One-to-one Training to Increase Correct Technique in Hand Hygiene Practice

Hernandez, Hilda G.; Guimera, Don; Rosas, Aurora; Sandoval, Ma del Carmen; Lucas, Esperanza Merino de; Aparicio, Guadalupe L.; Caniza, Miguela

doi:10.1016/j.ajic.2013.03.027

Cited by 2 publications

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“…It is important to mention that this could be the result of the implementation of a permanent monitoring programme for adequate handwashing in 2013. 41 However, there is no surveillance and eradication programme for carriers of this pathogen.…”

Section: Discussionmentioning

confidence: 99%

Molecular Characterization of Staphylococcus aureus Obtained from Blood Cultures of Paediatric Patients Treated in a Tertiary Care Hospital in Mexico

Vazquez-Rosas¹,

Mérida-Vieyra²,

Aparicio-Ozores³

et al. 2021

IDR

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Purpose Staphylococcus aureus is one of the main causative agents of hospital-acquired (HA) infections. In Mexico, information about the characteristics of clinical S. aureus isolates is limited. Our aim was to characterize S. aureus strains obtained from blood cultures of paediatric patients treated in a tertiary care hospital. Materials and Methods We analysed 249 S. aureus isolates over the period from 2006 to 2019, and their resistance profiles were determined. The isolates were classified into methicillin-resistant S. aureus (MRSA) or methicillin-sensitive S. aureus (MSSA). Staphylococcal cassettes chromosome mec (SCC mec ) were detected. Virulence genes ( cna, clfA, clfB, eta, etb, fnbA, fnbB, hla, pvl, sec, and tsst ) were amplified, and their clonal relationships were established by pulsed-field gel electrophoresis (PFGE), multilocus sequence typing (MLST) and clonal complex (CC) typing. We reviewed one hundred medical files to collect clinical information. Results Thirty-eight percent of the isolates were MRSA and showed an expanded profile of resistance to other non-beta-lactam antibiotics, while MSSA strains presented a reduced resistance profile. SCC mec- II was the most frequent element (86.3%). Eight virulence factors were detected in MSSA and six in MRSA. The pvl gene was detected in four MRSA-SCC mec- IV isolates ( P ≤0.0001). MRSA isolates were distributed among 14 clones and were classified into 15 sequence types (ST); the most frequent was ST1011 (17%). The most common CC in MRSA was CC5 (69%, P ≤0.0001), and in MSSA, it was CC30 (30%, P ≤0.0001). Eighty-seven percent of MRSA isolates were HA-MRSA, and 13% were community-acquired MRSA (CA-MRSA). Of 21 HA-MRSA isolates, 17 had SCC mec -II, while two CA-MRSA isolates had SCC mec -IV. Of MSSA isolates, 77% were derived from HA infections and 23% from CA infections. Conclusion MSSA isolates had more virulence factors. MRSA isolates were resistant to more non-beta-lactam antibiotics, and those with SCC mec -IV expressed a greater variety of virulence factors. Most S. aureus isolates belonged to CC5.

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Section: Discussionmentioning

confidence: 99%

Molecular Characterization of Staphylococcus aureus Obtained from Blood Cultures of Paediatric Patients Treated in a Tertiary Care Hospital in Mexico

Vazquez-Rosas¹,

Mérida-Vieyra²,

Aparicio-Ozores³

et al. 2021

IDR

View full text Add to dashboard Cite

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“…Hemos leído con interés el artículo titulado: "Estrategia de uno en uno para mejorar la técnica correcta de higiene de manos" de Orozco Hernández y colaboradores, publicado en el volumen 38, número 5. 1 Aunque consideramos que el estudio puede ser importante en la búsqueda de estrategias para mejorar la técnica de lavado de manos en personal de salud, nos gustaría expresarle algunas dudas que surgen y que requieren clarificación.…”

Section: Estimado Editorunclassified

Carta al editor en relación al artículo: “Estrategia de uno en uno para mejorar la técnica correcta de higiene de manos”

Carpio-Rodríguez

Mercado-Gonzáles

2018

Acta Pediatr Mex

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Hemos leído con interés el artículo titulado: “Estrategia de uno en uno para mejorar la técnica correcta de higiene de manos” de Orozco Hernández y colaboradores, publicado en el volumen 38, número 5.1 Aunque consideramos que el estudio puede ser importante en la búsqueda de estrategias para mejorar la técnica de lavado de manos en personal de salud, nos gustaría expresarle algunas dudas que surgen y que requieren clarificación.

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One-to-one Training to Increase Correct Technique in Hand Hygiene Practice

Cited by 2 publications

References 0 publications

Molecular Characterization of Staphylococcus aureus Obtained from Blood Cultures of Paediatric Patients Treated in a Tertiary Care Hospital in Mexico

Molecular Characterization of Staphylococcus aureus Obtained from Blood Cultures of Paediatric Patients Treated in a Tertiary Care Hospital in Mexico

Carta al editor en relación al artículo: “Estrategia de uno en uno para mejorar la técnica correcta de higiene de manos”

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