SWORD - South West Open Research Deposit - ORBioM (Open Research BioSciences Meeting): Environmental Screening for Multidrug Resistant (MDR) Organisms in the Surgical Ward of an Irish Tertiary Referral Hospital.
 

ORCID

0000-0002-4042-2393

Department

Biological Sciences

Year of Study

6

Full-time or Part-time Study

Part-time Study

Level

Postgraduate

Presentation Type

Oral Presentation

Supervisor

Dr Brigid Lucey

Supervisor

Prof. Roy Sleator

Abstract

The aim of the current study was to determine the prevalence of Multidrug Resistant Organisms (MDRO) colonisation on a surgical ward of an acute tertiary hospital. MDRO determination was conducted on a patient-occupied surgical ward over a 6-month period. The screen included sink, and shower drains in bathrooms and sinks of multi-bedded and single-occupied rooms. Swabs were cultured on chromogenic agar to enable detection of methicillin resistant Staphylococcus aureus (MRSA), Carbapenemase producing enterobacterales (CPE), Vancomycin Resistant Enterococci (VRE) and Extended spectrum beta-lactamase (ESBL). Suspect resistant organisms were confirmed using NG-Carba 5 (NG Biotech, Guipry, France) lateral flow tests, Vitek 2.0 sensitivity cards, and Mast ESBL discs (Mast Group Ltd.) In total, 53 swabs were cultured and 17 MDROs detected (9 ESBL, 7 CPE, 1 VRE) equating to a 32% overall positivity rate. Environmental colonisation with MDROs and its contribution to hospital acquired infections is an increasing cause for concern. Environmental contamination and hospital acquired infections, for example, have been shown to increase antibiotic usage and significantly prolong hospital stays. This has particular importance for surgical site infections. Increased MDRO patient screening and standardised environmental screening/cleaning are recommended to break the link between environmental reservoirs and hospital acquired infections, thereby reducing antibiotic usage and extended hospital stays.

Keywords:

MDRO, Environmental, Screening, Carbapenemase

Start Date

16-6-2025 1:00 PM

End Date

16-6-2025 1:15 PM

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Jun 16th, 1:00 PM Jun 16th, 1:15 PM

Environmental Screening for Multidrug Resistant (MDR) Organisms in the Surgical Ward of an Irish Tertiary Referral Hospital.

The aim of the current study was to determine the prevalence of Multidrug Resistant Organisms (MDRO) colonisation on a surgical ward of an acute tertiary hospital. MDRO determination was conducted on a patient-occupied surgical ward over a 6-month period. The screen included sink, and shower drains in bathrooms and sinks of multi-bedded and single-occupied rooms. Swabs were cultured on chromogenic agar to enable detection of methicillin resistant Staphylococcus aureus (MRSA), Carbapenemase producing enterobacterales (CPE), Vancomycin Resistant Enterococci (VRE) and Extended spectrum beta-lactamase (ESBL). Suspect resistant organisms were confirmed using NG-Carba 5 (NG Biotech, Guipry, France) lateral flow tests, Vitek 2.0 sensitivity cards, and Mast ESBL discs (Mast Group Ltd.) In total, 53 swabs were cultured and 17 MDROs detected (9 ESBL, 7 CPE, 1 VRE) equating to a 32% overall positivity rate. Environmental colonisation with MDROs and its contribution to hospital acquired infections is an increasing cause for concern. Environmental contamination and hospital acquired infections, for example, have been shown to increase antibiotic usage and significantly prolong hospital stays. This has particular importance for surgical site infections. Increased MDRO patient screening and standardised environmental screening/cleaning are recommended to break the link between environmental reservoirs and hospital acquired infections, thereby reducing antibiotic usage and extended hospital stays.