMed  Google Scholar 

  21. Wang J, Chang S, Ko W, Chang Y, Chen M, Pan H, Luh K. A hospital-acquired outbreak of methicillin-resistant Staphylococcus aureus infection initiated by a surgeon carrier. Journal of Hospital Infection. 2001;47:104

    Article  PubMed  CAS  Google Scholar 

  22. Boyce J, Potter-Bynoe G, Chenevert C, King T. Environmental contamination due to methicillin-resistant Staphylococcus aureus: possible infection control implications. 1997;18:622

    CAS  Google Scholar 

  23. Arnow P, Allyn P, Nichols E, Hill D, Pezzlo M, Bartlett R. Control of methicillin-resistant Staphylococcus aureus in a burn unit: role of nurse staffing. Journal of Trauma. 1982;22:954

    Article  PubMed  CAS  Google Scholar 

  24. Espersen F, Nielsen P, Lund K, Sylvest B, Jensen K. Hospitalacquired infections in a burn unit caused by an imported strain of Staphylococcus aureus with unusual multi-resistance. Journal of Hygiene. 1982;88:535

    PubMed  CAS  Google Scholar 

  25. Reagan D, Doebbeling R, Pfaller M, Sheetz C, Houston A, Hollis F, Wenzel R. Elimination of coincident Staphylococcus aureus nasal and hand carriage with intranasal application of mupirocin calcium ointment. Annals of Internal Medicine. 1991;114:101

    PubMed  CAS  Google Scholar 

  26. Darouiche R, Wright C, Hamill R, Koza M, Lewis D, Markowski J. Eradication of colonization by methicillin-resistant Staphylococcus aureus by using oral minocycline—rifampin and topical mupirocin. Antimicrobial Agents and Chemotherapy. 1991;35:1612

    PubMed  CAS  Google Scholar 

  27. Talon D, Rouget C, Cailleaux V, Bailly P, Thouverez M, Barale F, Michel-Briand Y. Nasal carriage of Staphylococcus aureus and cross-contamination in a surgical intensive care unit: efficacy of mupirocin ointment. Journal of Hospital Infection. 1995;30:39

    Article  PubMed  CAS  Google Scholar 

  28. Herwaldt L. Staphylococcus aureus nasal carriage and surgical-site infections. Surgery. 2003;134:S2

    Article  PubMed  Google Scholar 

  29. Perl T, Cullen J, Wenzel R, Zimmerman B, Pfaller M, Sheppard D, Twombley J, French P, Herwaldt L, et al. Intranasal mupirocin to prevent postoperative Staphylococcus aureus infections. New England Journal of Medicine. 2002;346:1871

    Article  PubMed  CAS  Google Scholar 

  30. Crossley K, Landesman B, Zaske D. An outbreak of infections caused by strains of Staphylococcus aureus resistant to methicillin and aminoglycosides, II: epidemiologic studies. Journal of Infectious Diseases. 1979;139:280

    PubMed  CAS  Google Scholar 

  31. Everett E, McNitt T, Rahm A, Stevens B, Peterson H. Epidemiologic investigations of methicillin-resistant Staphylococcus aureus in a burn unit. Military Medicine. 1978;143:165

    PubMed  CAS  Google Scholar 

  32. Espersen F, Nielsen P, Lund K, Sylvest B, Jensen K. Hospitalacquired infections in a burn unit caused by an imported strain of Staphylococcus aureus with unusual multi-resistance. Journal of Hygiene. 1982;88:535

    PubMed  CAS  Google Scholar 

  33. Rutala W, Katz E, Sherertz R, Sarubbi F. Environmental study of a methicillin-resistant Staphylococcus aureus epidemic in a burn unit. Journal of Clinical Microbiology. 1983;18:683

    PubMed  CAS  Google Scholar 

  34. Bartzokas C, Paton J, Gibson M, Graham F, McLoughlin G, Croton R. Control and eradication of methicillin-resistant Staphylococcus aureus on a surgical unit. New England Journal of Medicine. 1984;311:1422

    PubMed  CAS  Google Scholar 

  35. Devine J, Cooke R, Wright E. Is methicillin-resistant Staphylococcus aureus (MRSA) contamination of ward-based computer terminals a surrogate marker for nosocomial MRSA transmission and handwashing compliance? Journal of Hospital Infection. 2001;48:72

    Article  PubMed  CAS  Google Scholar 

  36. Livornese L, Dias S, Samel C, et al. Hospital-acquired infection with vancomycin-resistant Enterococcus faecium transmitted by electronic thermometers. Annals of Internal Medicine. 1992;117:112

    PubMed  Google Scholar 

  37. Boyce J, Opal S, Chow J, et al. Outbreak of multi-drug-resistant Enterococcus faecium with transferable vanB class vancomycin resistance. Journal of Clinical Microbiology. 1994;32:1148

