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Related Concept Videos

Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Healthcare Associated Infections II: Preventive Measures01:22

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
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Experience in Implementing Colonization Screening in a Multidisciplinary County Clinical Hospital in Romania.

Victoria Birlutiu1,2, Rares-Mircea Birlutiu3,4, Razvan Ene5

  • 1Faculty of Medicine, Lucian Blaga University of Sibiu, Str. Lucian Blaga, Nr. 2A, 550169 Sibiu, Romania.

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|April 26, 2025
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Summary

This study screened 1522 high-risk patients for multidrug-resistant organisms (MDROs) in Romania. The screening identified varying colonization rates, highlighting the need for targeted infection control strategies to combat MDROs.

Keywords:
antibiotic resistancecolonization screeninginfection controlmultidrug-resistant organismsscreening protocols

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Area of Science:

  • Medical Microbiology
  • Infectious Diseases
  • Public Health

Background:

  • Disruption of the skin microbiota can lead to severe infections and increased healthcare costs.
  • Antibiotic misuse in Romania exacerbates the challenge of managing bacterial resistance.
  • Screening for multidrug-resistant organisms (MDROs) is essential for high-risk patient populations.

Purpose of the Study:

  • To determine the prevalence of MDRO colonization upon hospital admission in high-risk patients.
  • To evaluate changes in MDRO colonization rates during hospitalization.
  • To inform the development of effective infection prevention strategies.

Main Methods:

  • A comprehensive multi-body-site colonization screening protocol was implemented from January to June 2024.
  • Nasal, axillary, inguinal, and rectal swabs were collected from 1522 high-risk patients.
  • Samples were analyzed using specialized chromogenic media to detect specific MDROs, including MRSA, ESBL-producing Enterobacterales, and carbapenemase-producing bacteria.

Main Results:

  • The study analyzed 18,993 samples, identifying various bacterial isolates.
  • Prevalence of specific MDROs included 1.8% for ESBL-producing E. coli, 2.6% for KESC group MDROs, 0.8% for VRE, and 0.7% for MRSA.
  • Negative screening results were common for MRSA across multiple sites.

Conclusions:

  • The findings underscore the importance of multi-site screening for MDROs in high-risk patients.
  • Tailored infection prevention strategies and continuous surveillance are crucial for mitigating MDRO spread.
  • Proactive measures are needed to enhance patient safety in diverse clinical settings.