Risk of Organism Acquisition from Prior Room Occupants: An Updated Systematic Review

avondale-bepress-to-dspace.facultyNursing
avondale-bepress-to-dspace.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
avondale-bepress-to-dspace.peer_review_statusPeer reviewed before publication
avondale-bepress.abstract<p><h3 id="x-x-sectitle0015">Background</h3> <p id="x-x-abspara0010">Evidence from a previous systematic review indicates that patients admitted to a room where the previous occupant had a multidrug-resistant bacterial infection resulted in an increased risk of subsequent colonisation and infection with the same organism for the next room occupant. In this paper, we have sought to expand and update this review. <h3 id="x-x-sectitle0020">Methods</h3> <p id="x-x-abspara0015">A systematic review and meta-analysis was undertaken. A search using Medline/PubMed, Cochrane and CINHAL databases was conducted. Risk of bias was assessed by the ROB-2 tool for randomised control studies and ROBIN-I for non-randomised studies. <h3 id="x-x-sectitle0025">Results</h3> <p id="x-x-abspara0020">From 5175 identified, 12 papers from 11 studies were included in the review for analysis. From 28,299 patients who were admitted into a room where the prior room occupant had any of the organisms of interest, 651 (2.3%) were shown to acquire the same species of organism. In contrast, 981,865 patients were admitted to a room where the prior occupant did not have an organism of interest, 3818 (0.39%) acquired an organism(s). The pooled acquisition odds ratio (OR) for all the organisms across all studies was 2.45 (95% CI: 1.53–3.93]. There was heterogeneity between the studies (I2 89%, P < 0.001). <h3 id="x-x-sectitle0030">Conclusion</h3> <p id="x-x-abspara0025">The pooled OR for all the pathogens in this latest review has increased since the original review. Findings from our review provide some evidence to help inform a risk management approach when determining patient room allocation. The risk of pathogen acquisition appears to remain high, supporting the need for continued investment in this area.</p>
avondale-bepress.articleid1276
avondale-bepress.authorsBrett G Mitchell
avondale-bepress.authorsJulee McDonagh
avondale-bepress.authorsStephanie Dancer
avondale-bepress.authorsSindi Ford
avondale-bepress.authorsJenny Sims
avondale-bepress.authorsBismi Thottiyil Sultanmuhammed Abdul Khadar
avondale-bepress.authorsPhilip Russo
avondale-bepress.authorsJean-Yves Maillard
avondale-bepress.authorsHelen Rawson
avondale-bepress.authorsKatrina Browne
avondale-bepress.authorsMartin Kiernan
avondale-bepress.context-key35856553
avondale-bepress.coverpage-urlhttps://research.avondale.edu.au/nh_papers/270
avondale-bepress.document-typearticle
avondale-bepress.field.accepted_versionSubmitted Manuscript
avondale-bepress.field.author_faculty_disciplineNursing
avondale-bepress.field.avon_earlyonline2023-06-27T00:00:00-07:00
avondale-bepress.field.comments<p>Used by permission: the author(s).</p> <p>Copyright © 2023 The Authors. Published by Elsevier B.V. on behalf of Australasian College for Infection Prevention and Control</p>
avondale-bepress.field.create_openurltrue
avondale-bepress.field.custom_citation<p>Mitchell, B. G., McDonagh, J., Dancer, S. J., Ford, S., Sim, J., Thottiyil Sultanmuhammed Abdul Khadar, B., Russo, P. L., Maillard, J., Rawson, H., Browne, K., & Kiernan, M. (in press). Risk of organism acquisition from prior room occupants: An updated systematic review. Infection, Disease & Health. Advance online publication. https://doi.org/10.1016/j.idh.2023.06.001</p>
avondale-bepress.field.distribution_licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
avondale-bepress.field.doihttps://doi.org/10.1016/j.idh.2023.06.001
avondale-bepress.field.embargo_date2023-07-23T00:00:00Z
avondale-bepress.field.field_of_education06 Health
avondale-bepress.field.for_20214205 Nursing
avondale-bepress.field.issn2468-0869
avondale-bepress.field.journalInfection, Disease & Health
avondale-bepress.field.peer_reviewBefore publication
avondale-bepress.field.publication_date2023-01-01T00:00:00Z
avondale-bepress.field.reportable_itemsC1
avondale-bepress.field.research_centreLifestyle Medicine and Health Research Centre
avondale-bepress.field.staff_classificationPermanent
