title: Reducing health care-associated infections: patients want to be engaged and learn about infection prevention.
abstract: BACKGROUND
  Multidrug-resistant organisms (MDROs) are common in health care-associated infection (HAI). The aim of this study was to examine patient's willingness to learn about MDROs and HAIs and their preferred ways of education about MDRO HAIs.
  
  
  METHODS
  Interviewer-administered questionnaire at a tertiary care academic medical center. We recruited a sample of 100 adult patients who had HAI and were placed in contact precautions.
  
  
  RESULTS
  Ninety-six percent of patients had heard of MDROs. Ninety-eight percent of patients thought that their involvement in learning about MDROs was very important or important. Most of the patients thought that receiving information about MDROs would probably or definitely help them to make choices that would improve their health care. Patients expressed interest in more than 1 form of educational material: 70% chose written material, 57% verbal information, 53% an informational video, and 50% Internet-based material. Patients with a higher level of education were more likely to prefer written material. Patients emphasized simple language and incorporation of actual patient stories.
  
  
  CONCLUSIONS
  Hospitalized patients with MDROs in our study believed that involvement on their part was important. Individuals' level of education affected their preference regarding choice of educational material, but most patients prefered receiving written or verbal information. Patient preferences must be incorporated into education to increase engagement for prevention of MDROs and HAIs.
authors.affiliation: Department of Medicine, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI; Department of Population Health Sciences, University of Wisconsin-Madison, Madison, WI.
authors.forename: Unnur
authors.initials: U
authors.lastname: Gudnadottir
authors.forename: Jessica
authors.initials: J
authors.lastname: Fritz
authors.forename: Sara
authors.initials: S
authors.lastname: Zerbel
authors.forename: Alyssa
authors.initials: A
authors.lastname: Bernardo
authors.forename: Ajay K
authors.initials: AK
authors.lastname: Sethi
authors.forename: Nasia
authors.initials: N
authors.lastname: Safdar
mesh_terms: D000046:Academic Medical Centers; D000293:Adolescent; D000328:Adult; D000368:Aged; D003428:Cross Infection / Q000517:prevention & control*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017053:Infection Control / Q000379:methods* / Q000458:organization & administration; D008297:Male; D010353:Patient Education as Topic / Q000379:methods*; D010358:Patient Participation / Q000379:methods* / Q000523:psychology; D011795:Surveys and Questionnaires; D063128:Tertiary Health Care; D055815:Young Adult
keywords: Antibiotic resistance; Clostridium difficile; Multidrug-resistant organisms; Nosocomial infections; Patient activation; Patient education; methicillin-resistant Staphylococcus aureus