Experiences of carriers of multidrug-resistant organisms: a systematic review

B Rump1, A Timen2, M Verweij3

  • 1National Coordination Centre for Communicable Disease Control, RIVM-Centre for Communicable Diseases, Bilthoven, the Netherlands.

Abstract

Insights

Control measures for multidrug-resistant organisms (MDRO) carriers impact daily life, causing stigma and limiting activities. Understanding these effects is crucial for improving care and support for MDRO carriers.

Area of Science:

  • Medical Microbiology
  • Public Health
  • Sociology

Background:

  • Control measures for multidrug-resistant organisms (MDRO) carriers are essential but their impact on carriers' daily lives is not well understood.
  • A gap exists in understanding the lived experiences of individuals carrying MDRO and the consequences of implemented control strategies.

Purpose of the Study:

  • To systematically review and explore how individuals experience being an MDRO carrier.
  • To investigate the impact of control measures on the daily lives and basic capabilities of MDRO carriers.

Main Methods:

  • Systematic literature review of studies on MDRO carrier experiences.
  • Searched Medline, Embase, and PsychINFO databases until May 2016.
  • Analyzed 27 studies using Nussbaum's capability approach to categorize experiences.

Main Results:

  • MDRO carriage and control measures negatively affect quality of care, emotional well-being, social interactions, and lead to stigmatization.
  • Carriers face limitations in recreational activities, financial, and professional security.
  • Difficulties in comprehending antimicrobial resistance impact six basic capabilities.

Conclusions:

  • Nussbaum's capability approach highlights unintended consequences of control measures for MDRO carriers.
  • Carriers experience significant stigmatization, particularly in healthcare settings.
  • Limited understanding of antimicrobial resistance and their carrier status is a key issue.

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