Impact of improving infection control and antibiotic stewardship practices on nosocomial infections and antimicrobial resistance in an oncology centre from India
Indian Journal of Medical Microbiology
; 45 (no pagination), 2023.
Artículo
en Inglés
| EMBASE | ID: covidwho-20232901
ABSTRACT
Background:
Improving basic infection control (IC) practices, diagnostics and anti-microbial stewardship (AMS) are key tools to handle antimicrobial resistance (AMR). Material(s) and Method(s) This is a retrospective study done over 6 years (2016-2021) in an oncology centre in North India with many on-going interventions to improve IC practices, diagnostics and AMS. This study looked into AMR patterns from clinical isolates, rates of hospital acquired infections (HAI) and clinical outcomes. Result(s) Over all, 98,915 samples were sent for culture from 158,191 admitted patients. Most commonly isolated organism was E. coli (n = 6951;30.1%) followed by Klebsiella pneumoniae (n = 5801;25.1%) and Pseudomonas aeroginosa (n = 3041;13.1%). VRE (Vancomycin resistant Enterococcus) rates fell down from 43.5% in Jan-June 2016 to 12.2% in July-Dec 2021, same was seen in CR (carbapenem resistant) Pseudomonas (23.0%-20.6%, CR Acinetobacter (66.6%-17.02%) and CR E. coli (21.6%-19.4%) over the same study period. Rate of isolation of Candida spp. from non-sterile sites also showed reduction (1.68 per 100 patients to 0.65 per 100 patients). Incidence of health care associated infections also fell from 2.3 to 1.19 per 1000 line days for CLABSI, 2.28 to 1.88 per 1000 catheter days for CAUTI. There was no change in overall mortality rates across the study period. Conclusion(s) This study emphasizes the point that improving compliance to standard IC recommendations and improving diagnostics can help in reducing the burden of antimicrobial resistance.Copyright © 2023 Indian Association of Medical Microbiologists
Antimicrobial resistance; Antimicrobial stewardship; Hospital acquired infections; Infection control; Infections in oncology; Acinetobacter; Acinetobacter baumannii; antibiotic prophylaxis; antibiotic resistance; antibiotic sensitivity; article; bacterium culture; blood culture; Candida; carbapenem resistant Acinetobacter baumannii; carbapenem resistant Escherichia coli; carbapenem resistant Klebsiella pneumoniae; carbapenem resistant Pseudomonas aeruginosa; catheter infection; clinical outcome; coronavirus disease 2019; education; Enterococcus; Escherichia coli; hand washing; healthcare associated infection; hospital admission; hospital infection; hospitalization; human; incidence; invasive candidiasis; Klebsiella pneumoniae; major clinical study; mortality rate; outcome assessment; polymerase chain reaction; Pseudomonas; Pseudomonas aeruginosa; retrospective study; stakeholder engagement; Staphylococcus; Staphylococcus aureus; vancomycin resistant Enterococcus; ventilator associated pneumonia; biological marker; carbapenem; colistin; fosfomycin; galactomannan; minocycline; polymyxin B; tigecycline; vancomycin; catheter; endotracheal tube; microbial identification system; urinary catheter
Texto completo:
Disponible
Colección:
Bases de datos de organismos internacionales
Base de datos:
EMBASE
Tipo de estudio:
Estudio experimental
/
Estudio observacional
/
Estudio pronóstico
Idioma:
Inglés
Revista:
Indian Journal of Medical Microbiology
Año:
2023
Tipo del documento:
Artículo
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