1
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Steul K, Götz E, Maraun W, Heusser H, Heudorf U. Schulen und Kindergärten in Holzmodulbauweise – Raumlufthygienische Herausforderungen und Lösungswege. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- K Steul
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - E Götz
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - W Maraun
- ARGUK-Umweltlabor GmbH, Labor Oberursel, Germany
| | - H Heusser
- Hochbauamt Bauen, Frankfurt am Main, Germany
| | - U Heudorf
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
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2
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Becht C, Westphal T, Voigt K, Heudorf U. Hygiene in Nagelstudios – Ergebnisse der infektionshygienischen Überwachung in Frankfurt am Main 2017. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- C Becht
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - T Westphal
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - K Voigt
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - U Heudorf
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
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3
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Reinheimer C, Graf J, Hinkelmann J, Zacharowski K, Meybohm P, Mutlak H, Heudorf U, Bahn O, Spitzner-Lamm U, Bertok T, Blase R, Kallmeyer Z, Exner M, Kempf V. Der Klebsiella pneumoniae KPC-3 Ausbruch am Universitätsklinikum Frankfurt am Main: Eine Bestandsaufnahme aus krankenhaushygienischer Sicht. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- C Reinheimer
- Universitätsklinikum Frankfurt Institut für Med. Mikrobiologie und Krankenhaushygiene Frankfurt, Germany
| | - J Graf
- Universitätsklinikum Frankfurt, Frankfurt, Germany
| | - J Hinkelmann
- Universitätsklinikum Frankfurt, Frankfurt, Germany
| | - K Zacharowski
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - P Meybohm
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - H Mutlak
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - U Heudorf
- Gesundheitsamt Frankfurt, Frankfurt, Germany
| | - O Bahn
- Universitätsklinikum Frankfurt Institut für Med. Mikrobiologie und Krankenhaushygiene Frankfurt, Germany
| | - U Spitzner-Lamm
- Universitätsklinikum Frankfurt Institut für Med. Mikrobiologie und Krankenhaushygiene Frankfurt, Germany
| | - T Bertok
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - R Blase
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - Z Kallmeyer
- Universitätsklinikum Frankfurt, Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie,Frankfurt, Germany
| | - M Exner
- Universitätsklinikum Bonn Institut für Hygiene und Öffentliche Gesundheit, Bonn, Germany
| | - V Kempf
- Universitätsklinikum Frankfurt Institut für Med. Mikrobiologie und Krankenhaushygiene Frankfurt, Germany
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4
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Heudorf U, Kempf V, Reinheimer C, Exner M, Schmithausen R, Imirzalioglu C, Chakraborty T. Klebsiella pneumoniae KPC-3 Ausbruch am Universitätsklinikum Frankfurt am Main – Teil II: weitere umwelthygienische Erkenntnisse. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639204] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- U Heudorf
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene Frankfurt am Main, Germany
| | - V Kempf
- Universitätsklinikum Frankfurt Institut für medizinische Mikrobiologie und Krankenhaushygiene Frankfurt am Main, Germany
| | - C Reinheimer
- Universitätsklinikum Frankfurt Institut für medizinische Mikrobiologie und Krankenhaushygiene Frankfurt am Main, Germany
| | - M Exner
- Universitätsklinikum Bonn Institut für Hygiene und Öffentliche Gesundheit Bonn, Germany
| | - R Schmithausen
- Universitätsklinikum Bonn Institut für Hygiene und Öffentliche Gesundheit Bonn, Germany
| | - C Imirzalioglu
- Universität Giessen Institut für Medizinische Mikrobiologie Giessen, Germany
| | - T Chakraborty
- Universität Giessen Institut für Medizinische Mikrobiologie Giessen, Germany
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5
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Steul K, Scherer M, Behm A, Heudorf U. „Wenn dann richtig“ – Ein Projekt des MRE-Netz Rhein-Main zum sorgsamen Umgang mit Antibiotka bei Harnwegsinfektionen. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639268] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- K Steul
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - M Scherer
- Gesundheitsamt Frankfurt am Main, MRE-Netz Rhein-Main, Frankfurt am Main, Germany
| | - A Behm
- Praxis Mainurologe, Frankfurt am Main, Germany
| | - U Heudorf
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
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6
