Introduction of highly resistant bacteria into a hospital via patients repatriated or recently hospitalized in a foreign country

AbstractWe describe the prevalence of carriage and variables associated with introduction of highly drug-resistant microorganisms (HDRMO) into a French hospital via patients repatriated or recently hospitalized in a foreign country. The prevalence of HDRMO was 11% (15/132), with nine carbapenamase-producing Enterobacteriaceae, nine carbapenem-resistant Acinetobacter baumannii and six glycopeptide-resistant enterococci. Half of the admitted patients (63/132, 48%) were colonized with extended spectrum beta-lactamase-producing Enterobacteriaceae (ESBLPE). Among the four episodes with secondary cases, three involved A. baumannii

The effectiveness of biopore technology on infiltration rate and organic waste processing

An environmental problem that often occurs during the rainy season is standing rainwater. Therefore, some water catchment areas are needed to reduce standing water that will minimize environmental damage instead. In densely populated urban areas the available space for water infiltration is very limited. Using biopore infiltration holes’ technology which uses organic waste to increase the rate of water infiltration into the soil can be an alternative solution. This study aims to determine the effectiveness of biopore infiltration holes with organic waste treatment to increase the rate of infiltration of soil. The methodology used in this study is the Horton test, in which biopore infiltration holes are using PVC pipes with various diameter 3 in, 4 in, and 5 in. The measurement of the infiltration rate observed by decrease in water level every interval of 5 min, 10 min, 15 min, 20 min, 25 min, and 30 min continually. The results show that the effectiveness of biopore infiltration holes using PVC pipe with a diameter of 3 in, 4 in and 5 in are increasing 62.92%, 70.60%, and 54.11% respectively

Epidemiology of multidrug-resistant bacteria in patients with long hospital stays

PubMed ID: 17926276OBJECTIVE. To determine rates of colonization with multidrug-resistant (MDR) bacteria (ie, methicillin-resistant Staphylococcus aureus [MRSA], vancomycin-resistant Enterococcus [VRE], extended-spectrum ß-lactamase [ESBL]-producing Enterobacteriaceae, and Acinetobacter baumannii) after prolonged hospitalization and to assess the yield of surveillance cultures and variables associated with colonization with MDR bacteria. DESIGN. Prospective observational cohort study conducted from February 6 to May 26, 2006. METHODS. All patients who spent more than 30 days in our university hospital (Paris, France) were included. Rectal and nasal swab samples obtained during day 30 screening were examined for MRSA, VRE, ESBL-producing Enterobacteriaceae, and A. baumannii. RESULTS. Of 470 eligible patients, 439 had surveillance culture samples available for analysis, including 51 patients (11.6%) with a history of colonization or infection due to 1 or more types of MDR bacteria (MRSA, recovered from 35 patients; ESBL-producing Enterobacteriaceae, from 16 patients; A. baumannii, from 6 patients; and VRE, from 0 patients) and 37 patients (9.5% of the 388 patients not known to have any of the 4 MDR bacteria before day 30 screening) newly identified as colonized by 1 or more MDR bacteria (MRSA, recovered from 20 patients; ESBL-producing Enterobacteriaceae, from 16 patients; A. baumannii, from 1 patient; and VRE, from 0 patients). A total of 87 (19.8%) of 439 patients were identified as colonized or infected with MDR bacteria at day 30. Factors that differed between patients with and without MRSA colonization included age, McCabe score, comorbidity score, receipt of surgery, and receipt of fluoroquinolone treatment. Patients with ESBL-producing Enterobacteriaceae colonization were younger than patients with MRSA colonization. CONCLUSIONS. Differences in the variables associated with MRSA colonization and ESBL-producing Enterobacteriaceae colonization suggest differences in the epidemiology of these 2 organisms. Day 30 screening resulted in a 72.5% increase in the number of patients identified as colonized with at least 1 type of MDR bacteria. © 2007 by The Society for Healthcare Epidemiology of America. All rights reserved

Maternity staff immunization coverage against pertussis and maternal vaccination practices: Results of a 2017 cross-sectional survey in five public maternity hospitals

International audienceTo conduct an audit of vaccination practices against pertussis in maternity wards to assess immunization practices targeting women, knowledge and awareness among health professionals and their involvement in the vaccination process, and to estimate their vaccine coverage