Impact of a training program on the surveillance of Clostridioiaes difficile infection
Por:
Sopena, N, Freixas, N, Bella, F, Perez, J, Hornero, A, Limon, E, Gudiol, F, Pujol, M, Salgado, X, Lora, M, Martos, P, Niubo, J, Fernandez, G, Castella, L, Valls, S, Santana, G, Lopez, M, Calbo, E, Falgueras, L, Piriz, M, Horcajada, JP, Sorli, L, Lopez-Contreras, J, Cotura, MA, Jover-Saenz, A, Ramirez-Hidalgo, M, Garcia, G, Pico, E, Perez, MO, Domenech, MF, Mas, D, Perez, R, Coloma, A, Grau, L, Andres, M, Vilamala, A, Martinez, MJ, Cuquet, J, Vasquez, R, Castro, A, Iftimie, S, Sanchez, I, Claros, M, Vilaro, I, Jofre, M, Garcia, G, Coll, R, Brugues, M, Marron, A, Sauca, G, Barrufet, MP, Marimon, M, Tortajada, S, Gallardo, M, Vaque, M, Meije, Y, Berbel, C, Garcia, I, Serrat, J, Palau, E, Garcia, A, Galles, C, Laborda, R, Martinez, A, Burgas, MC, Girbal, P, Sala, C, Moreno, MJ, Ros, MT, Angas, J, Smithson, A, Bastida, MT, de la Fuente, JC, Rovira, M, Martin-Urda, A, Aliu, T, Diaz-Brito, V, Moreno, E, Agusti, C, Pena, I, Grau, J, Benitez, RM, Blancas, D, Moreno, E, Martinez, S, Ferrer, R, Capdevila, E, Sanfeliu, E, Blasco, MM, Monzon, H, Sancliment, S, Hernandez, S, Castander, D, Montardit, I, Sanz, M, Sabate, S, Gese, T, Hernandez, PJ, Tricas, JM, Redon, E, Panisello, M, Ferre, RM, Cusco, M, Gabarro, L, Farguell, J, Calaf, E, Fernandez, MC, Oviedo, E, Gudiol, C, Albasanz-Puig, A, Jimenez, M and Rodrigues, G
Publicada:
1 ene 2019
Resumen:
A high degree of vigilance and appropriate diagnostic methods are required to detect Clostridioides difficile infection (CDI). We studied the effectiveness of a multimodal training program for improving CDI surveillance and prevention. Between 2011 and 2016, this program was made available to healthcare staff of acute care hospitals in Catalonia. The program included an online course, two face-to-face workshops and dissemination of recommendations on prevention and diagnosis. Adherence to the recommendations was evaluated through surveys administered to the infection control teams at the 38 participating hospitals. The incidence of CDI increased from 2.20 cases/10 000 patient-days in 2011 to 3.41 in 2016 (P < 0.001). The number of hospitals that applied an optimal diagnostic algorithm rose from 32.0% to 71.1% (P = 0.002). Hospitals that applied an optimal diagnostic algorithm reported a higher overall incidence of CDI (3.62 vs. 1.92, P < 0.001), and hospitals that were more active in searching for cases reported higher rates of hospital-acquired CDI (1.76 vs. 0.84, P < 0.001). The results suggest that the application of a multimodal training strategy was associated with a significant rise in the reporting of CDI, as well as with an increase in the application of the optimal diagnostic algorithm.
