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Antibiotics
Volume 12
Issue 8
10.3390/antibiotics12081255
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Review

Preventing Multidrug-Resistant Bacterial Transmission in the Intensive Care Unit with a Comprehensive Approach: A Policymaking Manual

by
Georgios Schinas
1,
Elena Polyzou
1,2,
Nikolaos Spernovasilis
3,*,
Charalambos Gogos
1,
George Dimopoulos
4 and
Karolina Akinosoglou
1,2
1
Department of Medicine, University of Patras, 26504 Patras, Greece
2
Department of Internal Medicine and Infectious Diseases, University General Hospital of Patras, 26504 Patras, Greece
3
Department of Infectious Diseases, German Oncology Center, 4108 Limassol, Cyprus
4
3rd Department of Critical Care, Evgenidio Hospital, Medical School, National and Kapodistrian University of Athens, 11528 Athens, Greece
*
Author to whom correspondence should be addressed.
Antibiotics 2023, 12(8), 1255; https://doi.org/10.3390/antibiotics12081255
Submission received: 4 July 2023 / Revised: 25 July 2023 / Accepted: 27 July 2023 / Published: 30 July 2023
(This article belongs to the Special Issue The Issue of Multidrug-Resistant Pathogens in Nosocomial Infections)
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Abstract

Patients referred to intensive care units (ICU) commonly contract infections caused by multidrug-resistant (MDR) bacteria, which are typically linked to complications and high mortality. There are numerous independent factors that are associated with the transmission of these pathogens in the ICU. Preventive multilevel measures that target these factors are of great importance in order to break the chain of transmission. In this review, we aim to provide essential guidance for the development of robust prevention strategies, ultimately ensuring the safety and well-being of patients and healthcare workers in the ICU. We discuss the role of ICU personnel in cross-contamination, existing preventative measures, novel technologies, and strategies employed, along with antimicrobial surveillance and stewardship (AMSS) programs, to construct effective and thoroughly described policy recommendations. By adopting a multifaceted approach that combines targeted interventions with broader preventive strategies, healthcare facilities can create a more coherent line of defense against the spread of MDR pathogens. These recommendations are evidence-based, practical, and aligned with the needs and realities of the ICU setting. In conclusion, this comprehensive review offers a blueprint for mitigating the risk of MDR bacterial transmission in the ICU, advocating for an evidence-based, multifaceted approach.
Keywords: intensive care unit; multidrug-resistant bacteria; transmission; colonization; healthcare personnel intensive care unit; multidrug-resistant bacteria; transmission; colonization; healthcare personnel

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MDPI and ACS Style

Schinas, G.; Polyzou, E.; Spernovasilis, N.; Gogos, C.; Dimopoulos, G.; Akinosoglou, K. Preventing Multidrug-Resistant Bacterial Transmission in the Intensive Care Unit with a Comprehensive Approach: A Policymaking Manual. Antibiotics 2023, 12, 1255. https://doi.org/10.3390/antibiotics12081255

AMA Style

Schinas G, Polyzou E, Spernovasilis N, Gogos C, Dimopoulos G, Akinosoglou K. Preventing Multidrug-Resistant Bacterial Transmission in the Intensive Care Unit with a Comprehensive Approach: A Policymaking Manual. Antibiotics. 2023; 12(8):1255. https://doi.org/10.3390/antibiotics12081255

Chicago/Turabian Style

Schinas, Georgios, Elena Polyzou, Nikolaos Spernovasilis, Charalambos Gogos, George Dimopoulos, and Karolina Akinosoglou. 2023. "Preventing Multidrug-Resistant Bacterial Transmission in the Intensive Care Unit with a Comprehensive Approach: A Policymaking Manual" Antibiotics 12, no. 8: 1255. https://doi.org/10.3390/antibiotics12081255

APA Style

Schinas, G., Polyzou, E., Spernovasilis, N., Gogos, C., Dimopoulos, G., & Akinosoglou, K. (2023). Preventing Multidrug-Resistant Bacterial Transmission in the Intensive Care Unit with a Comprehensive Approach: A Policymaking Manual. Antibiotics, 12(8), 1255. https://doi.org/10.3390/antibiotics12081255

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