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Patterns of Nosocomial Infections, Multidrug-Resistant Microorganisms, and Mold Detection after Extensive Black-Water Flooding: A Survey from Central Thailand

Published online by Cambridge University Press:  02 January 2015

Anucha Apisarnthanarak ,
Thana Khawcharoenporn  and
Linda M. Mundy
Anucha Apisarnthanarak*
Affiliation:
Division of Infectious Diseases, Faculty of Medicine, Thammasat University, Pathumthani, Thailand
Thana Khawcharoenporn
Affiliation:
Division of Infectious Diseases, Faculty of Medicine, Thammasat University, Pathumthani, Thailand
Linda M. Mundy
Affiliation:
LM Mundy, Bryn Mawr, Pennsylvania
*
Division of Infectious Diseases, Faculty of Medicine, Thammasat University, Pafhumthani, Thailand 12120 ([email protected])
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Extract

Central Thailand was severely affected by black-water flooding between September and November 2011, with resultant closure of 30 regional hospitals. Few data are available for the incidence of nosocomial infections and patterns of preflood versus postflood multidrug-resistant organisms (MDROs) and mold. We therefore conducted a survey of the hospitals in central Thailand in order to evaluate the patterns of nosocomial infections, MDROs, mold, and flood preparedness plans after these floods.

On the basis of a hospital list from the Ministry of Public Health, we identified 104 hospitals in 15 provinces of central Thailand that were affected, but not necessarily closed, by extensive floods. We designed and then conducted a survey, from July 1 through October 31, 2012, that inquired about hospital characteristics, postflood hospital preparedness plans, administrative support, institutional safely culture, incidence of nosocomial infections, and prevalence of MDROs and mold colonization or infection. All 104 secondary care (>100 beds) and tertiary care (>250 beds) hospitals in 15 central Thailand provinces were invited to participate.

Type
Research Briefs
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 8 , August 2013 , pp. 861 - 863
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Krein, SL, Kowalski, CP, Damschroder, L, Forman, J, Kaufman, SR, Saint, S. Preventing ventilator-associated pneumonia in the United States: a multicenter mixed-methods study. Infect Control Hosp Epidemiol 2008;29(10):933–940.Google Scholar
2.Saint, S, Kowalski, CP, Kaufman, SR, et al.Preventing hospital-acquired urinary tract infection in the United States: a national study. Clin Infect Dis 2008;46(2):243–250.Google Scholar
3.Garner, JS, Jarvis, WR, Emori, TG, Horan, TC, Hughes, JM. CDC definitions for nosocomial infections, 1988. Am J Infect Control 1988;16(3):128–140.Google Scholar
4.Rahal, JJ. Antimicrobial resistance among and therapeutic options against Gram-negative pathogens. Clin Infect Dis 2009;49 (suppl 1):S4–S10.Google Scholar
5.Apisarnthanarak, A, Greene, MT, Kennedy, EH, Khawcharoenporn, T, Krein, S, Saint, S. National survey of practices to prevent healthcare-associated infections in Thailand: the role of safety culture and collaboratives. Infect Control Hosp Epidemiol 2012;33(7):711–717.Google Scholar
6.Apisarnthanarak, A, Hsu, LY, Warren, DK. Termination of an extreme-drug resistant–Acinetofeecter baumannii outbreak in a hospital after flooding: lessons learned. Clin Infect Dis 2012; 55(11):1589–1590.CrossRefGoogle Scholar
7.Apisarnthanarak, A, Khawcharoenporn, T, Mundy, LM. Practices to prevent multidrug-resistant Acinetobacter baumannii and methicillin-resistant Staphylococcus aureus in Thailand: a national survey. Am J Infect Control 2013;41(5):416–421.Google Scholar
8.Apisarnthanarak, A, Mundy, LM, Khawcharoenporn, T, Mayhall, CG. Hospital infection prevention and control issues relevant to extensive floods. Infect Control Hosp Epidemiol 2013;34(2):200–206.Google Scholar
9.Apisarnthanarak, A, Wongcharoen, S, Mundy, LM. Fumigation with a combined quaternary ammonium compound and 2 alcohols after detection of bacterial and fungal air bioburden. Clin Infect Dis 2013;56(7):1060–1062.Google Scholar