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A survey on practices for active surveillance of carriage of multidrug-resistant bacteria in hospitals in the Autonomous Community of Valencia, Spain

  • Nuria Tormo
  • Eliseo Albert
  • Emilio Borrajo
  • Monserrat Bosque
  • Juan José Camarena
  • Victoria Domínguez
  • Encarnación Fuentes
  • Isabel Gascón
  • Bárbara Gomila
  • Nieves Gonzalo
  • Marta Jiménez
  • Olalla Martínez
  • José Miguel Nogueira
  • Nieves Orta
  • Josep Prat
  • Juan Carlos Rodríguez
  • Concepción Gimeno
  • David NavarroEmail author
  • on behalf of the Working Group of the Autonomous Community of Valencia (ACV) for Optimization of Microbiological Diagnostic Processes
Original Article

Abstract

A questionnaire-based cross-sectional study was conducted to gather information on current microbiological practices for active surveillance of carriage of multidrug-resistant (MDR) bacteria in hospitals from 14 health departments of the Autonomous Community of Valencia (ACV), Spain, which together provided medical attention to 3,271,077 inhabitants in 2017, approximately 70% of the population of the ACV. The survey consisted of 35 questions on MDR bacteria screening policies, surveillance approach chosen (universal vs. targeted), and microbiological methods and processes in use for routine detection and reporting of colonization by MDR bacteria, including the anatomical sites scheduled to be sampled for each MDR bacterial species, and the methodology employed (culture-based, molecular-based, or both). Our study revealed striking differences across centers, likely attributable to the lack of consensus on optimal protocols for sampling, body sites for screening, and microbiological testing, thus underscoring the need for consensus guidelines on these issues.

Keywords

Multidrug-resistant (MDR) bacteria Surveillance cultures Chromogenic agar media Molecular testing MDR bacteria transmission 

Notes

Acknowledgements

We thank Merck Sharp & Dohme (MSD) for organizing the meeting logistics of the Working Group of the Autonomous Community of Valencia (ACV) for Optimization of Microbiological Diagnostic Processes.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical statement

The ethical committee of the participating hospitals deemed specific approval for this study unnecessary.

Informed consent

Not applicable (as discussed with the institutional medical ethical committee).

Supplementary material

10096_2018_3340_MOESM1_ESM.doc (310 kb)
ESM 1 (DOC 310 kb)

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Nuria Tormo
    • 1
  • Eliseo Albert
    • 2
  • Emilio Borrajo
    • 3
  • Monserrat Bosque
    • 4
  • Juan José Camarena
    • 5
  • Victoria Domínguez
    • 4
  • Encarnación Fuentes
    • 6
  • Isabel Gascón
    • 7
  • Bárbara Gomila
    • 8
  • Nieves Gonzalo
    • 9
  • Marta Jiménez
    • 10
  • Olalla Martínez
    • 11
  • José Miguel Nogueira
    • 5
  • Nieves Orta
    • 12
  • Josep Prat
    • 13
  • Juan Carlos Rodríguez
    • 14
  • Concepción Gimeno
    • 1
  • David Navarro
    • 2
    Email author
  • on behalf of the Working Group of the Autonomous Community of Valencia (ACV) for Optimization of Microbiological Diagnostic Processes
  1. 1.Microbiology ServiceConsorcio Hospital General UniversitarioValenciaSpain
  2. 2.Microbiology Service, and Department of Microbiology, School of MedicineHospital Clínico UniversitarioValenciaSpain
  3. 3.Microbiology UnitHospital Vega BajaOrihuelaSpain
  4. 4.Microbiology ServiceHospital Arnau de VilanovaValenciaSpain
  5. 5.Hospital Universitario Dr. PesetValenciaSpain
  6. 6.Microbiology UnitHospital Virgen de los LiriosAlcoiSpain
  7. 7.Hospital General UniversitarioEldaSpain
  8. 8.Microbiology ServiceHospital General UniversitarioCastellonSpain
  9. 9.Microbiology ServiceHospital General UniversitarioElcheSpain
  10. 10.Microbiology Unit, Hospital ManisesManisesSpain
  11. 11.Hospital Universitario de la RiberaAlziraSpain
  12. 12.Microbiology Unit, Hospital Francesc de BorjaGandiaSpain
  13. 13.Microbiology UnitHospital de SaguntoValenciaSpain
  14. 14.Hospital General UniversitarioAlicanteSpain

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