Implementation of Multidrug Resistant BacteriaTransmission Prevention Among Regional Hospitals

Authors

  • มุจรินทร์ แจ่มแสงทอง Professional Nurse, Phapokklao hospital
  • วันชัย เลิศวัฒนวิลาศ Associate Professor, Faculty of Nursing, Chiang Mai University
  • อะเคื้อ อุณหเลขกะ Associate Professor, Faculty of Nursing, Chiang Mai University

Keywords:

Infection Prevention, Multidrug resistant bacteria, Transmission, Regional Hospital

Abstract

Healthcare associated infections caused by multidrug resistant (MDR) bacteria have been increasing. Hospitals have to strictly prevent transmission of MDR bacteria. The purpose of this descriptive research was to examine the implementation, including barriers and facilitators in prevention of MDR bacteria transmission among regional hospitals. The study population were 28 Head of Infection Control nurses. Data were collected using a self-administered questionnaire developed by the researcher. The content validity index of the questionnaire was 0.97. Data were collected from December 2014 to January 2015 by posting a questionnaire to the study population. The response rate was 96.4%. Data were analyzed using descriptive statistics.

          The study results revealed that 82.1% of all activities in regional hospitals related to  prevention of multidrug resistant bacteria transmission. These activities were; disinfection and sterilization (100%), specimen collection (100%), environment management (95.4%), isolation precautions (88.6%), educating healthcare workers, patients and relatives (88%), and appropriate antimicrobial usage (84.9%). Activities with an occurrence of less than 80 % included; having a written policy and plan (77.4%), referral systems (74.1%), surveillance of multidrug resistant infections (72.7%), and setting-up communication (64.2%).

          Barriers in implementing prevention of multidrug resistant bacteria transmission included; insufficient number of ward personnel (63.0%) lack of isolation rooms (55.6%) and lack of infectious disease physicians (33.3). Facilitators in implementing prevention of multidrug resistant bacteria transmission included; budget allocation for hand hygiene promotion (29.6%) policy prevention of multidrug resistant bacteria transmission (29.6), and planning to prevent the spread of multidrug resistant bacteria  (25.9 %).

          These results reflect that regional hospitals should determine a strategy to prevent multidrug resistant bacteria transmission, especially where there is low implementation of preventative activities and they should provide a budget for implementation.

Downloads

Download data is not yet available.

References

Apiranich, S., Muntajit, T., Malathum, K. (2009). Prevention and infection control in health care facilities. Ramathibody Nursing Journal. (In Thai)

Apisarnthanarak, A., Danchaivijitr, S., Khawcharoenporn, Thana L., Julajak W., Boonyasit
B., Thomas C. F. (2006). Effectiveness of education and an antibiotic-control program in a tertiary care hospital in Thailand. Clinical Infectious Diseases, 42(6): 768-775.

Apisarnthanarak, A., Khawcharoenporn, T., & Mundy, L. M., (2013). Practices to prevent
multidrug-resistant Acinetobacter baumannii and Methicillin-resistant Staphylococcus
aureus in Thailand: a national survey. American Journal of Infection Control 41(5),
416-421. http://dx.doi.org/10.1016/j.ajic.2012.05.011

Bickenbach, J., Schoneis, D., Marx, G., Marx, N., Lemmen S.,&Dreher M., (2018).Impact of multidrug-resistant bacteria on outcome in patients with prolonged weaning. BMC Pulmonary Medicine 18(1): 141. https://doi.org/10.1186/s12890-018-0708-3

Borg ,M.A.,Cookson ,B.D., Gur, D., Ben Redjeb,S., Rasslan ,O.,Elnassar ,Z., et al. (2008). Infection control and antibiotic stewardship practices reported by south-eastern Mediterranean hospitals collaborating in the ARMed project. Journal of Hospital Infection. 70 : 228-234. https://doi:10.1016/j.jhin.2008.07.002

Cornejo-Juarez, P., Vilar-c0mple, D., Perez-Jimenez, C., Namendys-Silva, S. A., Sandoval-Hernandez, S., Volkow-Fernandez, P. (2015).The impact of hospital-acquired infections with multidrug-resistant bacteria in an oncology intensive care unit. International Journal of Infectious Diseases 31, 31-34. http://dx doi: 10.1016/j.ijid.2014.12.022

Gordts, B., Vrijens, F., Hulstaert, F., Devriese, S., &Sande, S. (2010). The 2007 Belgian national prevalence survey for hospital-acquired infections. Journal of Hospital Infection, 75, 163–167. http://dx doi:10.1016/j.jhin.2010.01.006

Pungkum, W. (2007). Training management for infection control nurses. Journal of the Infectious Disease Control of Thailand. 17(1), 49-60. (In Thai)

Peterson, A., Marquez, P., Terashita, D., Burwell, L., & Mascola, L. (2010). Methicillin
Resistant Staphylococcus aureus active surveillance practices in Los Angeles County:
Implications of legislation based infection control, 2008. American of Journal Infection
Control, 38(8), 653-656. doi:10.1016/j.ajic.2010.01.007

Roungrong, J., Teerawattananon, Y., Chaykhetkaew, U., Tantiwet, S. (2009). Study of
intervention and statrategies to improve in use of antimicrobials in hospital in Thailand.
Health Intervention and Technology Assessment Program (HITAP), Health Insurance
System Reserch Office. Retrieved from http://hdl.handle.net/123456789/285 (In Thai)

Rohr, U., Kaminski, A., Wilhelm, M., Jurzik, L., Gatermann, S., & Muhr, G. (2009). Colonization of patients and contamination of the patients and environment by MRSA under conditions of single-room isolation. International Journal of Hygiene and Environmental Health, 212(2), 209-215. doi:10.1016/j.ijheh.2008.05.003

Siegel, J. D., Rhinehart, E., Jackson, M., & Chiarello, L. (2007). Management of multidrug-resistant organisms in health care settings, 2006. American Journal of Infection Control, 35(10 Suppl. 2), S165-S193. doi:10.1016/j.ajic.2007.10.006

Thumalikitkul, W. (2012). Antimicobial resistant: Importance to health systems and control methods. Health Systems research Institute, 6(3), 300-305. (In Thai)

Thumalikitkul, W. (2014). Antimicrobial drugs resistance and infection prevention control of
infectious diseases antibiotic resistance.Siriraj Med Bull.2014;7(1): 26-29. (In Thai)

Unalekhaka, A. (2011). Surveillance And outbreak investigate of hospital associated infections. Changmai: mingmuangnawarat Publishing. (In Thai)

Unalekhaka, A. (2014). Prevention of Multidrug Resistant organsms transmission in hospital Changmai: mingmuangnawarat Publishing. (In Thai)

Published

2019-06-24