Zusammenfassung
Isolationsmaßnahmen zur Prävention der Übertragung multiresistenter Erreger (MRE)
gehören in Anbetracht der steigenden Resistenzentwicklung auf Intensivstationen mittlerweile
zur Routine. Noch wichtiger sind allerdings Basishygiene und der verantwortungsvolle
Umgang mit antiinfektiven Therapien. Dieser Beitrag widmet sich den verschiedenen
Präventionsmaßnahmen, die nur in Kombination effektiv und zielführend sind.
Abstract
Isolation of patients with multidrug-resistant organisms (MRGN) has been recommended
since years. Recent evidence suggests no benefit by this isolation procedure. Furthermore,
isolation precautions may have potential negative effects on patient well-being and
may increase therapeutic error.
Rather than blocking patients up in a room, implementing and continuous education
about standard precautions as hand washing and contact awareness may decrease spread
of MRGN and other resistant bacteria. In this context, evidence about mechanism of
resistance transfer between bacteria is still expanding. Education about these mechanisms
inside and outside the body may help to corroborate the appreciation about implementation
of standard precautions. In addition, the awareness of antibiotic stewardship in this
context has to be underlined. Prevention of spreading bacteria is not done by isolation
in room. In fact, it is a multifactorial continuous cycle of planning, teaching, surveillance
and transfer of knowledge. Combination of education, compliance to standard precautions
and continuous education may be a big step forward in fighting MRGN transmission and
progression.
Schlüsselwörter
räumliche Isolation - Intensivmedizin - Antibiotic Stewardship - multiresistente gramnegative
Bakterien (MRGN)
Key words
isolation precautions - intensive care - antibiotic stewardship - multidrug-resistant
Gram-negative bacteria (MRGN)
