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. 2021 Jan 26;6(1):15.
doi: 10.3390/tropicalmed6010015.

Compliance to Screening Protocols for Multidrug-Resistant Microorganisms at the Emergency Departments of Two Academic Hospitals in the Dutch-German Cross-Border Region

Lisa B Gunnink  1 , Donia J Arouri  1 , Floris E J Jolink  1 , Mariëtte Lokate  1 , Klaas de Jonge  1 , Stefanie Kampmeier  2 , Carolin Kreis  3 , Michael Raschke  3 , Mirjam Kleinjan  4 , Jan C Ter Maaten  5 , Alex W Friedrich  1 , Erik Bathoorn  1 , Corinna Glasner  1
Affiliations

Compliance to Screening Protocols for Multidrug-Resistant Microorganisms at the Emergency Departments of Two Academic Hospitals in the Dutch-German Cross-Border Region

Lisa B Gunnink et al. Trop Med Infect Dis. .

Abstract

Infections caused by multidrug-resistant organisms (MDROs) are associated with prolonged hospitalization and higher risk of mortality. Patients arriving in the hospital via the emergency department (ED) are screened for the presence of MDROs in compliance with the screening protocols in order to apply the correct isolation measures. In the Dutch-German border region, local hospitals apply their own screening protocols which are based upon national screening protocols. The contents of the national and local MDRO screening protocols were compared on vancomycin-resistant enterococci (VRE), methicillin-resistant Staphylococcus aureus (MRSA), and carbapenemase-producing and carbapenem-resistant Enterobacteriaceae (CPE/CRE). The practicality of the screening protocols was evaluated by performing an audit. As a result, the content of the MDRO screening protocols differed regarding risk factors for MDRO carriage, swab site, personal protective equipment, and isolation measures. The observations and questionnaires showed that the practicality was sufficient; however, the responsibility was not designated clearly and education regarding the screening protocols was deemed inappropriate. The differences between the MDRO screening protocols complicate patient care in the Dutch-German border region. Arrangements have to be made about the responsibility of the MDRO screening, and improvements are necessary concerning education regarding the MDRO screening protocols.

Keywords: CPE; CRE; Dutch–German cross-border region; MDRO; MRSA; VRE; education; infection prevention; screening.

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Conflict of interest statement

The authors declare no conflict of interest. The founding sponsors had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.

References

    1. Liang S.Y., Theodoro D.L., Schuur J.D., Marschall J. Infection Prevention in the Emergency Department. Ann. Emerg. Med. 2014;64:299–313. doi: 10.1016/j.annemergmed.2014.02.024. - DOI - PMC - PubMed
    1. Magiorakos A.-P., Srinivasan A., Carey R.B., Carmeli Y., Falagas M.E., Giske C.G., Harbarth S., Hindler J.F., Kahlmeter G., Olsson-Liljequist B., et al. Multidrug-resistant, extensively drug-resistant and pandrug-resistant bacteria: An international expert proposal for interim standard definitions for acquired resistance. Clin. Microbiol. Infect. 2012;18:268–281. doi: 10.1111/j.1469-0691.2011.03570.x. - DOI - PubMed
    1. Barrasa-Villar J.I., Aibar-Remón C., Prieto-Andrés P., Mareca-Doñate R., Moliner-Lahoz J. Impact on Morbidity, Mortality, and Length of Stay of Hospital-Acquired Infections by Resistant Microorganisms. Clin. Infect. Dis. 2017;65:644–652. doi: 10.1093/cid/cix411. - DOI - PubMed
    1. Jia H., Li L., Li W., Hou T., Ma H., Yang Y., Wu A., Liu Y., Wen J., Yang H., et al. Impact of Healthcare-Associated Infections on Length of Stay: A Study in 68 Hospitals in China. [(accessed on 23 January 2021)];BioMed Res. Int. 2019 2019:2590563. doi: 10.1155/2019/2590563. Available online: https://www.hindawi.com/journals/bmri/2019/2590563/ - DOI - PMC - PubMed
    1. Muto C.A., Jernigan J.A., Ostrowsky B.E., Richet H.M., Jarvis W.R., Boyce J.M., Farr B.M., SHEA SHEA Guideline for Preventing Nosocomial Transmission of Multidrug-Resistant Strains of Staphylococcus aureus and Enterococcus. Infect. Control Hosp. Epidemiol. 2003;24:362–386. doi: 10.1086/502213. - DOI - PubMed

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