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Bar-Yoseph H, Lulu C, Shklar S, Korytny A, Even Dar R, Daoud H, Hussein K, Bar-Lavie Y, Jabareen A, Geffen Y, Paul M. Efficacy of a hospital policy of selective digestive decontamination for carbapenem-resistant Enterobacterales carriers: prospective before-after study. J Hosp Infect 2020; 106:495-499. [PMID: 32798640 DOI: 10.1016/j.jhin.2020.08.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Accepted: 08/10/2020] [Indexed: 11/27/2022]
Abstract
A single-centre interrupted time series quasi-experimental study was undertaken to assess whether a hospital policy of selective digestive decontamination (SDD, gentamicin/amikacin with neomycin) administered to carbapenem-resistant Enterobacterales (CRE) carriers would reduce the duration of carriage and contain the spread of CRE. No significant difference in time to CRE eradication was observed between the observation (12 months, 120 patients) and intervention (12 months, 101 patients) periods. No change in the trend of new in-hospital CRE acquisitions or bacteraemia during the intervention was detected. As such, administration of SDD to CRE carriers was not effective for the eradication of carriage or controlling in-hospital CRE transmissions.
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Affiliation(s)
- H Bar-Yoseph
- Department of Gastroenterology, Rambam Health Care Campus, Haifa, Israel; Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel.
| | - C Lulu
- Department of Internal Medicine H, Rambam Health Care Campus, Haifa, Israel
| | - S Shklar
- Division of Infectious Disease, Rambam Health Care Campus, Haifa, Israel
| | - A Korytny
- Department of Gastroenterology, Rambam Health Care Campus, Haifa, Israel
| | - R Even Dar
- Department of Internal Medicine H, Rambam Health Care Campus, Haifa, Israel
| | - H Daoud
- Department of Internal Medicine H, Rambam Health Care Campus, Haifa, Israel
| | - K Hussein
- Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel; Division of Infectious Disease, Rambam Health Care Campus, Haifa, Israel
| | - Y Bar-Lavie
- Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel; Intensive Care Unit, Rambam Health Care Campus, Haifa, Israel
| | - A Jabareen
- Pharmacy, Rambam Health Care Campus, Haifa, Israel
| | - Y Geffen
- Clinical Microbiology Laboratory, Rambam Health Care Campus, Haifa, Israel
| | - M Paul
- Rappaport Faculty of Medicine, Technion Israel Institute of Technology, Haifa, Israel; Division of Infectious Disease, Rambam Health Care Campus, Haifa, Israel
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