There is a worldwide consensus that urgent action is needed to prevent and control multi-drug resistant organisms in health care settings, especially carbapenem-resistant Enterobacteriaceae (CRE), carbapenem-resistant Acinetobacter baumannii (CRAB) and carbapenem-resistant Pseudomonas aeruginosa (CRPsA). In 2017, to focus on this topic, World Health Organization organized experts worldwide to develop guidelines for the prevention and control of CRE, CRPsA and CRAB. In this paper, we introduced the background, development process, main measures, advantages and disadvantages of the guidelines to help infection prevention and control practitioners take actions properly based on the guidelines.
Citation：
QIAO Fu, ZONG Zhiyong. Interpretation of Guidelines for the Prevention and Control of Carbapenem-resistant Enterobacteriaceae, Acinetobacter baumannii and Pseudomonas aeruginosa in Health Care Facilities. West China Medical Journal, 2018, 33(3): 259-263. doi: 10.7507/1002-0179.201803013
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万泉, 张毓辉, 王秀峰, 等. 2014 年我国各地区卫生总费用核算结果与分析. 中国卫生经济, 2016, 35(3): 9-12.
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Stewardson AJ, Sax H, Gayet-Ageron A, et al. Enhanced performance feedback and patient participation to improve hand hygiene compliance of health-care workers in the setting of established multimodal promotion: a single-centre, cluster randomised controlled trial. Lancet Infect Dis, 2016, 16(12): 1345-1355.
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- 1. Epstein L, Hunter JC, Arwady MA, et al. New Delhi metallo-β-lactamase-producing carbapenem-resistant Escherichia coli associated with exposure to duodenoscopes. JAMA, 2014, 312(14): 1447-1455.
- 2. Falagas ME, Tansarli GS, Karageorgopoulos DE, et al. Deaths attributable to carbapenem-resistant Enterobacteriaceae infections. Emerg Infect Dis, 2014, 20(7): 1170-1175.
- 3. World Health Organization. Guidelines for the prevention and control of carbapenem-resistant Enterobacteriaceae, Acinetobacter baumannii and Pseudomonas aeruginosa in health care facilities. (2018-02-23)[2018-03-01]. http://www.who.int/infection-prevention/publications/guidelines-cre/en/.
- 4. World Health Organization. Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. (2016-11-29)[2018-03-01]. http://www.who.int/infection-prevention/publications/ipc-components-guidelines/en/.
- 5. World Health Organization. WHO Guidelines on hand hygiene in health care: first global patient safety challenge clean care is safer care. (2009-10-30)[2018-03-01]. http://citeseerx.ist.psu.edu/ viewdoc/download?doi=10.1.1.170.7842&rep=rep1&type=pdf.
- 6. World Health Organization. Evidence of hand hygiene to reduce transmission and infections by multi-drug resistant organisms in health-care settings. (2014-04-22)[2018-03-01]. http://www.who. int/gpsc/5may/MDRO_literature-review.pdf?ua=1&ua=1.
- 7. Kramer A, Schwebke I, Kampf G. How long do nosocomial pathogens persist on inanimate surfaces? A systematic review. BMC Infect Dis, 2006, 6: 130.
- 8. 黄勋, 邓子德, 倪语星, 等. 多重耐药菌医院感染预防与控制中国专家共识. 中国感染控制杂志, 2015, 14(1): 1-9.
- 9. 胡付品, 郭燕, 朱德妹, 等. 2016 年中国 CHINET 细菌耐药性监测. 中国感染与化疗杂志, 2017, 17(5): 481-491.
- 10. 万泉, 张毓辉, 王秀峰, 等. 2014 年我国各地区卫生总费用核算结果与分析. 中国卫生经济, 2016, 35(3): 9-12.
- 11. Stewardson AJ, Sax H, Gayet-Ageron A, et al. Enhanced performance feedback and patient participation to improve hand hygiene compliance of health-care workers in the setting of established multimodal promotion: a single-centre, cluster randomised controlled trial. Lancet Infect Dis, 2016, 16(12): 1345-1355.
