Status of the Prevention of Multidrug-Resistant Organisms in International Settings

A Survey of the Society for Healthcare Epidemiology of America Research Network

SHEA Research Committee

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

OBJECTIVE To examine self-reported practices and policies to reduce infection and transmission of multidrug-resistant organisms (MDRO) in healthcare settings outside the United States. DESIGN Cross-sectional survey. PARTICIPANTS International members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. METHODS Electronic survey of infection control and prevention practices, capabilities, and barriers outside the United States and Canada. Participants were stratified according to their country's economic development status as defined by the World Bank as low-income, lower-middle-income, upper-middle-income, and high-income. RESULTS A total of 76 respondents (33%) of 229 SHEA members outside the United States and Canada completed the survey questionnaire, representing 30 countries. Forty (53%) were high-, 33 (43%) were middle-, and 1 (1%) was a low-income country. Country data were missing for 2 respondents (3%). Of the 76 respondents, 64 (84%) reported having a formal or informal antibiotic stewardship program at their institution. High-income countries were more likely than middle-income countries to have existing MDRO policies (39/64 [61%] vs 25/64 [39%], P=.003) and to place patients with MDRO in contact precautions (40/72 [56%] vs 31/72 [44%], P=.05). Major barriers to preventing MDRO transmission included constrained resources (infrastructure, supplies, and trained staff) and challenges in changing provider behavior. CONCLUSIONS In this survey, a substantial proportion of institutions reported encountering barriers to implementing key MDRO prevention strategies. Interventions to address capacity building internationally are urgently needed. Data on the infection prevention practices of low income countries are needed.

Original languageEnglish (US)
Pages (from-to)53-60
Number of pages8
JournalInfection Control and Hospital Epidemiology
Volume38
Issue number1
DOIs
StatePublished - Jan 1 2017
Externally publishedYes

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Research
Canada
Delivery of Health Care
Capacity Building
Infectious Disease Transmission
Economic Development
Surveys and Questionnaires
United Nations
Infection Control
Epidemiology
Cross-Sectional Studies
Anti-Bacterial Agents
Infection

All Science Journal Classification (ASJC) codes

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

Cite this

@article{99618cc0a06d450c8ac82b5b4ea06722,
title = "Status of the Prevention of Multidrug-Resistant Organisms in International Settings: A Survey of the Society for Healthcare Epidemiology of America Research Network",
abstract = "OBJECTIVE To examine self-reported practices and policies to reduce infection and transmission of multidrug-resistant organisms (MDRO) in healthcare settings outside the United States. DESIGN Cross-sectional survey. PARTICIPANTS International members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. METHODS Electronic survey of infection control and prevention practices, capabilities, and barriers outside the United States and Canada. Participants were stratified according to their country's economic development status as defined by the World Bank as low-income, lower-middle-income, upper-middle-income, and high-income. RESULTS A total of 76 respondents (33{\%}) of 229 SHEA members outside the United States and Canada completed the survey questionnaire, representing 30 countries. Forty (53{\%}) were high-, 33 (43{\%}) were middle-, and 1 (1{\%}) was a low-income country. Country data were missing for 2 respondents (3{\%}). Of the 76 respondents, 64 (84{\%}) reported having a formal or informal antibiotic stewardship program at their institution. High-income countries were more likely than middle-income countries to have existing MDRO policies (39/64 [61{\%}] vs 25/64 [39{\%}], P=.003) and to place patients with MDRO in contact precautions (40/72 [56{\%}] vs 31/72 [44{\%}], P=.05). Major barriers to preventing MDRO transmission included constrained resources (infrastructure, supplies, and trained staff) and challenges in changing provider behavior. CONCLUSIONS In this survey, a substantial proportion of institutions reported encountering barriers to implementing key MDRO prevention strategies. Interventions to address capacity building internationally are urgently needed. Data on the infection prevention practices of low income countries are needed.",
author = "{SHEA Research Committee} and Nasia Safdar and Sharmila Sengupta and Musuuza, {Jackson S.} and Manisha Juthani-Mehta and Marci Drees and Abbo, {Lilian M.} and Milstone, {Aaron M.} and Furuno, {Jon P.} and Meera Varman and Anderson, {Deverick J.} and Morgan, {Daniel J.} and Miller, {Loren G.} and Snyder, {Graham M.}",
year = "2017",
month = "1",
day = "1",
doi = "10.1017/ice.2016.242",
language = "English (US)",
volume = "38",
pages = "53--60",
journal = "Infection Control and Hospital Epidemiology",
issn = "0899-823X",
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T1 - Status of the Prevention of Multidrug-Resistant Organisms in International Settings

T2 - A Survey of the Society for Healthcare Epidemiology of America Research Network

AU - SHEA Research Committee

AU - Safdar, Nasia

AU - Sengupta, Sharmila

AU - Musuuza, Jackson S.

