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Infection prevention and control strategies against carbapenem resistant Enterobacteriaceae: a systematic review

2022Journal article Restricted access
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dc.contributor.authorSantos-Marques, Catarina
dc.contributor.authorFerreira, Helena
dc.contributor.authorPereira, Sónia Gonçalves
dc.date.accessioned2022-07-14T12:21:17Z
dc.date.available2022-07-14T12:21:17Z
dc.date.issued2022
dc.date.updated2022-07-11T07:41:40Z
dc.description.abstractBackground: Antimicrobial resistance is exponentially worsening, and the spread of prevalent carbapenem resistant Enterobacteriaceae (CRE) is a major contributor to this global concern. Infection prevention and control strategies are increasingly consolidated key tools to control this worldwide problem. Aim: To identify, collect and analyse available evidence regarding the impact of infection prevention and control strategies on prevalent CRE dissemination. Methods: Pubmed®, Scopus® andWeb of Science® were searched systematically for articles published between 1th January 2017 and 30th June 2020, guided by the research question ‘What are the most effective and efficient strategies to prevent and control infection/colonisation caused by Carbapenemresistant Escherichia coli and Carbapenem resistant Klebsiella pneumoniae?’. Findings: Eleven thousand six hundred and thirty-five publications were found, but after applying the inclusion and exclusion criteria, only 30 were selected. The majority of reviewed studies (n = 24) were performed in outbreak situations, 26 studies occurred in acute care units and of those, 17 in intensive care units . From the set of implemented infection prevention and control measures, in 29 studies surveillance cultures were applied, in 23 studies patients were isolated or cohorted and, in general, all described the implementation of standard and contact precaution measures. Conclusion: This systematic review underlines the importance of infection prevention and control strategies in CRE dissemination, standing out the need of further studies outside outbreak and intensive care units contexts. Investment increments and training and educating of all involved are also important contributors to shift this problem, but still with relevant gaps in their implementation, in all types of care units, that need to be addressed.pt_PT
dc.description.versioninfo:eu-repo/semantics/acceptedVersionpt_PT
dc.identifier.citationSantos-Marques, C., Ferreira, H., & Pereira, S.G. (2022). Infection prevention and control strategies against carbapenem resistant Enterobacteriaceae: a systematic review. Journal of Infection Prevention, 0(0), 1-19. https://doi.org/10.1177/17571774211066762pt_PT
dc.identifier.doi10.1177/17571774211066762pt_PT
dc.identifier.issn1757-1774
dc.identifier.issn1757-1782
dc.identifier.slugcv-prod-2815988
dc.identifier.urihttp://hdl.handle.net/10400.8/7365
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherSage Publicationspt_PT
dc.subjectInfection prevention and controlpt_PT
dc.subjectAntimicrobial stewardshippt_PT
dc.subjectEnterobacteriaceaept_PT
dc.subjectCarbapenem resistant Escherichia colipt_PT
dc.subjectCarbapenem resistant Klebsiella pneumoniaept_PT
dc.titleInfection prevention and control strategies against carbapenem resistant Enterobacteriaceae: a systematic reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage19pt_PT
oaire.citation.startPage1pt_PT
oaire.citation.titleJournal of Infection Preventionpt_PT
person.familyNamedos Santos Marques
person.familyNameGonçalves Pereira
person.givenNameCatarina
person.givenNameSónia
person.identifier461252
person.identifier.ciencia-id6B1D-196D-1238
person.identifier.ciencia-idEB1F-4DB2-B0C9
person.identifier.orcid0000-0002-3460-2275
person.identifier.orcid0000-0001-8197-1850
person.identifier.ridM-7588-2017
person.identifier.scopus-author-id7202024712
rcaap.cv.cienciaid8615-92D1-7858 | Sónia Gonçalves Pereira
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication0f636b9c-626c-4d06-90e6-3e8df8b7fb38
relation.isAuthorOfPublication259ad2cc-f9ff-4c33-ad6d-10f5b3ff341a
relation.isAuthorOfPublication.latestForDiscovery0f636b9c-626c-4d06-90e6-3e8df8b7fb38

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