Abstract

OBJECTIVE. To characterize infection control experience during a 6.5-year period in a cooperative care center for transplant patients. design. Descriptive analysis. SETTING. A cooperative care center for transplanted patients, in which patients and care partners are housed in a homelike environment, and care partners assume responsibility for patient care duties. PATIENTS. Nine hundred ninety one transplant patients. METHODS. Infection control definitions from the Centers for Disease Control and Prevention were used to ascertain infection rates. Environmental cultures were used to detect methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), Clostridium difficile, and fungi during the first 18 months. Surveillance cultures were performed for a subset of patients and care partners. RESULTS. From June 1999 through December 2005, there were 19,365 patient-days observed. The most common healthcare-associated infection encountered was intravascular catheter-related bloodstream infection, with infection rates of 5.74 and 4.94 cases per 1,000 patientdays for hematopoietic stem cell transplant (HSCT) and solid organ transplant (SOT) patients, respectively. C. difficile-associated diarrhea was observed more frequently in HSCT patients than in SOT patients (3.97 vs 0.57 cases per 1000 patient-days; P < .0001). There was no evidence of environmental contamination with MRSA, VRE, or C. difficile. Acquisition of MRSA was not observed. Acquisition of VRE was documented. CONCLUSION. This study documented that cooperative care was associated with some risk of healthcare-associated infection, most notably intravascular catheter-associated bloodstream infection and C. difficile-associated diarrhea, it appears the incidences of these infections were roughly commensurate with those in other care settings.

Original languageEnglish (US)
Pages (from-to)424-429
Number of pages6
JournalInfection Control and Hospital Epidemiology
Volume29
Issue number5
DOIs
StatePublished - May 1 2008

Fingerprint

Infection Control
Transplants
Clostridium difficile
Methicillin-Resistant Staphylococcus aureus
Catheter-Related Infections
Patient Care
Cross Infection
Hematopoietic Stem Cells
Diarrhea
Infection
Centers for Disease Control and Prevention (U.S.)
Fungi
Incidence
Vancomycin-Resistant Enterococci

ASJC Scopus subject areas

  • Epidemiology
  • Microbiology (medical)
  • Infectious Diseases

Cite this

@article{57bf3aed6d3140bf8ade6400d7fa2d4e,
title = "Infection control experience in a cooperative care center for transplant patients",
abstract = "OBJECTIVE. To characterize infection control experience during a 6.5-year period in a cooperative care center for transplant patients. design. Descriptive analysis. SETTING. A cooperative care center for transplanted patients, in which patients and care partners are housed in a homelike environment, and care partners assume responsibility for patient care duties. PATIENTS. Nine hundred ninety one transplant patients. METHODS. Infection control definitions from the Centers for Disease Control and Prevention were used to ascertain infection rates. Environmental cultures were used to detect methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), Clostridium difficile, and fungi during the first 18 months. Surveillance cultures were performed for a subset of patients and care partners. RESULTS. From June 1999 through December 2005, there were 19,365 patient-days observed. The most common healthcare-associated infection encountered was intravascular catheter-related bloodstream infection, with infection rates of 5.74 and 4.94 cases per 1,000 patientdays for hematopoietic stem cell transplant (HSCT) and solid organ transplant (SOT) patients, respectively. C. difficile-associated diarrhea was observed more frequently in HSCT patients than in SOT patients (3.97 vs 0.57 cases per 1000 patient-days; P < .0001). There was no evidence of environmental contamination with MRSA, VRE, or C. difficile. Acquisition of MRSA was not observed. Acquisition of VRE was documented. CONCLUSION. This study documented that cooperative care was associated with some risk of healthcare-associated infection, most notably intravascular catheter-associated bloodstream infection and C. difficile-associated diarrhea, it appears the incidences of these infections were roughly commensurate with those in other care settings.",
author = "Ahmad Nusair and Dawn Jourdan and Medcalf, {Sharon J} and Nedra Marion and Iwen, {Peter Charles} and Fey, {Paul D} and Reed, {Elizabeth Cecile} and Langnas, {Alan Norman} and Rupp, {Mark Edmund}",
year = "2008",
month = "5",
day = "1",
doi = "10.1086/587188",
language = "English (US)",
volume = "29",
pages = "424--429",
journal = "Infection Control and Hospital Epidemiology",
issn = "0899-823X",
publisher = "University of Chicago Press",
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}