avondale-bepress.fulltext-urlhttps://research.avondale.edu.au/cgi/viewcontent.cgi?article=1276&amp;context=nh_papers&amp;unstamped=1
avondale-bepress.keywordsinfection
avondale-bepress.keywordshospital acquired infection
avondale-bepress.keywordshealthcare associated infection
avondale-bepress.keywordsenvironmental
avondale-bepress.keywordscleaning
avondale-bepress.label270
avondale-bepress.publication-date2023-01-01T00:00:00Z
avondale-bepress.publication-titleNursing and Health Papers and Journal Articles
avondale-bepress.statepublished
avondale-bepress.submission-date2023-07-23T22:54:49Z
avondale-bepress.submission-pathnh_papers/270
avondale-bepress.titleRisk of Organism Acquisition from Prior Room Occupants: An Updated Systematic Review
avondale-bepress.typearticle
dc.contributor.authorKiernan, Martin
dc.contributor.authorBrowne, Katrina
dc.contributor.authorRawson, Helen
dc.contributor.authorMaillard, Jean-Yves
dc.contributor.authorRusso, Philip
dc.contributor.authorThottiyil Sultanmuhammed Abdul Khadar, Bismi
dc.contributor.authorSims, Jenny
dc.contributor.authorFord, Sindi
dc.contributor.authorDancer, Stephanie
dc.contributor.authorMcDonagh, Julee
dc.contributor.authorMitchell, Brett G.
dc.date.accessioned2023-11-01T00:36:24Z
dc.date.available2023-11-01T00:36:24Z
dc.date.issued2023-09-01
dc.date.submitted2023-07-23T22:54:49Z
dc.description.abstract<p><h3 id="x-x-sectitle0015">Background</h3> <p id="x-x-abspara0010">Evidence from a previous systematic review indicates that patients admitted to a room where the previous occupant had a multidrug-resistant bacterial infection resulted in an increased risk of subsequent colonisation and infection with the same organism for the next room occupant. In this paper, we have sought to expand and update this review. <h3 id="x-x-sectitle0020">Methods</h3> <p id="x-x-abspara0015">A systematic review and meta-analysis was undertaken. A search using Medline/PubMed, Cochrane and CINHAL databases was conducted. Risk of bias was assessed by the ROB-2 tool for randomised control studies and ROBIN-I for non-randomised studies. <h3 id="x-x-sectitle0025">Results</h3> <p id="x-x-abspara0020">From 5175 identified, 12 papers from 11 studies were included in the review for analysis. From 28,299 patients who were admitted into a room where the prior room occupant had any of the organisms of interest, 651 (2.3%) were shown to acquire the same species of organism. In contrast, 981,865 patients were admitted to a room where the prior occupant did not have an organism of interest, 3818 (0.39%) acquired an organism(s). The pooled acquisition odds ratio (OR) for all the organisms across all studies was 2.45 (95% CI: 1.53–3.93]. There was heterogeneity between the studies (I2 89%, P < 0.001). <h3 id="x-x-sectitle0030">Conclusion</h3> <p id="x-x-abspara0025">The pooled OR for all the pathogens in this latest review has increased since the original review. Findings from our review provide some evidence to help inform a risk management approach when determining patient room allocation. The risk of pathogen acquisition appears to remain high, supporting the need for continued investment in this area.</p>
dc.description.versionBefore publication
dc.identifier.citation<p>Mitchell, B. G., McDonagh, J., Dancer, S. J., Ford, S., Sim, J., Thottiyil Sultanmuhammed Abdul Khadar, B., Russo, P. L., Maillard, J., Rawson, H., Browne, K., & Kiernan, M. (2023). Risk of organism acquisition from prior room occupants: An updated systematic review. Infection, Disease & Health, 28(4), 290-297. https://doi.org/10.1016/j.idh.2023.06.001</p>
dc.identifier.doihttps://doi.org/10.1016/j.idh.2023.06.001
dc.identifier.issn2468-0869
dc.identifier.urihttps://research.avondale.edu.au/handle/123456789/35856553
dc.language.isoen_us
dc.rights<p>Used by permission: the author(s).</p> <p>Copyright © 2023 The Authors. Published by Elsevier B.V. on behalf of Australasian College for Infection Prevention and Control</p>
dc.rights.licensehttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectinfection
dc.subjecthospital acquired infection
dc.subjecthealthcare associated infection
dc.subjectenvironmental
dc.subjectcleaning
dc.titleRisk of Organism Acquisition from Prior Room Occupants: An Updated Systematic Review
dc.typeJournal Article
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