Scholarly article on topic 'MDRO screening of patients recently hospitalized abroad: One screening policy fits all?'

MDRO screening of patients recently hospitalized abroad: One screening policy fits all? Academic research paper on "Health sciences"

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Academic research paper on topic "MDRO screening of patients recently hospitalized abroad: One screening policy fits all?"

16th ICID Abstracts/International Journal of Infectious Diseases 2IS (2014) 1-460

Type: Poster Presentation

Final Abstract Number: 61.018

Session: Infection Control, Nosocomial Infections and Critical Care Date: Saturday, April 5,2014 Time: 12:45-14:15 Room: Ballroom

Evaluation of the use of insecticide treated nets

(ITNs) in Aba, South Eastern Nigeria ' > a

O.R. Ezeigbo *, Z. Ibegbulem, N.G. Agomoh

Abia State Polytechnic, Aba, Abia State, Nigeria, Aba, Nigeria

Background: Over the past decade, significant gains have been made in the implementation of malaria preventive measures in sub-Saharan Africa, including the distribution of insecticide treated nets (ITNs). These have been shown to cause a reduction in the incidence of malaria and other mosquito borne diseases. Knowledge, attitude and practices of the use of ITNs were critically evaluated in Aba, south eastern Nigeria from February to July, 2013.

Methods & Materials: A cross-sectional study was conducted in four communities in Aba. A total of 500 household heads or their representatives were surveyed using a pre-tested structural questionnaire administered through house-to-house interview.

Results: Out of the 500 respondents interviewed, 460 (92.0%) associated malaria with mosquito bites. On home management practices used to prevent mosquito bites, 299 (59.8%) use ITNs, 100 (20.0%) use insecticide sprays, 45 (9.0%) use window/door nets while 32 (6.4%) use repellants. The use of ITNs based on age showed that people between ages 26 and above had the highest percentage (51.8%), while ages 15-20 had the least (9.3%). Based on levels of education, 179 (66.5%) of those with tertiary education use ITNs, 65 (21.0%) of those with secondary education and only 3 (1.0%) of the illiterate group use ITNs.

Conclusion: Despite increased access to this intervention over time, the use of ITNs still remains low. There is a need therefore to create more awareness of the anti-malarial significance of ITNs, through intensified health education programmes.

which invariably leads to high morbidity and mortality. Transmission of microorganisms implicated in HAIs is carried on the hands of health care workers, improper sterilization and non-adherence to basic hand washing practices. Most tertiary hospitals in low-income countries lacks effective and efficient infection prevention and control units, which translate to low level of awareness and public health implication. Based on this observation, we decided to assess the knowledge of our health care workers on standard infection prevention and control procedures.

Methods & Materials: The Abubakar Tafawa Balewa University Teaching Hospital, Bauchi was formally a State Specialists Hospital which was converted to a Federal Teaching Hospital in 2010. It is a 650 bedded tertiary hospital with a mandate of provision of health care services, training and research. This cross-sectional study was conducted in October, 2013, involving 157 health care workers in the wards and clinics. Ethical clearance was obtained. Standard self-administered questionnaires were distributed to 200 consented participants. 157 responded. The questionnaires highlighted the risk factors or possible risk factors of HAIs, and respondent can either agreed or disagree.

Results: Majority of the respondents 94(59.9%) their duration of employment were less than 5 years. 17(10.8%) 5-10years; 40(25.6%) >10years and 6 of the respondents did not indicate. 83(52.9%) were screened for either Hepatitis B (HBV), or Human Immunodefficiency Virus (HIV) or Tuberculosis (TB) in post-employment procedures. 22(14.0%) were screened for HIV only, 19(12.0%) for HIV and HBV and 12(7.6%) for TB only. Majority (79.8%) of respondents strongly agreed that risk factors raised in the questionnaires increase hospital associated infections. Comparing the duration of employment of respondent with the questions asked, strong agreement were more with staff in less than 5 years of employment (p value 0.00001).

Conclusion: The respondents showed high level of knowledge of infection prevention and control. However, continuous education on infection prevention and control and surveillance to reduce transmission of infection within the hospital and spread of infection to the community remains an utmost clinical task. Type: Poster Presentation Type: Poster Presentation

Final Abstract Number: 61.019

Session: Infection Control, Nosocomial Infections and Critical Care Date: Saturday, April 5,2014 Time: 12:45-14:15 Room: Ballroom

Knowledge of infection prevention and control in a tertiary hospital in Bauchi, Nigeria

Y.B.Jibrin1-*, A. Mohammed2, M. Sani1, O.O. Kenneth3, A. Tahir1

1ATBU Teaching Hospital, Bauchi, Bauchi, Nigeria

2 Abubakar Tafawa Balewa University Teaching, Bauchi, Nigeria

3 Federal Medical Centre, Makurdi, Nigeria

Background: Hospital associated infections (HAIs) account for prolonged patient hospitalization and increased medical expenses,

Final Abstract Number: 61.020

Session: Infection Control, Nosocomial Infections and Critical Care Date: Saturday, April 5, 2014 Time: 12:45-14:15 Room: Ballroom

MDRO screening of patients recently hospitalized abroad: One screening policy fits all?

M.J. Bos *, A. Tostmann, A. Voss, J. Hopman

Radboud university medical center, Nijmegen, Netherlands

Background: The Netherlands has a low prevalence of multi-drug resistant organisms (MDRO). All admitted patients who were recently hospitalised abroad are screened for MDRO. Currently, patients visiting outpatient departments are not being screened for MDRO. However, a substantial proportion of outpatients is hospitalized within a few months after outpatient visit. We conducted a MDRO screening study among all patients who had been hospitalised abroad in the two months prior to attending our hospital.

