The suggestion is personal hygiene of healthcare workers to prevent nosocomial infections and reduce prescription of antibiotics. In this case, personal hygiene would include cleaning and disinfection of gowns, plastic aprons and uniforms. It would also include cleaning hands before and after attending to a patient. Transmission of health-associated pathogens tends to happen through hands because the healthcare provider’s hands may be contaminated through direct contact with a patient or indirectly from touching colonised surfaces.
According to World Health Organization, a significant number of patients are affected by healthcare-associated infections, most of which are caused by multidrug-resistant (MDR) pathogens (WHO, 2014). Hence, healthcare professionals play a major role in transmitting MDR pathogens, which are thought to originate from the endogenous flora of patients (Caron & Mousa, 2010). This suggestion does not ignore that gloves are used to prevent cross-contamination in hospitals. The gloves cannot be used as a substitute for hand hygiene since there is a risk of contamination when removing the gloves. This suggestion would help to minimise the use of antibiotics and address the issue other resistance in the long run.
CPOs are difficult to treat since they are resistant to most antimicrobial therapies. Due to their multidrug-resistant nature, gram-negative pathogens are often treated with carbapenem antibiotics. However, CPOs are becoming difficult to treat because they produce carbapenemases, an enzyme that hydrolyses carbapenems (Sekirov et al., 2016). CPOs also tend to be resistant to multi-therapies.
Caron, W. & Mousa, S., 2010. Prevention strategies for antimicrobial resistance: a systematic review of the literature. Infection and drug resistance, 3(1), pp.25-33.
Sekirov, I. et al., 2016. Epidemiologic and Genotypic Review of Carbapenemase-Producing Organisms in British Columbia between 2008 and 2014. Journal of clinical microbiology, 54(2), pp.317–27.
WHO, 2014. Good hand hygiene by health workers protects patients from drug resistant infections. [Online] Available at: https://www.who.int/mediacentre/news/releases/2014/hand-hygiene/en/ [Accessed 10 October 2017].
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