Filiaciones:
:
Hosp Badalona Germans Trias & Pujol, Infect Dis Dept, Badalona, Spain
VINCat Program, Catalonia, Spain
Freixas, N:
VINCat Program, Catalonia, Spain
Hosp Univ Mutua Terrassa, Infect Control Team, Terrassa, Spain
Bella, F:
VINCat Program, Catalonia, Spain
Hosp Terrassa, Infect Dis Unit, Terrassa, Spain
Perez, J:
VINCat Program, Catalonia, Spain
CATLAB, Microbiol Lab, Viladecavalls, Spain
Hornero, A:
VINCat Program, Catalonia, Spain
Hosp Univ Bellvitge IDIBELL, Hosp Llobregat, Infect Control Team, Barcelona, Spain
Limon, E:
VINCat Program, Catalonia, Spain
Univ Barcelona, Nursing Sch Med, Barcelona, Spain
Univ Barcelona, Hlth Sci Fac, Barcelona, Spain
Gudiol, F:
VINCat Program, Catalonia, Spain
Hosp Univ Bellvitge IDIBELL, Infect Dis Dept, Hosp Llobregat, Barcelona, Spain
Pujol, M:
VINCat Program, Catalonia, Spain
Hosp Univ Bellvitge IDIBELL, Infect Dis Dept, Hosp Llobregat, Barcelona, Spain
Salgado, X:
Hosp Univ Josep Trueta, Girona, Girona, Spain
Lora, M:
Hosp Univ Josep Trueta, Girona, Girona, Spain
Martos, P:
Hosp Univ Bellvitge, Barcelona, Spain
Niubo, J:
Hosp Univ Bellvitge, Barcelona, Spain
:
Hosp Badalona Germans Trias & Pujol, Barcelona, Spain
:
Hosp Badalona Germans Trias & Pujol, Barcelona, Spain
Valls, S:
Hosp Clin Barcelona, Barcelona, Spain
Santana, G:
Hosp Clin Barcelona, Barcelona, Spain
Lopez, M:
Hosp Univ Mutua Terrassa, Barcelona, Spain
Calbo, E:
Hosp Univ Mutua Terrassa, Barcelona, Spain
Falgueras, L:
Corp Sanitaria Parc Tauli, Barcelona, Spain
Piriz, M:
Corp Sanitaria Parc Tauli, Barcelona, Spain
Horcajada, JP:
Hosp Univ Mar, Hosp Esperanca, Barcelona, Spain
Sorli, L:
Hosp Univ Mar, Hosp Esperanca, Barcelona, Spain
Lopez-Contreras, J:
Hosp Univ Santa Creu & St Pau, Barcelona, Spain
Cotura, MA:
Hosp Univ Santa Creu & St Pau, Barcelona, Spain
Jover-Saenz, A:
Hosp Arnau Vilanova, Lleida, Spain
Ramirez-Hidalgo, M:
Hosp Arnau Vilanova, Lleida, Spain
Garcia, G:
Hosp Univ Joan XXIII, Tarragona, Spain
Hosp Univ Sagrat Cor, Barcelona, Spain
Pico, E:
Hosp Univ Joan XXIII, Tarragona, Spain
Perez, MO:
Hosp Verge Cinta Tortosa, Tarragona, Spain
Domenech, MF:
Hosp Verge Cinta Tortosa, Tarragona, Spain
Mas, D:
Ctr Hosp Althaia, Barcelona, Spain
Perez, R:
Ctr Hosp Althaia, Barcelona, Spain
Coloma, A:
Hosp Gen Hosp, Barcelona, Spain
Hosp St Joan Despi Moises Broggi, Barcelona, Spain
Grau, L:
Hosp Terrassa, Barcelona, Spain
Andres, M:
Hosp Terrassa, Barcelona, Spain
Vilamala, A:
Hosp Univ Vic, Barcelona, Spain
Martinez, MJ:
Hosp Univ Vic, Barcelona, Spain
Cuquet, J:
Hosp Gen Granollers, Barcelona, Spain
Vasquez, R:
Hosp Gen Granollers, Barcelona, Spain
Castro, A:
Hosp Univ St Joan Reus, Tarragona, Spain
Iftimie, S:
Hosp Univ St Joan Reus, Tarragona, Spain
Sanchez, I:
Hosp St Rafael, Barcelona, Spain
Claros, M:
Hosp St Rafael, Barcelona, Spain
Vilaro, I:
Hosp Santa Caterina, Salt, Girona, Spain
Jofre, M:
Hosp Santa Caterina, Salt, Girona, Spain
Garcia, G:
Hosp Univ Joan XXIII, Tarragona, Spain
Hosp Univ Sagrat Cor, Barcelona, Spain
Coll, R:
Hosp Univ Sagrat Cor, Barcelona, Spain
Brugues, M:
Fundacio Sanitaria Igualada, Barcelona, Spain
Marron, A:
Fundacio Sanitaria Igualada, Barcelona, Spain
Sauca, G:
Hosp Mataro, Barcelona, Spain
Barrufet, MP:
Hosp Mataro, Barcelona, Spain
Marimon, M:
