[Hospital hygiene and antibiotherapy counselling: an operational dual solution against the spreading of multiresistant bacteria].
OBJECTIVE
The authors had for aim to show that preventing the diffusion of multidrug-resistant organism (MRO) is possible thanks to the coordination of recommended preventive actions and the implementation of a sensible anti-infective prescription policy. They also wanted to highlight the role played by the nursing care staff in enforcing recommendations.


METHODS
We compared the results of two health care facilities having both implemented the same strategy aimed at preventing cross-transmission and prescribing anti-infective drugs.


RESULTS
Audits reported a very variable enforcement of recommendations. The results obtained from microbiological monitoring confirmed the essential impact of protocol enactment by every team, on the control of MRO diffusion. The antibiotherapy specialist has a key role in the suggested strategy, allowing a significant decrease in the number of anti-infective prescriptions and a more rational use.


CONCLUSIONS
The collaboration of a hygiene specialist with an antibiotherapy specialist has proved operational in the fight against MRO diffusion, as long as the competences of both specialists are acknowledged and their cross-disciplinary activities accepted. For the entire staff, enacting a corporate culture is a crucial asset.
Levent
T
T
Equipe opérationnelle d'hygiène, centre hospitalier de Sambre-Avesnois, boulevard Pasteur, 59600 Maubeuge, France. levent@ch-sa.com
Gauthier
M
M
Dezorzi
S
S
Paradis
P
P
Alibert
J
J
Bettoni
C
C
Stock
B
B
D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001424:Bacterial Infections / Q000517:prevention & control*; D003376:Counseling; D003428:Cross Infection / Q000517:prevention & control*; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D018432:Drug Resistance, Multiple; D005602:France; D006761:Hospitals / Q000592:standards*; D006801:Humans; D006920:Hygiene; D009741:Nursing Staff, Hospital / Q000592:standards
D000900:Anti-Bacterial Agents