Working Party Guidance on the Control of multi-resistant Acinetobacter Outbreaks (2006) | National Resource for Infection Control (NRIC)

Working Party Guidance on the Control of multi-resistant Acinetobacter Outbreaks (2006)

Best practice, Care guideline, Review
Abstract: 
The 'Interim' Report(2005) has been reviewed by the working party and this is the most recent update of the guidance on the Control of multi-resistant Acinetobacter Outbreaks (2006) Increasing problems in hospitals in England with Acinetobacter spp. and a lack of national guidance and systematic review led to the original guidance being developed in June 2005 by a working group to address the problem of lack of definitive guidance. (Group representing - Association of Medical microbiologists, British Society for Antimicrobial Chemotherapy, Hospital Infection Society, Infection Control Nurses Association and the Department of Health) The '2005' guidance was reviewed following further meetings to explore views from Infection Control Teams from many affected hospitals, and other relevant experts. This is the first update of the guidance and it is the intention of the working group to review it periodically in the light of new evidence for prevention and control. The publication includes definitions, guidance on multi-resistant Acinetobacter, MRAB and MRAB-C incidents, and further useful information A web directory with useful links can be viewed at http://www.hpa.org.uk/webw/HPAweb&HPAwebStandard/HPAweb_C/1195733753838?p=1191942145615
Authors: 
Health Protection Agency (HPA)
Category: 
Clinical description
Control
Investigation
Management
Prevention
Treatment

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Summary:
Increasing problems in hospitals in England with Acinetobacter spp. and a lack of national guidance and systematic review led to this guidance being developed rapidly by a working group to address the problem of lack of definitive guidance. (Group representing - Association of Medical microbiologists, British Society for Antimicrobial Chemotherapy, Hospital Infection Society, Infection Control Nurses Association and the Department of Health)The guidance includes definitions, guidance on multi-resistant Acinetobacter, MRAB and MRAB-C incidents, and further useful information
Questions Addressed:
With the lack of national guidance this document provides present definitive guidance on dealing with the emerging problems Acinetobacter in hospitals
Type of Study:
Guidelines, review
Methods Valid:
Yes
Methods Valid Detail:

The working group intend to explore views on this guidance and local data to provide supporting evidence for effective interventions and review.

Results Reliability:
Yes
Problems or Biases:

A systematic review and evidence based guidance could usefully be developed from this initial document

Relevant Studies:

1. Department of Health WebPages on Antimicrobial Resistance http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/Antimic.... Department of Health Web Directory Antibiotic resistance http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/Antibio.... Health Protection Agency website http://www.hpa.org.uk/default.htm 4. British Society for Antimicrobial Chemotherapy: Treatment of Hospital Infections http://www.bsac.org.uk/pyxis5. Specialist Advisory Committee on Antimicrobial Resistance (SACAR) - UK Template for hospital antimicrobial guidelines, Department of Health 6. Multidrug-Resistant (MDR) Acinetobacter http://www.hopkinsmedicine.org/heic/ID/mdr/

Keywords:
Acinetobacter Outbreaks multi resistant organisms antibiotic prescribing infection control environment
Reviewer Name:
Sue Wiseman
Reviewer Post:
Nurse Consultant –Infection Control, DH
Reviewer Affiliations:
Member Advisory Committee on Dangerous Pathogens Health Protection Adviser Royal College of Nursing P/T Member Infection Control Nurses Association