Active surveillance for multidrug-resistant Gram-negative bacteria in the intensive care unit

Abbott, Iain J., Jenney, Adam W.J., Spelman, Denis W., Pilcher, David V., Sidjabat, Hanna E., Richardson, Leisha J., Paterson, David L. and Peleg, Anton Y. (2015) Active surveillance for multidrug-resistant Gram-negative bacteria in the intensive care unit. Pathology, 47 6: 575-579. doi:10.1097/pat.0000000000000302

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Author Abbott, Iain J.
Jenney, Adam W.J.
Spelman, Denis W.
Pilcher, David V.
Sidjabat, Hanna E.
Richardson, Leisha J.
Paterson, David L.
Peleg, Anton Y.
Title Active surveillance for multidrug-resistant Gram-negative bacteria in the intensive care unit
Journal name Pathology   Check publisher's open access policy
ISSN 0031-3025
1465-3931
Publication date 2015-10-01
Year available 2015
Sub-type Article (original research)
DOI 10.1097/pat.0000000000000302
Open Access Status Not Open Access
Volume 47
Issue 6
Start page 575
End page 579
Total pages 5
Place of publication London, United Kingdom
Publisher Lippincott Williams & Wilkins
Language eng
Abstract Summary: A short-term program of performing serial active screening cultures (ASC) in the intensive care unit was instituted to establish a method for the detection of antibiotic-resistant Gram-negative bacteria (GNB) and the local rates of colonisation. Of all submitted ASC, 25.9% (30/116 collected swabs) isolated an antibiotic-resistant GNB. ChromID ESBL agar (bioMérieux, France) identified the majority of these organisms, with the additional antibiotic-impregnated media [MacConkey agar (MCA) with ciprofloxacin, MCA with gentamicin and MCA with ceftazidime] adding limited benefit. Compared to swabs performed on admission, 37.8% (14/37) of patients cultured a new antibiotic-resistant isolate on discharge. Serial screening in intensive care has the ability to identify patients with unrecognised colonisation with antibiotic-resistant GNB; however, the increase in the laboratory workload and logistical challenges in the collection of the surveillance swabs may limit this program's expansion.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: UQ Centre for Clinical Research Publications
Official 2016 Collection
 
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Created: Fri, 15 Jan 2016, 22:55:02 EST by Roheen Gill on behalf of UQ Centre for Clinical Research