[Prevention and control of respiratory tract infections in the network of Italian Centers for Cystic Fibrosis].
Infections caused by respiratory pathogens such as Burkholderia cepacia and Pseudomonas aeruginosa are associated with an increased morbidity and mortality in people affected by cystic fibrosis, the most common lethal genetic disease in Caucasian populations. Preventing the acquisition of these pathogens is paramount for these patients. The goal of this survey was to assess the distribution and the prevalence of the measures adopted for the prevention and control of infections caused by respiratory pathogens in the 28 italian centres for cystic fibrosis. 21 questionnaires were returned and some important differences can be observed in the adoption of segregation measures. Although results may be influenced by other factors, specific segregation policies appear to be more directly associated than other measures (e.g., intensive disinfection; behavioural rules to minimise patient' contacts) with lower prevalence of Pseudomonas aeruginosa (OR 0.36 CI95% 0.31-0.42), of multidrug-resistant Pseudomonas aeruginosa (OR 0.30 CI95% 0.22-0.40), and of methicillin-resistant Staphylococcus aureus (OR 0.67 CI95% 0.48-0.94).
Festini
Filippo
F
Gruppo italiano infermieri di fibrosi cistica, presso Centro regionale veneto fibrosi cistica Verona. f.festini@meyer.it
Ballarin
Silvana
S
Loganes
Carmen
C
Codamo
Teresa
T
Doro
Roberta
R
Adamo
Arianna
A
Adorni
Rita
R
Cucci
Maria
M
Di Marco
Francesca
F
Lovallo
Rocchina
R
Omenetti
Stefania
S
Panebianco
Rosita
R
Pisano
Giuseppina
G
Russo
Anna
A
Sciabacucchi
Maria Cecilia
MC
Zunino
Maria Luisa
ML
D000328:Adult; D000391:Air Microbiology; D002648:Child; D003550:Cystic Fibrosis / Q000150:complications* / Q000628:therapy; D004202:Disinfectants / Q000008:administration & dosage; D006235:Hand Disinfection; D006801:Humans; D007558:Italy; D010356:Patient Isolation; D017410:Practice Guidelines as Topic; D012138:Respiratory Therapy; D012141:Respiratory Tract Infections / Q000382:microbiology / Q000517:prevention & control*; D011795:Surveys and Questionnaires
D004202:Disinfectants