Open AccessEffectiveness of a Multicomponent Intervention to Reduce Multidrug-Resistant Organisms in Nursing Homes
Author(s) -
Lona Mody,
Kyle J. Gontjes,
Marco Cassone,
Kristen Gibson,
Bonnie Lansing,
Julia Mantey,
Mohammed U. Kabeto,
Andrzej T. Gałecki,
Lillian Min
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2021.16555
Subject(s) - medicine , intervention (counseling) , hygiene , bathing , infection control , emergency medicine , hazard ratio , cluster randomised controlled trial , randomized controlled trial , cluster (spacecraft) , chlorhexidine , hand washing , family medicine , nursing , intensive care medicine , confidence interval , programming language , computer science , dentistry , pathology
Key Points Question What is the effect of a multicomponent infection prevention intervention on multidrug-resistant organisms in nursing homes? Findings In this cluster randomized clinical trial of 6 nursing homes, including 245 patients, a multicomponent intervention consisting of enhanced barrier precautions, chlorhexidine bathing, microbial surveillance, and staff engagement statistically significantly reduced the odds of multidrug-resistant organism contamination in patients’ environments. Meaning These findings suggest that multicomponent interventions can be tailored to reduce multidrug-resistant organisms burden and transmission potential in nursing homes.
Accelerating Research
Robert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom
Address
John Eccles HouseRobert Robinson Avenue,
Oxford Science Park, Oxford
OX4 4GP, United Kingdom