    PubMed  CAS  Google Scholar 

  38. Bonten M, Hayden M, Nathan C, van Voorhis J, Matushek M, Slaughter S, Rice T, Weinstein R. Epidemiology of colonization of patients and environment with vancomycin-resistant enterococci. The Lancet. 1996;348:1615

    Article  CAS  Google Scholar 

  39. Martinez J, Ruthazer R, Hanjosten K, Barefoot L, Snydman D. Role of environmental contamination as a risk factor for acquisition of vancomycin-resistant enterococci in patients treated in a medical intensive care unit. Archives of Internal Medicine. 2003;163:1905

    Article  PubMed  Google Scholar 

  40. Trick W, Temple R, Chen D, Wright M, Solomon S, Peterson L. Patient colonization and environmental contamination by vancomycin-resistant enterococci in a rehabilitation facility. Archives of Physical Medicine Rehabilitation. 2002;83:899

    Article  Google Scholar 

  41. Mayer R, Geha R, Helfand M, Hoyen C, Salata R, Donskey C. Role of fecal incontinence in contamination of the environment with vancomycin-resistant Enterococci. American Journal of Infection Control. 2003;31:221

    Article  PubMed  Google Scholar 

  42. Lemmen S, Hafner H, Zolldann D, Stanzel S, Lutticken R. Distribution of multi-resistant Gram-negative versus Gram-positive bacteria in the hospital inanimate environment. Journal of Hospital Infection. 2004;56:191

    Article  PubMed  CAS  Google Scholar 

  43. Duckro A, Blom D, Lyle E, Weinstein R, Hayden M. Transfer of vancomycin-resistant enterococci via health care worker hands. Archives of Internal Medicine. 2005;165:302

    Article  PubMed  Google Scholar 

  44. APIC Guideline for Selection and Use of Disinfectants. American Journal of Infection Control. 1996;24:313

    Google Scholar 

  45. Larson E, and the Association for Professionals in Infection Control and Epidemiology 1992–1993 and 1994 APIC Guidelines Committee. APIC guideline for handwashing and hand antisepsis in health care settings. American Journal of Infection Control. 1995;23:251

    Article  PubMed  CAS  Google Scholar 

  46. Centers for Disease Control and Prevention: Guideline for Hand Hygiene in Health-care Settings. Morbidity and Mortality Weekly Report. 2002;51

    Google Scholar 

  47. Sproat L, Inglis T. A multicentre survey of hand hygiene practice in intensive care units. Journal of Hospital Infection. 1994;26:137

    Article  PubMed  CAS  Google Scholar 

  48. Lowbury E. Gram-negative bacilli on the skin. British Journal of Dermatology. 1969;81 Suppl 1:55

    Article  Google Scholar 

  49. Noble W. Distribution of the Micrococcaceae. British Journal of Dermatology. 1969;81 Suppl 1:27

    Article  Google Scholar 

  50. McBride M, Duncan W, Bodey G, McBride C. Microbial skin flora of selected cancer patients and hospital personnel. Journal of Clinical Microbiology. 1976;3:14

    PubMed  CAS  Google Scholar 

  51. Casewell M. Role of hands in nosocomial gram-negative infection. In: Maiback HI, Aly R, eds. Skin Microbiology: Relevance to Clinical Infection. New York, NY: Springer-Verlag, 1981

    Google Scholar 

  52. Larson E, McGinley K, Foglia A, Talbot G, Leyden J. Composition and antimicrobic resistance of skin flora in hospitalized and healthy adults. Journal of Clinical Microbiology. 1986;23:604

    PubMed  CAS  Google Scholar 

  53. Ehrenkranz N, Alfonso B. Failure of bland soap handwash to prevent hand transfer of patient bacteria to urethral catheters. Infection Control and Hospital Epidemiology. 1991;12:604

    Google Scholar 

  54. Sanderson P, Weissler S. Recovery of coliforms from the hands of nurses and patients: activities leading to contamination. Journal of Hospital Infections. 1992;21:85

    Article  CAS  Google Scholar 

  55. Coello R, Jimenez J, Garcia M, et al. Prospective study of infection, colonization and carriage of methicillin-resistant Staphylococcus aureus in an outbreak affecting 990 patients. European Journal of Microbiology and Infectious Diseases. 1994;13:74

    Article  CAS  Google Scholar 

  56. Sanford M, Widmer A, Bale M, Jones R, Wenzel R. Efficient detection and long-term persistence of the carriage of methicillin-resistant Staphylococcus aureus. Clinical Infectious Diseases. 1994;19:1123

    PubMed  CAS  Google Scholar 

  57. Bertone S, Fisher M, Mortensen J. Quantitative skin cultures at potential catheter sites in neonates. Infection Control and Hospital Epidemiology. 1994;15:315

