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タイトル: | Nationwide multicenter questionnaire surveys on countermeasures against antimicrobial resistance and infections in hospitals |
著者: | Shin, Jung-ho https://orcid.org/0000-0003-0201-4847 (unconfirmed) Mizuno, Seiko Okuno, Takuya Itoshima, Hisashi Sasaki, Noriko Kunisawa, Susumu Kaku, Mitsuo Yoshida, Makiko Gu, Yoshiaki Morii, Daiichi Shibayama, Keigo Ohmagari, Norio Imanaka, Yuichi |
著者名の別形: | 愼, 重虎 水野, 聖子 奥野, 琢也 糸島, 尚 佐々木, 典子 國澤, 進 今中, 雄一 |
キーワード: | Antimicrobial resistance Antimicrobial stewardship Healthcare-associated infection Infection control Surveillance |
発行日: | 2021 |
出版者: | Springer Nature BMC |
誌名: | BMC Infectious Diseases |
巻: | 21 |
論文番号: | 234 |
抄録: | [Background] The goals of the National Action Plan on Antimicrobial Resistance (AMR) of Japan include “implementing appropriate infection prevention and control” and “appropriate use of antimicrobials, ” which are relevant to healthcare facilities. Specifically, linking efforts between existing infection control teams and antimicrobial stewardship programs was suggested to be important. Previous studies reported that human resources, such as full-time equivalents of infection control practitioners, were related to improvements in antimicrobial stewardship. [Methods] We posted questionnaires to all teaching hospitals (n = 1017) regarding hospital countermeasures against AMR and infections. To evaluate changes over time, surveys were conducted twice (1st survey: Nov 2016, 2nd survey: Feb 2018). A latent transition analysis (LTA) was performed to identify latent statuses, which refer to underlying subgroups of hospitals, and effects of the number of members in infection control teams per bed on being in the better statuses. [Results] The number of valid responses was 678 (response rate, 66.7%) for the 1st survey and 559 (55.0%) for the 2nd survey. More than 99% of participating hospitals had infection control teams, with differences in activity among hospitals. Roughly 70% had their own intervention criteria for antibiotics therapies, whereas only about 60 and 50% had criteria established for the use of anti-methicillin-resistant Staphylococcus aureus antibiotics and broad-spectrum antibiotics, respectively. Only 50 and 40% of hospitals conducted surveillance of catheter-associated urinary tract infections and ventilator-associated pneumonia, respectively. Less than 50% of hospitals used maximal barrier precautions for central line catheter insertion. The LTA identified five latent statuses. The membership probability of the most favorable status in the 2nd study period was slightly increased from the 1st study period (23.6 to 25.3%). However, the increase in the least favorable status was higher (26.3 to 31.8%). Results of the LTA did not support a relationship between increasing the number of infection control practitioners per bed, which is reportedly related to improvements in antimicrobial stewardship, and being in more favorable latent statuses. [Conclusions] Our results suggest the need for more comprehensive antimicrobial stewardship programs and increased surveillance activities for healthcare-associated infections to improve antimicrobial stewardship and infection control in hospitals. |
著作権等: | © The Author(s). 2021 This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. |
URI: | http://hdl.handle.net/2433/276600 |
DOI(出版社版): | 10.1186/s12879-021-05921-2 |
PubMed ID: | 33639873 |
出現コレクション: | 学術雑誌掲載論文等 |
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