Journal article
One Health in hospitals: how understanding the dynamics of people, animals, and the hospital built-environment can be used to better inform interventions for antimicrobial-resistant gram-positive infections
Antimicrobial resistance & infection control, Vol.9(1), pp.78-78
06/01/2020
DOI: 10.1186/s13756-020-00737-2
PMCID: PMC7268532
PMID: 32487220
Abstract
Despite improvements in hospital infection prevention and control, healthcare associated infections (HAIs) remain a challenge with significant patient morbidity, mortality, and cost for the healthcare system. In this review, we use a One Health framework (human, animal, and environmental health) to explain the epidemiology, demonstrate key knowledge gaps in infection prevention policy, and explore improvements to control Gram-positive pathogens in the healthcare environment. We discuss patient and healthcare worker interactions with the hospital environment that can lead to transmission of the most common Gram-positive hospital pathogens – methicillin-resistant
Staphylococcus aureus
,
Clostridioides
(
Clostridium) difficile,
and vancomycin-resistant
Enterococcus
– and detail interventions that target these two One Health domains. We discuss the role of animals in the healthcare settings, knowledge gaps regarding their role in pathogen transmission, and the absence of infection risk mitigation strategies targeting animals. We advocate for novel infection prevention and control programs, founded on the pillars of One Health, to reduce Gram-positive hospital-associated pathogen transmission.
Details
- Title: Subtitle
- One Health in hospitals: how understanding the dynamics of people, animals, and the hospital built-environment can be used to better inform interventions for antimicrobial-resistant gram-positive infections
- Creators
- Kathryn R. Dalton - Johns Hopkins UniversityClare Rock - Johns Hopkins MedicineKaren C. Carroll - Johns Hopkins MedicineMeghan F. Davis - Johns Hopkins University
- Resource Type
- Journal article
- Publication Details
- Antimicrobial resistance & infection control, Vol.9(1), pp.78-78
- Publisher
- BioMed Central
- DOI
- 10.1186/s13756-020-00737-2
- PMID
- 32487220
- PMCID
- PMC7268532
- ISSN
- 2047-2994
- eISSN
- 2047-2994
- Grant note
- T42 OH0008428 / ;
- Language
- English
- Date published
- 06/01/2020
- Academic Unit
- Occupational and Environmental Health
- Record Identifier
- 9984701831802771
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