    PubMed  CAS  Google Scholar 

  58. Bonten M, Hayden M, Nathan C, VanVoorhis J, et al. Epidemiology of colonization of patients and environment with vancomycinresistant enterococci. Lancet. 1995;348:1615

    Article  Google Scholar 

  59. Larson E, Cronquist A, Whittier S, Lai L, Lyle C, Della Latta P. Differences in skin flora between inpatients and chronically ill patients. Heart Lung. 2000;29:298

    Article  PubMed  CAS  Google Scholar 

  60. Polakoff S, Richards I, Parker M, Lidwell O. Nasal and skin carriage of Staphylococcus aureus by patients undergoing surgical operation. Journal of Hygiene. 1967;65:559

    Article  PubMed  CAS  Google Scholar 

  61. Larson E, Leyden J, McGinley K, Grove G, Talbot G. Physiologic and microbiologic changes in skin related to frequent handwashing. Infection Control. 1986;7:59

    PubMed  CAS  Google Scholar 

  62. Meers P, Yeo G. Shedding of bacteria and skin squames after handwashing. Journal of Hygiene. 1978;81:99

    Article  PubMed  CAS  Google Scholar 

  63. Winnefeld M, Richard M, Drancourt M, Grobb J. Skin tolerance and effectiveness of two hand decontamination procedures in everyday hospital use. British Journal of Dermatology. 2000;143:546

    Article  PubMed  CAS  Google Scholar 

  64. Maki D, Zilz M, Alvarado C. Evaluation of the antibacterial efficacy of four agents for handwashing. In: Nelson JC, Grassi C, eds. Current Chemotherapy and Infectious Disease Proceedings of the 11th International Congress on Chemotherapy and the 19th ICAAC. Washington DC: American Society for Microbiology, 1979

    Google Scholar 

  65. Boyce J, Kelliher S, Vallande N. Skin irritation and dryness associated with two hand-hygiene regimens: soap-and-water handwashing versus hand antisepsis with an alcoholic hand gel. Infection Control and Hospital Epidemiology. 2000;21:442

    Article  PubMed  CAS  Google Scholar 

  66. Wade J, Casewell M. The evaluation of residual antimicrobial activity on hands and its clinical relevance. Journal of Hospital Infection 1991;18 Supp B:23

    Article  PubMed  Google Scholar 

  67. Doebbeling B, Stanley G, Sheetz C, Pfaller M, Houston A, Annis L, Li N, Wenzel R. Comparative efficacy of alternative hand-washing agents in reducing nosocomial infections in intensive care units. The New England Journal of Medicine. 1992;327:88

    Article  PubMed  CAS  Google Scholar 

  68. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. Lancet. 2000;356:1307

    Article  PubMed  CAS  Google Scholar 

  69. Lund S, Jackson J, Leggett J, Hales L, Dworkin R, Gilbert D. Reality of glove use and handwashing in a community hospital. American Journal of Infection Control. 1994;22:352

    Article  PubMed  CAS  Google Scholar 

  70. Meengs M, Giles B, Chisholm C, Cordell W, Nelson D. Hand washing frequency in an emergency department. Annals of Emergency Medicine. 1994;23:1307

    Article  PubMed  CAS  Google Scholar 

  71. Mayer J, Dubbert P, Miller M, Burkett P, Chapman S. Increasing handwashing in an intensive care unit. Infection Control. 1986;7:259

    PubMed  CAS  Google Scholar 

  72. Preston G, Larson E, Stamm W. The effect of private isolation rooms on patient care practices, colonization and infection in an intensive care unit. American Journal of Medicine. 1981;70:641

    Article  PubMed  CAS  Google Scholar 

  73. Kaplan L, McGuckin M. Increasing handwashing compliance with more accessible sinks. Infection Control. 1986;7:408

    PubMed  CAS  Google Scholar 

  74. Bischoff W, Reynolds T, Sessler C, Edmond M, Wenzel R. Handwashing compliance by health care workers. The impact of introducing an accessible, alcohol-based hand antiseptic. Archives of Internal Medicine. 2000;160:1017

    Article  PubMed  CAS  Google Scholar 

  75. Wurtz R, Moye G, Jovanovic B. Handwashing machines, handwashing compliance, and potential for cross-contamination. American Journal of Infection Control. 1994;22:228

    Article  PubMed  CAS  Google Scholar 

  76. Albert R, Condie F. Hand-washing patterns in medical intensivecare units. New England Journal of Medicine. 1981;304:1465

    Article  PubMed  CAS  Google Scholar 

  77. Larson E. Compliance with isolation technique. American Journal of Infection Control. 1983;11:221

    Article  PubMed  CAS  Google Scholar 

  78. Donowitz L. Handwashing techniques in a pediatric intensive care unit. American Journal of Diseases of Children. 1987;141:683