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Heudorf U, Steul K, Voigt K, Maraun W, Heusser H. Bedeutung und Aufgabe des Gesundheitsamtes im Spannungsfeld (vermuteter) Schadstoffe, (Risiko)-Kommunikation und medialer Öffentlichkeit – ein Fallbeispiel und seine Lehren. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639276] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- U Heudorf
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - K Steul
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - K Voigt
- Gesundheitsamt Frankfurt am Main, Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - W Maraun
- ARGUK-Umweltlabor GmbH, Labor Oberursel, Germany
| | - H Heusser
- Hochbauamt Bauen, Frankfurt am Main, Germany
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7
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Heudorf U, Serra N, Gasteyer S, Müller M, Westphal T, Kempf V. Umgang mit Wäsche in Altenpflegeheimen in Frankfurt am Main, 2016 Wäsche und Berufskleidung als mögliche Erreger-Überträger. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- U Heudorf
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - N Serra
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - S Gasteyer
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - M Müller
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - T Westphal
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - V Kempf
- Universitätsklinikum Frankfurt Institut für medizinische Mikrobiologie und Krankenhaushygiene, Frankfurt am Main, Germany
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8
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Steul K, Latasch L, Jung HG, Heudorf U. Erkrankungsrisiken und Sterblichkeit durch Hitze(-wellen) – Daten aus Frankfurt am Main im Kontext internationaler Untersuchungen. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- K Steul
- Gesundheitsamt Frankfurt, Hygiene und Umweltmedizin, Frankfurt, Germany
| | - L Latasch
- Gesundheitsamt Frankfurt, medizinische Gefahrenabwehr Frankfurt am Main, Germany
| | - HG Jung
- Gesundheitsamt Frankfurt, medizinische Gefahrenabwehr Frankfurt am Main, Germany
| | - U Heudorf
- Gesundheitsamt Frankfurt, Hygiene und Umweltmedizin, Frankfurt, Germany
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9
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Hausemann A, Grünewald M, Otto U, Heudorf U. Flächenreinigung und -desinfektion im Krankenhaus in Frankfurt am Main: Im Jahr 2016 wurden deutliche Verbesserungen im Vergleich zu 2014 erreicht. Das Gesundheitswesen 2018. [DOI: 10.1055/s-0038-1639217] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- A Hausemann
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - M Grünewald
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - U Otto
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
| | - U Heudorf
- Gesundheitsamt Frankfurt am Main Infektiologie und Hygiene, Frankfurt am Main, Germany
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10
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Hausemann A, Zolg A, Heudorf U. Einflussfaktoren auf die Verschreibung von Antibiotika (EVA) – Eine Erhebung bei niedergelassenen Ärzte in Hessen, 2016. Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1601941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- A Hausemann
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - A Zolg
- Landesärztekammer Hessen, Frankfurt am Main
| | - U Heudorf
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
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11
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Heudorf U, Gasteyer S, Müller M, Samoiski Y, Samoiski Y, Westphal T. Prävention und Kontrolle Katheter-assoziierter Harnwegsinfektionen – Umsetzung der KRINKO-Empfehlungen in Frankfurter Altenpflegeheimen, 2015. Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1602092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- U Heudorf
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - S Gasteyer
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - M Müller
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - Y Samoiski
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - Y Samoiski
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - T Westphal
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
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12
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Hausemann A, Hofmann H, Otto U, Heudorf U. Hygiene in der Zahnarztpraxis – Ergebnisse der Begehungen in Frankfurt am Main, 2016. Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1601952] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- A Hausemann
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - H Hofmann
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - U Otto
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - U Heudorf
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
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13
