24 June 2014
The report from the ESCIF survey on resistant bacteria in connection with SCI is now finalised. The initiative for this survey was brought to ESCIF from a member who had experienced problems, because of multi-resistant bacteria, in receiving rehabilitation. ESCIF then decided to look into the rapidly increasing problems with multi-resistant bacteria and to investigate how they affect people living with SCI.
The purpose of the survey was:
• to investigate the level of awareness at the SCIUs in Europe to deal with the increasing problems of multi-resistant bacteria
• to assess if it has any bearing on rehabilitation for persons with SCI
• to formulate a report or statement with recommendations in this area from ESCIF
• to educate and recommend persons with SCI on how to behave in connection to MRSA and ESBL or CRE
• is to contribute to a raised level of knowledge and awareness among the SCI specialists
The conclusion is that even though the level of awareness of MRSA and ESBL/CRE is generally high and guidelines exist in all the participating countries, the knowledge of and compliance to these guidelines differs between the SCIUs within the same countries. This calls for serious discussions on this subject between the SCIUs. An important consideration should be the use of dedicated personnel in the care of these patients. The screening process for both MRSA and ESBL/CRE needs attention. Even though well-documented procedures exist for screening, not all SCIUs comply with these, especially when it comes to other patients in the unit and staff members. Only half the SCIUs that have SCI specific registries report MRSA findings; if this were done consistently, it would provide a useful tool in monitoring and combating the problem. In those SCIUs where the care and rehabilitation possibilities for MRSA-positive patients are currently restricted, special attention should be given to the ways, in which other SCIUs tackle the problem – to ensure that no SCI patient lacks relevant care and rehabilitation.
The report raises some important issues that our member organisations should be aware of. They should, perhaps, use the report to initiate a discussion with the SCI professionals in their country.
Read the full report here >>>
If you are interested in reading more about how the survey was carried out and focus of the questionnaires, you can read that here >>> Appendix 1; Appendix 2