    PubMed  CAS  Google Scholar 

  79. Conly J, Hill S, Ross J, Lertzman J, Loule T. Handwashing practices in an intensive care unit: the effects of an education program and its relationship to infection rates. American Journal of Infection Control. 1989;17:330

    Article  PubMed  CAS  Google Scholar 

  80. DeCarvalho M, Lopes J, Pellitteri M. Frequency and duration of handwashing in a neonatal intensive care unit. Pediatric Infectious Diseases Journal. 1989;8:179

    Google Scholar 

  81. Graham M. Frequency and duration of handwashing in an intensive care unit. American Journal of Infection Control. 1990;18:77

    Article  PubMed  CAS  Google Scholar 

  82. Dubbert P, Dolce J, Richter W, Miller M, Chapman S. Increasing ICU staff handwashing: effects of education and group feedback. Infection Control and Hospital Epidemiology. 1990;11:191

    PubMed  CAS  Google Scholar 

  83. Simmons B, Bryant J, Neiman K, Spencer L, Arheart K. The role of handwashing in prevention of endemic intensive care unit infections. Infection Control and Hospital Epidemiology. 1990;11:589

    PubMed  CAS  Google Scholar 

  84. Pettinger A, Nettleman M. Epidemiology of isolation precautions. Infection Control and Hospital Epidemiology. 1991;12:303

    PubMed  CAS  Google Scholar 

  85. Lohr J, Ingram D. Dudley S, Lawton E, Donowitz L. Hand washing in pediatric ambulatory settings: an inconsistent practice. American Journal of Diseases of Children 1991;145:1198

    PubMed  CAS  Google Scholar 

  86. Raju T, Kobler C. Improving handwashing habits in the newborn nurseries. Am J Med Sci. 1991;302:355

    Article  PubMed  CAS  Google Scholar 

  87. Larson E, McGinley K, Foglia A, et al. Handwashing practices and resistance and density of bacterial hand flora on two pediatric units in Lima, Peru. American Journal Infection Control. 1992;20:65

    Article  CAS  Google Scholar 

  88. Zimakoff J, Stormark M, Larsen S. Use of gloves and handwashing behaviour among health care workers in intensive care units. A multicentre investigation in four hospitals in Denmark and Norway. The Journal of Hospital Infection. 1993;24:63–67

    Article  PubMed  CAS  Google Scholar 

  89. Pelke S, Ching D, Easa D, Melish M. Gowning does not affect colonization or infection rates in a neonatal intensive care unit. Archives of Pediatric Adolescent Medicine. 1994;148:24

    Google Scholar 

  90. Gould D. Nurses' hand decontamination practice: results of a local study. Journal Hospital of Infection. 1994;28:15

    Article  CAS  Google Scholar 

  91. Shay D, Maloney S, Montecalvo M, et al. Epidemiology and mortality risk of vancomycin-resistant enterococcal bloodstream infections. Journal of Infectious Diseases. 1995;172:993

    PubMed  CAS  Google Scholar 

  92. Berg D, Hershow R, Ramirez C. Control of nosocomial infections in an intensive care unit in Guatemala City. Clinical Infectious Diseases. 1995;21:588

    PubMed  CAS  Google Scholar 

  93. Tibbals J. Teaching hospital medical staff to handwash. Medical Journal of Australia. 1996;164:395

    Google Scholar 

  94. Slaughter S, Hayden M, Nathan C, et al. A comparison of the effect of universal use of gloves and gowns with that of glove use alone on acquisition of vancomycin-resistant enterococci in a medical intensive care unit. Annals of Internal Medicine. 1996;125:448

    PubMed  CAS  Google Scholar 

  95. Dorsey S, Cydulka R, Emerman C. Is handwashing teachable?: failure to improve handwashing behavior in an urban emergency department. Academic Emergency Medicine. 1995;3:360

    Article  Google Scholar 

  96. Watanakunakorn C, Wang C, Hazy J. An observational study of hand washing and infection control practices by healthcare workers. Infection Control and Hospital Epidemiology. 1998;19:858

    PubMed  CAS  Google Scholar 

  97. Avila-Aguero M, UmaZa M, Jimenez A, Faingezicht I, Paris M. Handwashing practices in a tertiary-care, pediatric hospital and the effect on an education program. Clinical Performance of Quality Health Care. 1998;6:70

    CAS  Google Scholar 

  98. Kirkland K, Weinstein J. Adverse effects on contact isolation. Lancet. 1999;354:1177

    Article  PubMed  CAS  Google Scholar 

  99. Maury E, Alzieu M, Baudel J, et al. Availability of an alcohol solution can improve hand disinfection compliance in an intensive care unit. American Journal of Respiratory Critical Care Medicine. 2000;162:324

    CAS  Google Scholar 

  100. Muto C, Sistrom M, Farr B. Hand hygiene rates unaffected by installation of dispensers of a rapidly acting hand antiseptic. American Journal of Infection Control. 2000;28:273

