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

Details

• Personal Author:
  Carroll KC ; Dalton KR ; Davis MF ; Rock C ; Carroll KC ; Dalton KR ; Davis MF ; Rock C
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Animals Communicable Diseases Health Care Facilities Workforce And Services Occupational Health Safety
• Keywords:
  Antimicrobial Resistance Author Keywords: HAI Interventions Health Care Facilities Hospital-associated Infections Hospital Environment Infection Control Infection Prevention Infectious Diseases Intervention Methicillin Resistant Staphylococcus Aureus MRSA One Health

  More +
• ISSN:
  2047-2994
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  Maryland ; OSHA Region 3
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Pages in Document:
  78
• Volume:
  9
• NIOSHTIC Number:
  nn:20059878
• Citation:
  Antimicrob Resist Infect Control 2020 Jun; 9:78
• Contact Point Address:
  Kathryn R Dalton, Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, W7034G JHSPH EHE, Baltimore, MD 21205, USA
• Email:
  Kdalton4@jhu.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  Johns Hopkins University
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Antimicrobial Resistance and Infection Control
• End Date:
  20280630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:31f4cee1efe69733c3ff17466a69e10a7c65f2bd987ea5e7dcc18e57d2ce879d933849c2d10e655cd48573ecfa88e3570df32e547fea6bce9e4bcdb4a4fbca4a
• Download URL:
  https://stacks.cdc.gov/view/cdc/223935/cdc_223935_DS1.pdf
• File Type:
  [PDF - 1.13 MB ]