Hosp Gen Cataluna, Barcelona, Spain
Tortajada, S:
Ctr Med Teknon, Barcelona, Spain
Gallardo, M:
Ctr Med Teknon, Barcelona, Spain
Vaque, M:
Hosp Barcelona, Barcelona, Spain
Meije, Y:
Hosp Barcelona, Barcelona, Spain
Berbel, C:
Hosp Delfos, Barcelona, Spain
Garcia, I:
Hosp Delfos, Barcelona, Spain
Serrat, J:
Clin Girona, Girona, Spain
Palau, E:
Clin Girona, Girona, Spain
Garcia, A:
Hosp Comarcal Blanes, Blanes, Girona, Spain
Galles, C:
Hosp Comarcal Blanes, Blanes, Girona, Spain
Laborda, R:
Hosp Campdevanol, Campdevanol, Girona, Spain
Martinez, A:
Hosp Campdevanol, Campdevanol, Girona, Spain
Burgas, MC:
Hosp Figueres, Figueres, Girona, Spain
Girbal, P:
Hosp Figueres, Figueres, Girona, Spain
Sala, C:
Hosp Dos Maig, Barcelona, Spain
Moreno, MJ:
Hosp Dos Maig, Barcelona, Spain
Ros, MT:
Fundacio St Hosp Seu Urgell, La Seu Durgell, Lleida, Spain
Angas, J:
Fundacio St Hosp Seu Urgell, La Seu Durgell, Lleida, Spain
Smithson, A:
Hosp Esperit St, Barcelona, Spain
Bastida, MT:
Hosp Esperit St, Barcelona, Spain
de la Fuente, JC:
Hosp Comarcal Mora Ebre, Tarragona, Spain
Rovira, M:
Hosp Comarcal Mora Ebre, Tarragona, Spain
Martin-Urda, A:
Hosp Palamos, Palamos, Girona, Spain
Aliu, T:
Hosp Palamos, Palamos, Girona, Spain
Diaz-Brito, V:
HG Parc Sanitari St Joan Deu, Barcelona, Spain
Moreno, E:
HG Parc Sanitari St Joan Deu, Barcelona, Spain
Fundacio Hosp Residencia St Camil, Barcelona, Spain
Agusti, C:
Hosp St Celoni, Barcelona, Spain
Pena, I:
Hosp St Celoni, Barcelona, Spain
Grau, J:
Hosp Municipal Badalona, Badalona, Spain
Benitez, RM:
Hosp Municipal Badalona, Badalona, Spain
Blancas, D:
Fundacio Hosp Residencia St Camil, Barcelona, Spain
Moreno, E:
HG Parc Sanitari St Joan Deu, Barcelona, Spain
Fundacio Hosp Residencia St Camil, Barcelona, Spain
Martinez, S:
Hosp Comarcal St Bernabe, Barcelona, Spain
Ferrer, R:
Hosp St Jaume Calella, Barcelona, Spain
Capdevila, E:
Hosp St Jaume Calella, Barcelona, Spain
Sanfeliu, E:
Hosp Olot & Comarcal Garrotxa, Olot, Girona, Spain
Blasco, MM:
Hosp Olot & Comarcal Garrotxa, Olot, Girona, Spain
Monzon, H:
Hosp St Joan Deu Martorell Helena, Barcelona, Spain
Sancliment, S:
Hosp St Joan Deu Martorell Helena, Barcelona, Spain
Hernandez, S:
Hosp St Pau & Santa Tecla, Tarragona, Spain
Castander, D:
Hosp St Pau & Santa Tecla, Tarragona, Spain
Hosp Vendrell, Tarragona, Spain
Montardit, I:
Hosp Santa Maria Lleida, Lleida, Spain
Sanz, M:
Pius Hosp Valls, Tarragona, Spain
Sabate, S:
Pius Hosp Valls, Tarragona, Spain
Gese, T:
Clin Ponent, Lleida, Spain
Hernandez, PJ:
Clin Ponent, Lleida, Spain
Tricas, JM:
Hosp Mollet, Barcelona, Spain
Redon, E:
Hosp Mollet, Barcelona, Spain
Panisello, M:
Hosp Comarcal Amposta, Tarragona, Spain
Ferre, RM:
Hosp Comarcal Amposta, Tarragona, Spain
Cusco, M:
Hosp Comarcal Alt Penedes, Barcelona, Spain
Gabarro, L:
Hosp Comarcal Alt Penedes, Barcelona, Spain
Farguell, J:
Clin Quiron, Barcelona, Spain
Calaf, E:
Hosp Vendrell, Tarragona, Spain
Fernandez, MC:
Clin Valles, Barcelona, Spain
Oviedo, E:
Clin Valles, Barcelona, Spain
Gudiol, C:
ICO Hosp Llobregat, Barcelona, Spain
Albasanz-Puig, A:
ICO Hosp Llobregat, Barcelona, Spain
:
ICO Badalona, Badalona, Spain
Rodrigues, G:
Ctr Coordinador VINCat, Barcelona, Spain
Green Published, hybrid
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