Implementation of Multidrug Resistant BacteriaTransmission Prevention Among Regional Hospitals


  • 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


Infection Prevention, Multidrug resistant bacteria, Transmission, Regional Hospital


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.


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