AU - Juthani-Mehta, Manisha

AU - Drees, Marci

AU - Abbo, Lilian M.

AU - Milstone, Aaron M.

AU - Furuno, Jon P.

AU - Varman, Meera

AU - Anderson, Deverick J.

AU - Morgan, Daniel J.

AU - Miller, Loren G.

AU - Snyder, Graham M.

PY - 2017/1/1

Y1 - 2017/1/1

N2 - OBJECTIVE To examine self-reported practices and policies to reduce infection and transmission of multidrug-resistant organisms (MDRO) in healthcare settings outside the United States. DESIGN Cross-sectional survey. PARTICIPANTS International members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. METHODS Electronic survey of infection control and prevention practices, capabilities, and barriers outside the United States and Canada. Participants were stratified according to their country's economic development status as defined by the World Bank as low-income, lower-middle-income, upper-middle-income, and high-income. RESULTS A total of 76 respondents (33%) of 229 SHEA members outside the United States and Canada completed the survey questionnaire, representing 30 countries. Forty (53%) were high-, 33 (43%) were middle-, and 1 (1%) was a low-income country. Country data were missing for 2 respondents (3%). Of the 76 respondents, 64 (84%) reported having a formal or informal antibiotic stewardship program at their institution. High-income countries were more likely than middle-income countries to have existing MDRO policies (39/64 [61%] vs 25/64 [39%], P=.003) and to place patients with MDRO in contact precautions (40/72 [56%] vs 31/72 [44%], P=.05). Major barriers to preventing MDRO transmission included constrained resources (infrastructure, supplies, and trained staff) and challenges in changing provider behavior. CONCLUSIONS In this survey, a substantial proportion of institutions reported encountering barriers to implementing key MDRO prevention strategies. Interventions to address capacity building internationally are urgently needed. Data on the infection prevention practices of low income countries are needed.

AB - OBJECTIVE To examine self-reported practices and policies to reduce infection and transmission of multidrug-resistant organisms (MDRO) in healthcare settings outside the United States. DESIGN Cross-sectional survey. PARTICIPANTS International members of the Society for Healthcare Epidemiology of America (SHEA) Research Network. METHODS Electronic survey of infection control and prevention practices, capabilities, and barriers outside the United States and Canada. Participants were stratified according to their country's economic development status as defined by the World Bank as low-income, lower-middle-income, upper-middle-income, and high-income. RESULTS A total of 76 respondents (33%) of 229 SHEA members outside the United States and Canada completed the survey questionnaire, representing 30 countries. Forty (53%) were high-, 33 (43%) were middle-, and 1 (1%) was a low-income country. Country data were missing for 2 respondents (3%). Of the 76 respondents, 64 (84%) reported having a formal or informal antibiotic stewardship program at their institution. High-income countries were more likely than middle-income countries to have existing MDRO policies (39/64 [61%] vs 25/64 [39%], P=.003) and to place patients with MDRO in contact precautions (40/72 [56%] vs 31/72 [44%], P=.05). Major barriers to preventing MDRO transmission included constrained resources (infrastructure, supplies, and trained staff) and challenges in changing provider behavior. CONCLUSIONS In this survey, a substantial proportion of institutions reported encountering barriers to implementing key MDRO prevention strategies. Interventions to address capacity building internationally are urgently needed. Data on the infection prevention practices of low income countries are needed.

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U2 - 10.1017/ice.2016.242

DO - 10.1017/ice.2016.242

M3 - Review article

VL - 38

SP - 53

EP - 60

JO - Infection Control and Hospital Epidemiology

JF - Infection Control and Hospital Epidemiology

SN - 0899-823X

IS - 1

ER -