Preventing Transmission of Multidrug-Resistant Pathogens in the Intensive Care Unit

Infect Dis Clin North Am. 2017 Sep;31(3):535-550. doi: 10.1016/j.idc.2017.05.010. Epub 2017 Jul 5.

Abstract

Infection control in the intensive care unit (ICU) has seen many advances, including rapid molecular screening tests for resistant organisms and chlorhexidine use in daily baths. Although these developments advance the cause of infection prevention, compliance with some of the basic measures remains elusive. Hand hygiene, antimicrobial stewardship, and reduction in device use remain the low-technology interventions that could have a major impact on nosocomial transmission of antimicrobial-resistant organisms. Although continued research is needed on new and old ways of preventing nosocomial infections, ICU staff must persevere in improving adherence with the measures that are known to be effective.

Keywords: Drug resistance; Infection control; Intensive care unit; Transmission.

Publication types

  • Review

MeSH terms

  • Antimicrobial Stewardship
  • Bacterial Infections / drug therapy
  • Bacterial Infections / microbiology
  • Bacterial Infections / prevention & control*
  • Bacterial Infections / transmission*
  • Chlorhexidine / administration & dosage
  • Cross Infection / epidemiology
  • Cross Infection / microbiology
  • Cross Infection / prevention & control*
  • Drug Resistance, Multiple, Bacterial*
  • Hand Hygiene
  • Humans
  • Infection Control / methods*
  • Intensive Care Units
  • United States / epidemiology

Substances

  • Chlorhexidine