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Title: Infection control and antibiotic stewardship practices reported by south-eastern Mediterranean hospitals collaborating in the ARMed project
Authors: Borg, Michael A.
Cookson, Barry D
Gür, Deniz
Redjeb, SaidaBen
Rasslan, Ossama
Nasser, Ziad El
Benbachir, Mohamed
Bagatzouni, Despo Pieridou
Rahal, K.
Daoud, Ziad
Affiliations: Faculty of Medicine 
Keywords: Antibiotic resistance
Antibiotic stewardship
ARMed project
Subjects: Infection Control
Issue Date: 2008
Part of: Journal of hospital infection
Volume: 70
Issue: 3
Start page: 228
End page: 234
The prevalence of multiply resistant organisms (MROs) reported from south-eastern Mediterranean hospitals highlights the need to identify possible contributory factors to help design control interventions. This was investigated through a structured questionnaire, which examined infection control and antibiotic stewardship practices in hospitals participating or collaborating with the Antibiotic Resistance Surveillance & Control in the Mediterranean Region (ARMed) project. A total of 45 hospitals (78.9% of invited institutions) responded to the questionnaire; 60% indicated that they faced periods of overcrowding when available bed complement was insufficient to cope with hospital admissions and 62% reported difficulties in isolating patients with MROs due to lack of available beds. Most hospitals relied mainly on washing to achieve hand hygiene, whether by non-medicated or disinfectant soaps. Dependence on solid bars of soap (28.9%) and cloth towels (37.8%) were among the problems identified as well as inconvenient distances of sinks from patient beds (66.6%). Alcohol hand rub was the predominant hand hygiene product in only 7% of hospitals. Programmes for better antibiotic use were mostly limited in scope; 33.3% reported having antibiotic prescribing guidelines and 53.3% of hospitals fed back resistance rates to prescribers. Auditing of antibiotic consumption, whether institution- or unit-based, was carried out in 37.8% of responding hospitals. Multi-faceted approaches aimed at improving isolation of patients with MROs, increasing the emphasis on hand hygiene by encouraging greater use of alcohol hand rubs and introducing effective antibiotic stewardship programmes should be encouraged in south-eastern Mediterranean hospitals.
DOI: 10.1016/j.jhin.2008.07.002
Ezproxy URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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