Contact precautions and multidrug resistant microorganisms

10/11/22 • 37 min

Gemma Winzor talks with Gonzalo Bearman (Professor of Infectious Diseases at Virginia Commonwealth University, Editor in Chief of Antimicrobial Stewardship & Healthcare Epidemiology) about his work on contact precautions for the control of endemic multidrug resistant organisms in healthcare settings. The conversation takes in the importance of horizontal and vertical IPC measures, adverse outcomes associated with isolation and contact precautions, cost-savings and customer satisfaction, and the research still to be done in the field.

Episode links

RP Wenzel & MB Edmond, Infection control: the case for horizontal rather than vertical interventional programs. International Journal of Infectious Diseases 2010;Volume 14 (S1), S3-S5
G Bearman et al. Impact of discontinuing contact precautions for methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus: an interrupted time series analysis. Infection Control & Hospital Epidemiology 2018;Volume 39(6):676-682
Haessler et al. Stopping the routine use of contact precautions for management of MRSA and VRE at three academic medical centers: an interrupted time series analysis. American Journal of Infection Control 2020;Volume 48(12):1466-1473
Coia et al. Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities. Journal of Hospital Infection 2021;Volume 118:S1-S39
Godbout et al. Impact of discontinuation of contact precautions on central-line associated bloodstream infections in an academic children’s hospital. Infection Control & Hospital Epidemiology 2019;Volume 40(4):473-475
Gonzalo Bearman & Richard P. Wenzel Richmond-Times Dispatch column: New threats to controlling health care-associated infections
Podcast: MRSA Guidelines: new evidence against an old adversary
Twitter: @jhieditor @IPIP_open

Hosted on Acast. See acast.com/privacy for more information.

Episode links

RP Wenzel & MB Edmond, Infection control: the case for horizontal rather than vertical interventional programs. International Journal of Infectious Diseases 2010;Volume 14 (S1), S3-S5
G Bearman et al. Impact of discontinuing contact precautions for methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus: an interrupted time series analysis. Infection Control & Hospital Epidemiology 2018;Volume 39(6):676-682
Haessler et al. Stopping the routine use of contact precautions for management of MRSA and VRE at three academic medical centers: an interrupted time series analysis. American Journal of Infection Control 2020;Volume 48(12):1466-1473
Coia et al. Joint Healthcare Infection Society (HIS) and Infection Prevention Society (IPS) guidelines for the prevention and control of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities. Journal of Hospital Infection 2021;Volume 118:S1-S39
Godbout et al. Impact of discontinuation of contact precautions on central-line associated bloodstream infections in an academic children’s hospital. Infection Control & Hospital Epidemiology 2019;Volume 40(4):473-475
Gonzalo Bearman & Richard P. Wenzel Richmond-Times Dispatch column: New threats to controlling health care-associated infections
Podcast: MRSA Guidelines: new evidence against an old adversary
Twitter: @jhieditor @IPIP_open

Hosted on Acast. See acast.com/privacy for more information.

Previous Episode

IPC challenges in low-income settings

In this episode of Infection Prevention in Conversation, Gemma talks to Gwendoline L. Chimhini, Lecturer in Child and Adolescent Health at the University of Zimbabwe Faculty of Medicine and Health Sciences and Felicity Fitzgerald, NIHR Academic Clinical Lecturer in Paediatric Infectious Diseases, working between UCL Great Ormond Street Institute of Child Health and the Biomedical Research and Training Institute in Harare, Zimbabwe.

Today we will be discussing the challenges for infection prevention and control professionals working in lower-income settings, the challenges and innovations to be found in the neonatal ward Gwendoline manages in Zimbabwe, and the impact of the Neotree app, initially developed with a grant from the Healthcare Infection Society.

“Before Neotree we were working in the dark. Now, we have switched on the light - at least we can see the room in which we are working.” - Gwendoline L. Chimhini

Episode links:

For more information on how to support Neotree, or work with them, please visit neotree.org.
Could HIS support your next research project? Find out more about our funding and awards.
Felicity's blog about Neotree.

Published work:

Herbeć et al. Barriers and facilitators to infection prevention and control in a neonatal unit in Zimbabwe – a theory-driven qualitative study to inform design of a behaviour change intervention Journal of Hospital Infection. 2020. Volume 106(4), 804-811.
Chiminhi et al. Auditing use of antibiotics in Zimbabwean neonates Infection Prevention in Practice. 2020. Volume 2(2)
Article collection Infection prevention and control in low-resource settings: the need for the local, the contextual and the pragmatic, with editorial commentary from Gwendoline and Felicity.

If you’re on twitter, please follow us @jhieditor and @ipip_open to get updates on further podcasts and papers as they are published by the journals. Find out more about the Healthcare Infection Society here.

Hosted on Acast. See acast.com/privacy for more information.

Next Episode

Antimicrobial resistance: influencing government policy

In this episode Gemma talks with Ron Daniels, an NHS Consultant in Intensive Care, Executive Director and founder of the UK Sepsis Trust and board member of the Global Sepsis Alliance.

The conversation focuses on a recently-published white paper Ron co-authored as part of the Infection Management Coalition, which, in response to the COVID-19 pandemic, makes 29 recommendations to encourage interdisciplinary collaboration in order to accelerate the creation of a system which is resilient and mature with regard to outbreak and pandemic preparedness; infection prevention; rapid recognition, diagnosis and treatment of time-critical viral and bacterial infections; and to, ultimately, deliver effective antimicrobial stewardship.

Gemma and Ron also discuss the impact of sepsis on global mortality, the economic impact of antimicrobial resistance (AMR), and the importance of communicating the dangers of AMR to the public.

Episode links