Short summary card increases staff knowledge about infection control

Transmission-based precautions are designed to interrupt the transmission of pathogens. Success relies on early recognition of patients with potentially infectious conditions and prompt action. Researchers from Scotland examined the value of a transmission-based precautions reminder card for healthcare workers. Staff at one hospital were surveyed about implementing transmission-based precautions. After this, staff were issued with a guidance card summarising local transmission-based precautions guidelines. They were invited to carry the card with them as a reminder. Staff were resurveyed later to assess impacts. The card was associated with improved staff ability to decide which transmission-based precautions were required in various situations.
Reference: Russell CD, et al. Healthcare workers’ decision-making about transmission-based infection control precautions is improved by a guidance summary card. The Journal of Hospital Infection. 2015. 90(3): 235 – 239

Regional infection control assessment of antibiotic resistance knowledge and practice.

OBJECTIVE Multidrug-resistant organisms (MDROs) are an increasing burden among healthcare facilities. We assessed facility-level perceived importance of and responses to various MDROs. DESIGN A pilot survey to assess staffing, knowledge, and the perceived importance of and response to various multidrug resistant organisms (MDROs)

SETTING Acute care and long-term healthcare facilities

METHODS In 2012, a survey was distributed to infection preventionists at ~300 healthcare facilities. Pathogens assessed were Clostridium difficile, carbapenem-resistant Enterobacteriaceae (CRE), carbapenem-resistant Acinetobacter, methicillinresistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus, multidrug-resistant (defined as bacterial resistance to ≥3 antibiotic classes) Pseudomonas, and extended-spectrum β-lactamaseproducing Escherichia coli.

RESULTS A total of 74 unique facilities responded, including 44 skilled nursing facilities (SNFs) and 30 acute care facilities (ACFs). While ACFs consistently isolated patients with active infections or colonization due to these MDROs, SNFs had more variable responses. SNFs had more multi-occupancy rooms and reported less specialized training in infection control and prevention than did ACFs. Of all facilities with multi-occupancy rooms, 86% employed a cohorting practice for patients, compared with 50% of those without multioccupancy rooms; 20% of ACFs and 7% of SNFs cohorted staff while caring for patients with the same MDRO. MRSA and C. difficile were identified as important pathogens in ACFs and SNFs, while CRE importance was unknown or was considered important in <50% of SNFs.

CONCLUSION We identified stark differences in human resources, knowledge, policy, and practice between ACFs and SNFs. For regional control of emerging MDROs like CRE, there is an opportunity for public health officials to provide targeted education and interventions. Education campaigns must account for differences in audience resources and baseline knowledge.

ReferenceRegional infection control assessment of antibiotic resistance knowledge and practice. Black SR, Weaver KN, Weinstein RA, Hayden MK, Lin MY, Lavin MA, Gerber SI. Infect Control Hosp Epidemiol. 2015 Apr, vol 36, no 4, p381-6.

Group B Streptococcus: Compliance with the information in prenatal card records and knowledge of pregnant women.

This study aimed to determine the rate of compliance on prenatal cards and the women’s knowledge and feelings regarding Group B Streptococcus (GBS) screening in a maternity ward in São Paulo City, Brazil. Structured interviews and a review of prenatal card records of 391 women were performed. The GBS screening was not recorded in more than half of prenatal cards (51.4%, n = 201); 169 women reported no knowledge or not remembering the GBS screening.

Reference: Group B Streptococcus: Compliance with the information in prenatal card records and knowledge of pregnant women. de Mello DS, Tsunechiro MA, Mendelski CA, et al Am J Infect Control. 2015 Feb 18.