Hand Rub Consumption Has Almost Doubled in 132 German Hospitals Over 9 Years

Wetzker, Wibke; Walter, Janine; Bunte-Schönberger, Karin; Schwab, Frank J.; Behnke, Michael; Gastmeier, Petra; Reichardt, Christiane

doi:10.1017/ice.2017.71

Cited by 14 publications

(19 citation statements)

References 9 publications

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“…The fact that enterococci are able to survive on environmental surfaces for long periods of time [ 16 , 17 ] highlights the importance of adherence to hand hygiene practice to prevent transmission. But despite improved adherence to hand-hygiene and successful reduction of nosocomial infections in Germany [ 18 , 19 ], VRE continues to gain importance when compared to other multidrug resistant gram-positive organisms [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Continuous increase of vancomycin resistance in enterococci causing nosocomial infections in Germany − 10 years of surveillance

Remschmidt

Schröder

Behnke

et al. 2018

Antimicrob Resist Infect Control

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121

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BackgroundEnterococci are frequent pathogens causing nosocomial infections in Germany. Infections due to strains with vancomycin resistance are high when compared with other European states. Therefore, the study aimed to describe the recent progression of nosocomial infections due to vancomycin-resistant enterococci (VRE) in Germany.MethodsWe analyzed data from two components of the German national nosocomial infection surveillance system for the period 2007–2016. For primary bloodstream infections (BSIs) and urinary tract infections (UTIs) we used data from intensive care units and for surgical site infections (SSIs) data from surgical departments. In a sensitivity analysis, we considered only data from participants that participated continuously from 2007 to 2016 (“core group”). We calculated proportions of VRE among all nosocomial enterococcal infections with 95% confidence intervals (95% CIs) and trends over time. A multivariable logistic regression was used to compare occurrence of VRE proportions among German federal states.ResultsEnterococcal infections from 857 ICUs and 1119 surgical departments were analyzed. On ICUs, the proportion of vancomycin resistance in enterococci causing nosocomial infections significantly increased for BSIs from 5.9 to 16.7% and for UTIs from 2.9 to 9.9%; for surgical site infections, the proportion of VRE increased from 0.9 to 5.2% (P < 0.001 for all). In the core group, the increase of VRE was more pronounced in ICUs (BSIs: 5.5 to 21.6%; UTIs: 2 to 11.2%) but was not seen in surgical departments (SSIs: 1.5 to 2.8%). Compared with the most populous German federal state North Rhine Westphalia, enterococcal infections in Hesse (Odds Ratio (OR) 2.3, 95% CI 1.7–3.1), Saxony (OR 2.5, 95% CI 1.8–3.5) and Thuringia (OR 1.9, 95% CI 1.4–2.6) were more likely to be caused by vancomycin-resistant strains.ConclusionIn Germany, the proportion of VRE in nosocomial infection due to enterococci is still increasing. It remains unclear, why a large variation in the proportion of VRE exists between German federal states.

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Section: Discussionmentioning

confidence: 99%

Continuous increase of vancomycin resistance in enterococci causing nosocomial infections in Germany − 10 years of surveillance

Remschmidt

Schröder

Behnke

et al. 2018

Antimicrob Resist Infect Control

Self Cite

121

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“…In the data of all participating hospitals, it is noteworthy that the consumption of hand rub increased. This change may also be related to other national hygiene activities, such as the Clean Hands initiative with more than 1800 participating healthcare facilities (11,12).…”

Section: Discussionmentioning

confidence: 99%

The Prevalence of Nosocomial Infection and Antibiotic Use in German Hospitals

Behnke

Aghdassi²,

Hansen³

et al. 2017

Deutsches Ärzteblatt International

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“…Wzrost świadomości na temat rozprzestrzeniania się oporności na środki biobójcze wśród patogenów sprawia, że coraz więcej uwagi zaczyna się poświęcać działaniom praktycznym związanym ze skuteczną dekontaminacją środków ochrony osobistej zanieczyszczonych drobnoustrojami patogennymi [24,26,55], przestrzeganiu odpowiedniej higieny rąk, która jest kluczowym elementem strategii zapobiegania zakażeniom związanym z opieką zdrowotną [31,54] oraz inwestuje w środki na rzecz wzmocnienia infrastruktury, które mają pomóc w zapobieganiu i kontroli zakażeń.…”

Section: Wprowadzenieunclassified

Antiviral Disinfection In The Medical Area

Trzcińska¹

2019

Postępy Mikrobiologii - Advancements of Microbiology

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Streszczenie: Zakażenia szpitalne (Hospital-Acquired Infections-HAI) stanowią poważny problem zdrowia publicznego. Problem ten dotyka setki milionów ludzi każdego roku i często prowadzi do wielu poważnych komplikacji zdrowotnych. Proces dezynfekcji, który jest podstawą zabiegów sanitarnych i higienicznych w placówkach medycznych, takich jak szpitale, przychodnie, gabinety stomatologiczne itp. jest ważnym elementem zapobiegania i zwalczania zakażeń wirusowych. Dezynfekcja jest złożonym procesem, na skuteczność którego ma wpływ wiele czynników. Środek dezynfekcyjny oprócz tego, że wymaga odpowiedniego stosowania, musi również spełniać pewne kryteria, w tym szeroki zakres aktywności biobójczej potwierdzony przez dobrze znane i dobrze zaprojektowane metody badawcze. 1. Wprowadzenie. 2. Dezynfekcja. 3. Skuteczność procesu dezynfekcji. 4. Wymagania stawiane środkom dezynfekcyjnym. 5. Badanie aktywności wirusobójczej środków dezynfekcyjnych. 6. Dezynfekcja przeciwwirusowa-aspekty praktyczne ANTIVIRAL DISINFECTION IN THE MEDICAL AREA

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Hand Rub Consumption Has Almost Doubled in 132 German Hospitals Over 9 Years

Cited by 14 publications

References 9 publications

Continuous increase of vancomycin resistance in enterococci causing nosocomial infections in Germany − 10 years of surveillance

Continuous increase of vancomycin resistance in enterococci causing nosocomial infections in Germany − 10 years of surveillance

The Prevalence of Nosocomial Infection and Antibiotic Use in German Hospitals

Antiviral Disinfection In The Medical Area

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