    Article  PubMed  CAS  Google Scholar 

  101. Kaplan L, McGuckin M. Increasing handwashing compliance with more accessible sinks. Infection Control. 1986;7:408

    PubMed  CAS  Google Scholar 

  102. Bischoff W, Reynolds T, Sessler C, Edmond M, Wenzel R. Handwashing compliance by health care workers: The impact of introducing an accessible, alcohol-based hand antiseptic. Archives of Internal Medicine. 2000;160:1017

    Article  PubMed  CAS  Google Scholar 

  103. Pittet D, Hugonnet S, Harbarth S, Mourouga P, Sauvan V, Touveneau S, Perneger T, and the members of the Infection Control Programme. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene. The Lancet. 2000;356:1307

    Article  CAS  Google Scholar 

  104. Doebbeling B, Pfaller M, Houston A, et al. Removal of nosocomial pathogens from the contaminated glove: Implications for glove reuse and handwashing. Annals of Internal Medicine. 1988;109:394

    PubMed  CAS  Google Scholar 

  105. Kim P, Roghmann M, Perencevich E, Harris A. Rates of hand disinfection associated with glove use, patient isolation, and changes between exposure to various body sites. American Journal of Infection Control. 2003;31:97

    Article  PubMed  Google Scholar 

  106. Zachary K, Bayne P, Morrison V, Ford D, Silver L, Hooper D. Contamination of gowns, gloves, and stethoscopes with vancomycin-resistant enterococci. Infection Control and Hospital Epidemiology. 2001;22:560

    Article  PubMed  CAS  Google Scholar 

  107. Boyce J, Potter-Bynoe G, Chenevert C, King T. Environmental contamination due to methicillin-resistant Staphylococcus aureus: possible infection control implications. Infection Control and Hospital Epidemiology. 1997;18:622

    PubMed  CAS  Google Scholar 

  108. Boyce J, Chenevert C. Isolation gowns prevent health care workers (HCWs) from contamination their clothing, and possibly their hands, with methicillin-resistant Staphylococcus aureus (MRSA) and resistant enterococci. Presented at the 8th Annual Meeting of the Society for Healthcare Epidemiology of America. 1998;Orlando, FL. Abstract S74:52

    Google Scholar 

  109. Roman R, Smith J, Walker M, et al. Rapid geographic spread of a methicillin-resistant Staphylococcus aureus strain. Clinical Infectious Diseases. 1997;25:698

    Article  PubMed  CAS  Google Scholar 

  110. Pelke S, Ching D, Easa D, Melish M. Gowning does not affect colonization or infection rate in a neonatal intensive care unit. Archives of Pediatric and Adolescent Medicine. 1994;148:1016

    CAS  Google Scholar 

  111. Slaughter S, Hayden M, Nathan C, Hu T, Rice T, Voorhis J, Matushek M, Franklin C, Weinstein R. A comparison of the effect of universal use of gloves and gowns with that of glove use along on acquisition of vancomycin-resistant Enterococci in a medical intensive care unit. Annals of Internal Medicine. 1996;125:448

    PubMed  CAS  Google Scholar 

  112. Trick W, Weinstein R, DeMarais P, Tomaska W, Nathan C, McAllister S, et al. Comparison of routine glove use and contactisolation precautions to prevent transmission of multidrug-resistant bacteria in a long-term care facility. Journal of the American Geriatrics Society. 2004;52:2003

    Article  PubMed  Google Scholar 

  113. Centers for Disease Control and Prevention. Guidelines for preventing the transmission of Mycobacterium tuberculosis in health-care facilities. MMWR Morbidity and Mortality Weekly Report. 1994;43:1

    Google Scholar 

  114. HICPAC Guidelines. http://www.cdc.gov/ncidod/hip/ISOLAT/ Isolat.htm

  115. Centers for Disease Control and Prevention. Campaign to Prevent Antimicrobial Resistance in Healthcare Settings: Why a Campaign? Atlanta, GA: Centers for Disease Control and Prevention, 2001

    Google Scholar 

  116. Haley R, Cushion N, Tenover F, et al. Eradication of endemic methicillin-resistant Staphylococcus aureus infections from a neonatal intensive care unit. Journal of Infectious Diseases. 1995;171:612

    Google Scholar 

  117. Jernigan J, Titus M, Groschel D, Getchell-White S, Farr B. Effectiveness of contact isolation during a hospital outbreak of methicillin-resistant Staphylococcus aureus. American Journal of Epidemiology. 1996;143:496

    PubMed  CAS  Google Scholar 

  118. Salmenlinna S, Lyytikainen O, Kotilainen P, Scotford R, Siren E, Vuopio-Varkila J. Molecular epidemiology of methicillinresistant Staphylococcus aureus in Finland. European Journal of Clinical Microbiology and Infectious Diseases. 2000;19:101