16th ¡CID Abstracts/International Journal of Infectious Diseases 2IS (2014) 1-460

Methods & Materials: For the duration of one year, all patients who had been hospitalised abroad in the two months prior to visiting our hospital were screened for carriage with MDRO according to national guidelines. We determined associations between MDRO carriage and demographic characteristics, region and country of hospitalisation abroad, and type of intervention abroad.

Results: Between July 2012 and July 2013, 194 patients had been hospitalised abroad; screening results were available for 148 patients. Nineteen patients carried a MDRO (12.8%; 95% CI 8.119.0%): 3 MRSA and 16 multidrug resistant gram negative bacteria, including Acinetobacter baumannii XMR, Klebsiella pneumoniae Oxa 48, and ESBL positive bacteria. Risk factor analysis showed MDRO carriage was highest in patients who were hospitalized in Asia or the Middle East (7/35; 20.0%) and Southern or Eastern Europe (4/24; 16,4%) and lowest in patients hospitalised in western European countries. Twenty-four percent of the outpatients were hospitalized within three months of outpatient visit; among them were 6 MDRO carriers. Risk factor analysis of type of intervention abroad is awaiting.

Conclusion: This study shows that the risk of MDRO carriage depends on the country of hospitalisation, which probably reflects geographical differences in MDRO prevalence. Determining the risk associated with type of intervention abroad (e.g. invasive vs. non-invasive, or admission to an intensive care unit) will be of additional value. To prevent hospital transmission of MDRO in low- and middle-income countries, targeted MDRO screening maybe a feasible and cost-effective strategy if patients transferred from countries or settings with higher endemic MDRO levels are admitted. In high resource settings patients visiting the outpatient department should also be considered as target population for MDRO screening. Type: Poster Presentation

Final Abstract Number: 61.021

Session: Infection Control, Nosocomial Infections and Critical Care Date: Saturday, April 5,2014 Time: 12:45-14:15 Room: Ballroom


A Risk assessment and safe practices study at Tygerberg Hospital, November 2013

J.M.V. Namahoro

Stellenbosch University, Cape Town, South Africa

Background: The outbreak and increasing of healthcare associated infection were reported since last year and up to now at Tygerberg Hospital. However, the healthcare workers hands are the most common vehicle for the transmission of healthcare-associated pathogens from patients and within the healthcare environment.

A risk assessment approach was used to understand a risk of infection transmission in six wards.

Methods & Materials: A Descriptive study design and structured audit form were used to collect the data from six wards. The wards were randomly selected and study start from 9 September to 8 November 2013.

Results: Infection Prevention and Control (IPC) best practice measured according the IPC standard the overall marks were 86% of good IPC practices from six wards. The highest score of good IPC practices was found in A5 Intensive Care Unit and lowest score in C2A gynecology ward. The most common risk of infection trans-

mission were: patient toilets, linen management, sluice area and intravenous-care.

Conclusion: The risk factors of infection transmission were identified and the results revealed compliant of good IPC practice. However, some improvement should be made for intravenous-care, at sluice area, patient toilet and linen management in purpose to reduce risk infection transmission at lowest level. Type: Poster Presentation

Final Abstract Number: 61.022

Session: Infection Control, Nosocomial Infections and Critical Care Date: Saturday, April 5, 2014 Time: 12:45-14:15 Room: Ballroom

Assessment of infection control knowledge and compliance among health workers in government and primary health care facilities in Esan North East LGA, Edo State, Nigeria

E.A. Tobin1-*, D. Asogun2, M. Ekomoezor3, S. Gunther4

1 Irrua Specialist Teaching Hospital, Irrua, Nigeria

2 Irrua Specialist Teaching Hospital, Irrua, Edo, Nigeria


4 Bernhard-Nocht-Institute for Tropical Medicine, Hamburg, Germany

Background: Nosocomial transmission of emerging diseases, such as Lassa fever, can be prevented even in resource poor settings by strict adherence to infection control standards. The study sought to assess the knowledge, attitude and compliance with infection control among health workers in Primary and Secondary health care facilities in Esan North East Local Government Area of Edo State, Nigeria.

Methods & Materials: The descriptive cross sectional study was carried out in 2013, in fourteen Primary health centres and one Government hospital in the LGA. One Hundred and fifty three consenting health workers comprising Doctors, Nurses, Laboratories Scientist, Community health workers and Health Assistance were interviewed using structured pre-tested questionnaires. Data collected was analyzed using Statistical Package for Social Sciences (SPSS) version 16. Knowledge, attitude and practice were graded as good, fair and poor. Results were presented as tables and charts; and associations tested with Chi-square test, with p set as<0.05. Ethical clearance was obtained from the Ethical review board of the Teaching hospital.

Results: Ninety one (59.6%) respondents had good knowledge of infection control. Knowledge was significantly associated with profession as doctor (p = 0.00), being of female gender (p = 0.03), and duration of work >10 years (p = 0.00). Fifty four (25.3%) respondents were assessed to have good practice, and 26 (17.0%) poor practice. Practice was significantly associated with age > 50 years (p = 0.00), being of male gender (p = 0.03), duration of service >10 years (p = 0.00) and being a doctor (p = 0.00). Good compliance with infection control was significantly associated with good knowledge (p = 0.00).

Conclusion: There is need to develop a system of continuing medical education on infection control in government owned health facilities, that will target all categories of health providers,