Management of Multidrug-Resistant Organisms (MDROs) and Outbreak Situations

- Indicators for Monitoring

To ensure the effective management of MDROs practices in hospitals and reduce the risk of HAIs, specific indicators should be monitored regularly. These are some indicators which can provide measurable data to assess compliance, identify areas for improvement, and guide interventions. Here are some key indicators that can be included in hospital guidelines for management of MDROs:

●  Surveillance and Detection of MDRO Colonization

− Definition: Percentage of patients screened for MDRO on admission

− Formula: (Number of patients screened for MDRO on admission ÷ Total number of patients admitted) × 100

●  Antimicrobial Stewardship for MDRO

− Definition: Percentage adherence to antimicrobial stewardship protocols for MDRO cases.

− Formula: (Number of MDRO cases treated in accordance with stewardship guidelines ÷ Total number of MDRO cases) × 100 

●  Education and Training of HCW

− Definition: Percentage of healthcare workers trained in MDRO management

− Formula: (Number of healthcare workers trained ÷ Total number of healthcare workers) × 100

●  Patient and Visitor Involvement

− Definition: Percentage of patients and families educated on MDRO prevention measures

− Formula: (Number of patients educated ÷ Total number of MDRO-positive patients) × 100

●  Outcome Measures of MDRO

− Definition: Reduction in  healthcare-associated infection rates

− Formula:

o  ((Baseline MDRO infection rate − Current MDRO infection rate) ÷ Baseline MDRO infection rate) × 100

o  The rate of healthcare- associated MDRO/ 1000 patient days. Example: The rate of HAI- MRSA/ 1000 patient day

 

1.1       Plan to Update this National Clinical Guideline

This guideline will be reviewed and updated when new evidence emerges that is likely to influence the Recommendation. If no new reports or information are identified for a particular recommendation, the recommendation will be revalidated. The focus will be on Recommendation supported by very-low- or low certainty and conditional grade evidence and where new Recommendation or a change in the published Recommendation may be needed.