[Multiresistant bacteria colonisation in rehabilitation units].
The objective of this study was to evaluate the management of multiresistant bacteria infection in French rehabilitation units. We e-mailed a questionnaire to French rehabilitation practitioners asking them what they did and what they knew about multiresistant bacteria colonisation. Their answers are described and analysed. We received 60 answers representing most of the country's rehabilitation centers. Routine screening was rare, but multiresistant bacteria were often looked for when certain risk factors were present. Methicillin-resistant Staphylococcus aureus and multiresistant enterobacteria were the usual target germs. In general, respondents asked for evidence-based recommendations that are also applicable without too great a prejudice (for the rehabilitation as well as for the psychological state) for a patient hospitalised in a rehabilitation unit. The legal risks and the costs involved are also to be tested. Many questions lay unanswered, although the literature is rich in descriptions of this area. The opposition between the medical advice of isolation and the readaptation objectives of a rehabilitation unit are strong. This study aims to highlight the most important uncertainties so as to promote prospective studies and enlighten the legal authorities.
Service de rééducation des pathologies neurologiques acquises de l'enfant, hôpital national de Saint-Maurice, Saint-Maurice, France. annetravaille@yahoo.com
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A
Peskine
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A
Laurent-Vannier
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CN
Ackermann
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C
Anastassiades
D018432:Drug Resistance, Multiple; D005602:France; D006801:Humans; D017053:Infection Control / Q000379:methods*; D016365:Liability, Legal; D016106:Methicillin Resistance; D012047:Rehabilitation Centers; D012307:Risk Factors; D013211:Staphylococcus aureus / Q000472:pathogenicity