TY - JOUR

T1 - Infection control experience in a cooperative care center for transplant patients

AU - Nusair, Ahmad

AU - Jourdan, Dawn

AU - Medcalf, Sharon J

AU - Marion, Nedra

AU - Iwen, Peter Charles

AU - Fey, Paul D

AU - Reed, Elizabeth Cecile

AU - Langnas, Alan Norman

AU - Rupp, Mark Edmund

PY - 2008/5/1

Y1 - 2008/5/1

N2 - OBJECTIVE. To characterize infection control experience during a 6.5-year period in a cooperative care center for transplant patients. design. Descriptive analysis. SETTING. A cooperative care center for transplanted patients, in which patients and care partners are housed in a homelike environment, and care partners assume responsibility for patient care duties. PATIENTS. Nine hundred ninety one transplant patients. METHODS. Infection control definitions from the Centers for Disease Control and Prevention were used to ascertain infection rates. Environmental cultures were used to detect methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), Clostridium difficile, and fungi during the first 18 months. Surveillance cultures were performed for a subset of patients and care partners. RESULTS. From June 1999 through December 2005, there were 19,365 patient-days observed. The most common healthcare-associated infection encountered was intravascular catheter-related bloodstream infection, with infection rates of 5.74 and 4.94 cases per 1,000 patientdays for hematopoietic stem cell transplant (HSCT) and solid organ transplant (SOT) patients, respectively. C. difficile-associated diarrhea was observed more frequently in HSCT patients than in SOT patients (3.97 vs 0.57 cases per 1000 patient-days; P < .0001). There was no evidence of environmental contamination with MRSA, VRE, or C. difficile. Acquisition of MRSA was not observed. Acquisition of VRE was documented. CONCLUSION. This study documented that cooperative care was associated with some risk of healthcare-associated infection, most notably intravascular catheter-associated bloodstream infection and C. difficile-associated diarrhea, it appears the incidences of these infections were roughly commensurate with those in other care settings.

AB - OBJECTIVE. To characterize infection control experience during a 6.5-year period in a cooperative care center for transplant patients. design. Descriptive analysis. SETTING. A cooperative care center for transplanted patients, in which patients and care partners are housed in a homelike environment, and care partners assume responsibility for patient care duties. PATIENTS. Nine hundred ninety one transplant patients. METHODS. Infection control definitions from the Centers for Disease Control and Prevention were used to ascertain infection rates. Environmental cultures were used to detect methicillin-resistant Staphylococcus aureus (MRSA), vancomycin-resistant Enterococcus (VRE), Clostridium difficile, and fungi during the first 18 months. Surveillance cultures were performed for a subset of patients and care partners. RESULTS. From June 1999 through December 2005, there were 19,365 patient-days observed. The most common healthcare-associated infection encountered was intravascular catheter-related bloodstream infection, with infection rates of 5.74 and 4.94 cases per 1,000 patientdays for hematopoietic stem cell transplant (HSCT) and solid organ transplant (SOT) patients, respectively. C. difficile-associated diarrhea was observed more frequently in HSCT patients than in SOT patients (3.97 vs 0.57 cases per 1000 patient-days; P < .0001). There was no evidence of environmental contamination with MRSA, VRE, or C. difficile. Acquisition of MRSA was not observed. Acquisition of VRE was documented. CONCLUSION. This study documented that cooperative care was associated with some risk of healthcare-associated infection, most notably intravascular catheter-associated bloodstream infection and C. difficile-associated diarrhea, it appears the incidences of these infections were roughly commensurate with those in other care settings.

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U2 - 10.1086/587188

DO - 10.1086/587188

M3 - Article

VL - 29

SP - 424

EP - 429

JO - Infection Control and Hospital Epidemiology

JF - Infection Control and Hospital Epidemiology

SN - 0899-823X

IS - 5

ER -