    Article  CAS  Google Scholar 

  119. Roberts R, de Lancastre A, Eisner W, et al. Molecular epidemiology of methicillin-resistant Staphylococcus aureus in 12 New York hospitals: MRSA collaborative group. Journal of Infectious Diseases. 1998;178:164

    PubMed  CAS  Google Scholar 

  120. de Lancaster H, Severina E, Roberts R, Kreiswirth B, Tomasz A. Testing the efficacy of a molecular surveillance network: methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant Enterococcus faecium (VREF) genotypes in six hospitals in the metropolitan New York City area. Microbial Drug Resistance. 1996;2:343

    Article  Google Scholar 

  121. Villari P, Faullo C, Torre I, Nani E. Molecular characterization of methicillin-resistant Staphylococcus aureus (MRSA) in a university hospital in Italy. European Journal of Epidemiology. 1998;14:802

    Article  Google Scholar 

  122. Diekema D, Pfaller M, Trunidge J, et al. Genetic related-ness of multidrug-resistant, methicillin-resistant Staphylococcus aureus bloodstream isolates: SENTRY antimicrobial resistance surveillance centers worldwide. Microbial Drug Resistance. 2000;6:213

    Article  PubMed  CAS  Google Scholar 

  123. Vriens M, Fluit A, Troelstra A, Verhoef J, Van Der Werken C. Are MRSA more contagious than MSSA in a surgical intensive care unit? Infection Control and Hospital Epidemiology. 2002;23:491

    Article  PubMed  Google Scholar 

  124. Dominguez M, De Lencastre H, Linare J, Tomasz A. Spread and maintenance of a dominant methicillin-resistant Staphylococcus aureus (MRSA) clone during an outbreak of MRSA disease in a spanish hospital. Journal of Clinical Microbiology. 1994;32:2081

    PubMed  CAS  Google Scholar 

  125. Embil J, McLeod J, Al-Barrak A, Thompson G, Aoki F, Witwicki E, Stranc M, Kabani A, Nicoll D, Nicolle L. An outbreak of methicillin-resistant Staphylococcus aureus on a burn unit: potential role of contaminated hydrotherapy equipment. Burns. 2001;27:681

    Article  PubMed  CAS  Google Scholar 

  126. Spindel S, Strausbaugh L, Jacobsen C. Infections caused by Staphylococcus aureus in a veteran's affairs nursing home care unit: a 5-year experience. Infection Control and Hospital Epidemiology. 1995;16:217

    PubMed  CAS  Google Scholar 

  127. Boyce J, Mermel L, Zervos M, et al. Controlling vancomycinresistant enterococci. Infection Control and Hospital Epidemiology. 1995;16:634

    PubMed  CAS  Google Scholar 

  128. Boyce J, Opal S, Chow J, et al. Outbreak of multi-drug resistant Enterococci faecium with transferable vanB class vancomycin resistance. Journal of Clinical Microbiology. 1994;32:1148

    PubMed  CAS  Google Scholar 

  129. Clark N, Cooksey B, Hille B, Swenson J, Tenover F. Characterization of glycopeptide-resistant enterococci from U.S. Hospitals. Antimicrobial Agents and Chemotherapy. 1993:37;2311

    PubMed  CAS  Google Scholar 

  130. Handwerger S, Raucher B, altarac D, et al. Nosocomial outbreak due to Enterococcus faecium highly resistant to vancomycin, penicillin, and gentamicin. Clinical Infectious Diseases. 1993;16:750

    PubMed  CAS  Google Scholar 

  131. Livornese L, Dias S, Romanowski B, et al. Hospital-acquired infection with vancomycin-resistant Entercoccus faecium transmitted by electronic thermometers. Annals of Internal Medicine. 1992;117:112

    PubMed  Google Scholar 

  132. Kim W, Weinstein R, Hayden M. The changing molecular epidemiology and establishment of endemicity of vancomycin resistance in enterococci at one hospital over a 6-year period. Journal of Infectious Diseases. 1999;179:163

    Article  PubMed  CAS  Google Scholar 

  133. Moreno R, Grota P, Crisp C, et al. Clinical and molecular epidemiology of vancomycin-resistant Enterococcus faecium during its emergence in a city in Southern Texas. Clinical Infectious Diseases. 1995;21:1234

    PubMed  CAS  Google Scholar 

  134. Byers K, Anglim A, Anneski C, et al. A hospital epidemic of vancomycin-resistant enterococcus: risk factors and control. Infection Control and Hospital Epidemiology. 2001;22:140

    Article  PubMed  CAS  Google Scholar 

  135. Falk P, Winnike J, Woodmansee C, Desai M, Mayhall G. Outbreak of vancomycin-resistant Enterococci in a burn unit. Infection Control and Hospital Epidemiology. 2000;21:575

