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Reduction in the acquisition rate of carbapenem-resistant Acinetobacter baumannii (CRAB) after room privatization in an intensive care unit
DC Field | Value | Language |
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dc.contributor.author | Jung, J. | - |
dc.contributor.author | Choe, P.G. | - |
dc.contributor.author | Choi, S. | - |
dc.contributor.author | Kim, E. | - |
dc.contributor.author | Lee, H.Y. | - |
dc.contributor.author | Kang, C.K. | - |
dc.contributor.author | Lee, J. | - |
dc.contributor.author | Park, W.B. | - |
dc.contributor.author | Lee, S. | - |
dc.contributor.author | Kim, N.J. | - |
dc.contributor.author | Choi, E.H. | - |
dc.contributor.author | Oh, M. | - |
dc.date.accessioned | 2024-04-26T00:58:43Z | - |
dc.date.available | 2024-04-26T00:58:43Z | - |
dc.date.created | 2022-04-20 | - |
dc.date.issued | 2022-03 | - |
dc.identifier.citation | Journal of Hospital Infection, Vol.121, pp.14-21 | - |
dc.identifier.issn | 0195-6701 | - |
dc.identifier.uri | https://hdl.handle.net/10371/199584 | - |
dc.description.abstract | © 2021 The Healthcare Infection SocietyBackground: Acinetobacter baumannii is one of the major pathogens responsible for healthcare-associated infections, especially in intensive care units (ICUs). Aim: To evaluate the effect of room privatization in an ICU on the acquisition of carbapenem-resistant A. baumannii (CRAB). Methods: Between March and August 2017, a medical ICU was renovated from a multi-bed bay room to single rooms. Acquisition of CRAB was compared between patients admitted to the ICU over 18 months pre-renovation (September 2015 to February 2017) and post-renovation (September 2017 to February 2019). A Cox proportional hazard model was used with adjustment for demographics and comorbidities. Findings: Of the 901 patients, who contributed 8276 patient-days, 95 (10.5%) acquired CRAB during their ICU stay. The CRAB acquisition rate was significantly higher during the pre-renovation period (1.87 per 100 patient-days) than during the post-renovation period (0.39 per 100 patient-days) (P<0.001). In the multi-variable Cox regression model, CRAB acquisition was significantly associated with the presence of a feeding tube (adjusted hazard ratio (aHR), 6.08; 95% confidence interval (CI), 2.46–15.06; P<0.001), continuous renal replacement therapy (aHR, 1.66; 95% CI, 1.09–2.53; P=0.019) and admission after renovation of the ICU to single rooms (aHR, 0.23; 95% CI, 0.12–0.41; P<0.001). Conclusions: Renovation of ICUs to single rooms is an efficient strategy to prevent transmission of multi-drug-resistant organisms and hospital-acquired infections. | - |
dc.language | 영어 | - |
dc.publisher | W. B. Saunders Co., Ltd. | - |
dc.title | Reduction in the acquisition rate of carbapenem-resistant Acinetobacter baumannii (CRAB) after room privatization in an intensive care unit | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.jhin.2021.12.012 | - |
dc.citation.journaltitle | Journal of Hospital Infection | - |
dc.identifier.wosid | 000792933000003 | - |
dc.identifier.scopusid | 2-s2.0-85123019433 | - |
dc.citation.endpage | 21 | - |
dc.citation.startpage | 14 | - |
dc.citation.volume | 121 | - |
dc.description.isOpenAccess | N | - |
dc.contributor.affiliatedAuthor | Lee, J. | - |
dc.contributor.affiliatedAuthor | Park, W.B. | - |
dc.contributor.affiliatedAuthor | Kim, N.J. | - |
dc.contributor.affiliatedAuthor | Choi, E.H. | - |
dc.contributor.affiliatedAuthor | Oh, M. | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordPlus | HAND HYGIENE COMPLIANCE | - |
dc.subject.keywordPlus | SINK LOCATION | - |
dc.subject.keywordPlus | HANDWASHING COMPLIANCE | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | WARD DESIGN | - |
dc.subject.keywordPlus | INFECTION | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordPlus | BACTERIA | - |
dc.subject.keywordAuthor | Acinetobacter baumannii | - |
dc.subject.keywordAuthor | ICU | - |
dc.subject.keywordAuthor | Infection control | - |
dc.subject.keywordAuthor | Multi-drug resistance | - |
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