Antibiotic use is associated with resistance of environmental organisms in a teaching hospital

Dancer, S.J.; Coyne, Michael J.; Robertson, Chris; Thomson, A H; Guleri, Achyut; Alcock, S. R.

doi:10.1016/j.jhin.2005.06.033

Cited by 42 publications

(22 citation statements)

References 23 publications

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“…Development of bacterial resistance has been recognised as one of the most important untoward effects of antimicrobials overuse and/or misuse depending on the intensity of antibacterial use [5]. Several institutions have implemented antibiotic control strategies aiming at more judicious antibiotic use, including the restriction of one or more antibiotic classes.…”

Section: Discussionmentioning

confidence: 99%

Impact of an antibiotic restriction policy on the antibiotic resistance patterns of Gram-negative microorganisms in an Intensive Care Unit in Greece

Ntagiopoulos

Paramythiotou

Antoniadou

et al. 2007

International Journal of Antimicrobial Agents

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Section: Discussionmentioning

confidence: 99%

Impact of an antibiotic restriction policy on the antibiotic resistance patterns of Gram-negative microorganisms in an Intensive Care Unit in Greece

Ntagiopoulos

Paramythiotou

Antoniadou

et al. 2007

International Journal of Antimicrobial Agents

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“…The use of diagnostic techniques with high false-positive rates increases antibiotic prescription and results in selection pressure for multidrug-resistant bacteria and increased costs [25]. Currently, both noninvasive and invasive (bronchoscopic) techniques are equally employed for sample collection.…”

Section: Sample Collection Methodsmentioning

confidence: 99%

Ventilator-Associated Pneumonia in Neonatal Patients: An Update

et al. 2013

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Ventilator-associated pneumonia (VAP) is a serious complication related to mechanical ventilation in the neonatal period. However, lack of a specific definition and difficulties obtaining noncontaminated samples of the lower respiratory airway render microbiological diagnosis and etiological treatment extremely difficult. Thus far, only few studies have approached VAP using accepted Centers for Disease Control and Prevention criteria and reliable sampling techniques. In recent years, however, the blind-protected bronchoalveolar lavage technique with protected specimen brush and the development of validated biomarkers have attempted to overcome the diagnostic difficulties and assess the response to therapy. This updated review on neonatal VAP aims to stimulate neonatologists' interest in this subtle but serious complication of mechanical ventilation.

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“…Biotrace 1 dipslides were used for environmental sampling (Griffith et al 2000;Dancer et al 2006a). Two types of dipslides were chosen: nutrient/malt extract agars, and Baird Parker/ violet red bile glucose agars.…”

Section: Microbiologymentioning

confidence: 99%

A microbiological evaluation of hospital cleaning methods

White

Dancer

Robertson

2007

International Journal of Environmental Health Research

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Hospital hygiene may be associated with hospital-acquired infection. This study evaluated four hospital cleaning methods: 'mop and vacuum', 'spray clean' and 'wet scrub' for floors, and one steam cleaning method for curtains. A standardised microbiological screening method was used to sample the environment before and after cleaning in order to quantify total viable counts as well as identify specific organisms. The results showed that all floor cleaning methods reduced the overall microbial load, although high counts and bacterial pathogens occasionally persisted despite cleaning. Spray cleaning gave marginally better results than traditional mopping and vacuuming. Wet scrubbing significantly reduced levels of coagulase-positive staphylococci (p = 0.03), which, in combination with routine methods, produced an effect that persisted for at least a week. Steam cleaning of curtains also reduced microbial counts (p = 0.08), but had little effect on Staphylococcus aureus and other potential pathogens. These results might help managers assess the costs of different cleaning methods against potential infection control benefits in a hospital.

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Antibiotic use is associated with resistance of environmental organisms in a teaching hospital

Cited by 42 publications

References 23 publications

Impact of an antibiotic restriction policy on the antibiotic resistance patterns of Gram-negative microorganisms in an Intensive Care Unit in Greece

Impact of an antibiotic restriction policy on the antibiotic resistance patterns of Gram-negative microorganisms in an Intensive Care Unit in Greece

Ventilator-Associated Pneumonia in Neonatal Patients: An Update

A microbiological evaluation of hospital cleaning methods

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