    Article  PubMed  CAS  Google Scholar 

  136. Montecalvo M, Horowitz H, Gedris C, Carbonaro C, Tenover F, Issah A, Cook P, Wormser G. Outbreak of vancomycin-, ampicillin-, and aminoglycoside-resistant Enterococcus faecium bacteremia in an adult oncology unit. Antimicrobial Agents and Chemotherapy. 1994;38:1363

    PubMed  CAS  Google Scholar 

  137. Duerden M, Bergeron J, Baker R, Braddom R. Controlling the spread of vancomycin-resistant enterococci with a rehabilitation cohort unit. Archives of Physical Medicine and Rehabilitation. 1997;78:553

    Article  PubMed  CAS  Google Scholar 

  138. Farr B. Prevention and control of methicillin-resistant Staphylococcus aureus infections. Current Opinion in Infectious Diseases. 2004;17:317

    Article  PubMed  Google Scholar 

  139. Saiman L, Cronquist A, Wu F, Zhou J, Rubenstein D, Eisner W, Kreiswirth B, Della-Latta P. An outbreak of methicillin-resistant Staphylococcus aureus in a neonatal intensive care unit. Infection Control and Hospital Epidemiology. 2003;24:317

    Article  PubMed  Google Scholar 

  140. Graham P, Morel A-S, Zhou J, Wu F, Della-Latta P, Rubenstein D, Saiman L. Epidemiology of methicillin- susceptible Staphylococcus aureus in the neonatal intensive care unit. Infection Control and Hospital Epidemiology. 2002;23:677

    Article  PubMed  Google Scholar 

  141. Hartstein A, Denny M, Morthland V, LeMonte A, Pfaller M. Control of methicillin-resistant Staphylococcus aureus in a hospital and an intensive care unit. Infection Control and Hospital Epidemiology. 1995;16:405

    PubMed  CAS  Google Scholar 

  142. Richet H, Wiesel M, Le Gallou F, Andre-Richet B, Espaze E, et al. Methicillin-resistant Staphylococcus aureus control in hospitals: the French experience. Infection Control and Hospital Epidemiology. 1996;17:509

    Article  PubMed  CAS  Google Scholar 

  143. Muto C, Jernigan J, Ostrowsky B, Richet H, Jarvis W, Boyce J, Farr B. SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and Enterococcus. Infection Control and Hospital Epidemiology. 2003;24:362

    Article  PubMed  Google Scholar 

  144. Troillet N, Carmeli Y, Samore M, et al. Carriage of methicillinresistant Staphylococcus aureus at hospital admission. Infection Control and Hospital Epidemiology. 1998;19:181

    Article  PubMed  CAS  Google Scholar 

  145. Muto C, Cage E, Durbin L, Simonton B, Farr B. The utility of culturing patients on admission transferred from other health care facilities for methicillin-resistant Staphylococcus aureus (MRSA). Ninth Annual Meeting of the Society for Health Epidemiology of America. 1999;San Francisco, CA. Abstract M33:67

    Google Scholar 

  146. Nouer A, Araujo A, Chebabo A, Cardoso F, Pinto M, Hospital Universitario Universidade Federal do Rio de Janeiro. Control of methicillin-resistant Staphylococcus aureus (MRSA) in an intensive care unit after the institution of routine screening. Presented at 42nd General Meeting of the Interscience Conference on Antimicrobial Agents and Chemotherapy. 2002;San Francisco, CA. Abstract K-98

    Google Scholar 

  147. Calfee D, Giannetta E, Durbin L, Farr B. The increasing prevalence of MRSA and VRE colonization among patients transferred from primary and secondary health care facilities. Presented at the 11th Annual Meeting of the Society for Healthcare Epidemiology of America. 2001;Toronto, ON, Canada. Abstract 171

    Google Scholar 

  148. Muto C, Cage E, Durbin L, Simonton B, Farr B. The utility of culturing patients on admission transferred from other hospitals or nursing homes for vancomycin resistant Enterococcus (VRE). Presented at the 35th Annual Meeting of the Infectious Diseases Society of America. 1998;Denver, CO. Abstract

    Google Scholar 

  149. Back N, Linnemann C, Staneck J, Kotagal U. Control of methicillin-resistant Staphylococcus aureus in a neonatal intensivecare unit: use of intensive microbiologic surveillance and mupirocin. Infection Control and Hospital Epidemiology. 1996;17:227

    PubMed  CAS  Google Scholar 

  150. Calfee D, Farr B. Infection control and cost control in the era of managed care. Infection Control and Hospital Epidemiology. 2002;223:407

    Article  Google Scholar 

  151. Rupp M, Marion N, Fey P, et al. Outbreak of vancomycinresistant Enterococcus faecium in a neonatal intensive care unit. Infection Control and Hospital Epidemiology. 2001;22:301

