Say No to MROs in ICU: Cost-Effective Methods of Infection Control

Joshua Philp 1, Simone Kelly 1

The Sutherland Hospital, Caringbah, NSW, Australia


Introduction: Improving patient outcomes should be at the centre of project deployment, either directly or indirectly. Multiresistant Pseudomonas bacteria-related infections and deaths were the prompter for change in our intensive care unit (ICU) with significant contributions towards patient mortality by environmental contamination.

Methods: A strategy involving multiple elements was implemented followed by an examination of outcomes comparing occupied bed days (OBD) in ICU, multiresistant organism (MRO) infection rate, personal protective equipment, hand hygiene compliance, and the use of hydrogen peroxide cleaning systems over a 2 year period.

Results: There were significant reductions in acquisition rates for MROs including vancomycin resistant enterococcus, methicillin resistant staphylococcus aureus and significant reductions in bed block hours.

Conclusion: Patient outcomes were improved through the implementation of new environmental and educational strategies.

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