Infection prevention control bundle of multidrug-resistant Acinetobacter baumannii and methicillin-resistant Staphylococcus aureus: Which one is more Important?

摘要

To the Editor-Infection prevention control (IPC) bundles are often employed as standard of care practices to minimize transmission of multidrug-resistant (MDR) microorganisms. Dedicated resource and leadership commitment are recognized assets in implementation of IPC bundles. Specific IPC interventions were previously reported in association with transmission of MDR Acinetobacter baumannii and methicillin-resistant Staphylococcus aureus (MRSA) in Thailand; multifaceted interventions were uncommon. We now report results of a national survey conducted to evaluate the IPC interventions associated with incidence of MDR A. baumannii and MRSA 12-months after implementation of IPC bundles. From January 1, 2012, through April 30, 2013, telephone interviews were conducted with the lead infection control professionals at 204 hospitals that previously participated in a survey to identify compliance to an IPC program and the incidence of MDR A. baumannii and MRSA infection before and after implementation of the IPC bundles.