    Article  PubMed  CAS  Google Scholar 

  152. Price C, Paule S, Noskin G, Peterson L. Active surveillance reduces vancomycin-resistant enterococci (VRE) bloodstream isolates. Presented at the 39th Annual Meeting of the Infectious Diseases Society of America. 2001;San Francisco, CA. Abstract 212:75

    Google Scholar 

  153. Siddiqui A, Harris A, Hebden J, Wilson P, Morris J, Roghmann M. The effect of active surveillance for vancomycin resistant enterococci in high risk units on vancomycin resistant enterococci incidence hospital-wide. American Journal of Infection Control. 2002;30:40

    Article  PubMed  Google Scholar 

  154. Calfee D, Giannetta E, Farr B. Effective control of VRE colonization using CDC recommendations for detection and isolation. Presented at the 38th Annual Meeting of the Infectious Diseases Society of America. 2000;New Orleans, LA. Abstract 21:44

    Google Scholar 

  155. Cantey J, Rhoton B, Southgate W, Snyder C. Control of spread of methicillin resistant Staphylococcus aureus in a neonatal ICU. Presented at the 12th Annual Meeting of the Society for Healthcare Epidemiology of America. 2002;Salt Lake City, UT. Abstract 36:49

    Google Scholar 

  156. Muto C, Giannetta E, Durbin L, Simonton B, Farr B. Cost effectiveness of perirectal surveillance cultures for controlling vancomycin-resistant enterococcus. Infection Control and Hospital Epidemiology. 2002;23:429

    Article  PubMed  Google Scholar 

  157. Cooper B, Medley G, Stone T, Duckworth G, Kibbler C, Lai R, et al. Systematic review of isolation policies in the hospital management of methicillin resistant Staphylococcus aureus: a review of the literature with epidemiological and economic modeling. Health Technology Assessment. 2003;7

    Google Scholar 

  158. Cepeda J, Whitehouse T, Cooper B, Heails J, Jones K, Kwaku F, et al. Isolation of patients in single rooms or cohorts to reduce spread of MRSA in intensive-care units: prospective two-centre study. The Lancet. 2005;365:295

    Google Scholar 

  159. Evans H, Shaffer M, Hughes M, Smith R, Chong T, Raymond D, et al. Contact isolation in surgical patients: A barrier to care? Surgery. 2003;134:180

    Article  PubMed  Google Scholar 

  160. Stelfox H, Bates D, Redelmeier D. Safety of Patients Isolated for Infection Control. JAMA. 2003;290:1899

    Article  PubMed  CAS  Google Scholar 

  161. Saint S, Higgins L, Nalamothu B, Chenoweth C, Arbor A. Do physicians examine patients in contact isolation less frequently? A brief report. American Journal of Infection Control. 2003;31:354

    Article  PubMed  Google Scholar 

  162. Tarzi S, Kennedy P, Stone S, Evans M. Methicillin-resistant Staphylococcus aureus: psychological impact of hospitalization and isolation in an older adult population. Journal of Hospital Infection. 2001:49;250

    Article  PubMed  CAS  Google Scholar 

  163. Catalano G, Houston S, Catalano M, Butera A, Jennings S, Hakala S, et al. Anxiety and depression in hospitalized patients in resistant organism isolation. Southern Medical Journal. 2003;96:141

    Article  PubMed  Google Scholar 

  164. Harbarth S, Samore MH, Lichtenberg D, Carmeli Y. Prolonged antibiotic prophylaxis after cardiovascular surgery and its effects on surgical site infections and antimicrobial resistance. Circulation. 2000;101:2916

    PubMed  CAS  Google Scholar 

  165. de Man P, Verhoeven B, Verbrugh H, et al. An antibiotic policy to prevent emergence of resistant bacilli. Lancet. 2000;355:973

    Article  PubMed  Google Scholar 

  166. Donskey C, Chowdhry T, Hecker M, et al. Effect of antibiotic therapy on the density of vancomycin-resistant enterococci in the stool of colonized patients. New England Journal of Medicine. 2000;343:1925

    Article  PubMed  CAS  Google Scholar 

  167. Harbarth S, Liassine N, Charan S, et al. Risk factors for persistent carriage of methicillin-resistant Staphylococcus aureus. Clinical Infectious Diseases. 2000;31:1380

    Article  PubMed  CAS  Google Scholar 

  168. Crowcroft N, Ronveaux O, Monnet D, Mertens R. Methicillinresistant Staphylococcus aureus and antimicrobial use in Belgian hospitals. Infection Control and Hospital Epidemiology. 1999;20:31

    Article  PubMed  CAS  Google Scholar 

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Bearman, G.M.L., Wenzel, R.P. (2009). Hospital Infection Control: Considerations for the Management and Control of Drug-Resistant Organisms. In: Mayers, D.L. (eds) Antimicrobial Drug Resistance. Infectious Disease. Humana Press. https://doi.org/10.1007/978-1-60327-595-8_42

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