Can antibiotic-resistant nosocomial infections be controlled?
Lancet Infect Dis
; 1(1): 38-45, 2001 Aug.
Article
em En
| MEDLINE
| ID: mdl-11871409
ABSTRACT
Three decades ago infection-control programmes were created to control antibiotic-resistant nosocomial infections, but numbers of these infections have continued to increase, leading many to question whether control is feasible. Meticillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci were major problems during the 1990s. Many hospitals have tried antibiotic control but with limited efficacy against these pathogens. Studies of antibiotic restriction, substitution, and cycling have been promising, but more definitive data are needed. Increased compliance with hand hygiene would help but is unlikely to control this problem alone as a result of frequent contamination of other surfaces even when hands are cleansed and high transmission rates when hand hygiene is neglected. For 17 years, the Centers for Disease Control and Prevention have recommended contact precautions for preventing nosocomial spread of important antibiotic-resistant pathogens. Many studies confirm that this approach works when sufficient active-surveillance cultures are undertaken to detect the reservoir for spread. However, most healthcare facilities have not yet tried this approach.
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Base de dados:
MEDLINE
Assunto principal:
Resistência Microbiana a Medicamentos
/
Infecção Hospitalar
/
Controle de Infecções
/
Antibacterianos
Limite:
Humans
Idioma:
En
Revista:
Lancet Infect Dis
Assunto da revista:
DOENCAS TRANSMISSIVEIS
Ano de publicação:
2001
Tipo de documento:
Article
País de afiliação:
Estados Unidos