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Heudorf U, Grünewald M, Otto U. Prävention und Kontrolle Katheter-assoziierter Harnwegsinfektionen – Umsetzung der neuen KRINKO-Empfehlungen in Frankfurter Kliniken, 2015. Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1602091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- U Heudorf
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - M Grünewald
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - U Otto
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
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14
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Karathana M, Krackhardt B, Heudorf U. Untersuchung von Seiteneinsteigern zur Einschulung – Erfahrungen aus Frankfurt am Main 2006 – 2016. Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1602064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- M Karathana
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - B Krackhardt
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
| | - U Heudorf
- Gesundheitsamt Frankfurt am Main, Frankfurt am Main
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15
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Steul K, Heudorf U. Fluglärm und Gesundheit – Ergebnisse epidemiologischer Studien seit 2008. Gesundheitswesen 2017. [DOI: 10.1055/s-0037-1601919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- K Steul
- Gesundheitsamt Frankfurt, Frankfurt am Main
| | - U Heudorf
- Gesundheitsamt Frankfurt, Frankfurt am Main
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Abstract
Considering the physiological contamination of skin and mucous membranes in the ear, nose, and throat region by facultative pathogen microorganisms, as well as the increase in multidrug resistant organisms (MDRO), it is mandatory that hygienic procedures be observed in ENT institutions, in order to prevent transmission of bacteria and infections in patients. General guidelines for hygiene in otorhinolaryngology are presented based on the recommendations published by the German Commission on Hospital Hygiene and Infection Prevention (KRINKO). These encompass hand hygiene, surface disinfection, and reprocessing of medical devices. The correct reprocessing of the various components of ENT treatment units (including endoscopes, water bearing systems) is reported. Although law requires and KRINKO recommends that manufacturers of medical devices publish instructions for reprocessing their products, these reprocessing recommendations are often insufficient. Manufacturers should thus be called upon to improve their recommendations. In this paper, the requirements for handling of ENT treatment units are compared with the observations made by the Public Health Department in 7 ENT clinics and 32 ENT practices in Frankfurt/Main, Germany, in 2014.
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Affiliation(s)
- E Jager
- Abteilung Infektiologie und Hygiene, Gesundheitsamt Frankfurt am Main, Breite Gasse 28, 60313, Frankfurt am Main, Deutschland
| | - U Heudorf
- Abteilung Infektiologie und Hygiene, Gesundheitsamt Frankfurt am Main, Breite Gasse 28, 60313, Frankfurt am Main, Deutschland.
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Heudorf U, Cuny C, Herrmann M, Kempf V, Mischler D, Schulze J, Zinn C. Multiresistente Erreger (MRE) in der ambulanten Dialyse, der ambulanten und stationären Pflege sowie in der Rehabilitation – Daten aus dem MRE-Netz Rhein-Main 2012 – 2014. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Götsch U, Huber M, Heudorf U. Tuberkulose unter unbegleiteten minderjährigen Asylsuchenden in Frankfurt am Main. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578941] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Neumann N, Mischler D, Cuny C, Hogardt M, Kempf V, Heudorf U. Multiresistente Erreger bei Patienten ambulanter Pflegedienste im Rhein-Main-Gebiet, 2014: Prävalenz und Risikofaktoren. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Heudorf U, Grünewald M. Hitzewellen und Mortalität in Frankfurt 2003 – 2015 – Ist ein Effekt der Hitzewarnsystems und des Hitzeaktionsplans erkennbar? Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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21
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Hausemann A, Heudorf U. Hygiene in der Augenarzt-Praxis – Ergebnisse aus Augenarzt-Praxen in Frankfurt am Main, 2014 – 2015. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Götsch U, Walczok A, Kleinkauf N, Heudorf U. Kontaktmanagement bei einem Masernausbruch in einer Unterkunft für Asylsuchende in Frankfurt am Main. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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23
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Heudorf U, Benfer C, Zweigner J. Weniger ist mehr – Antibiotika verantwortungsvoll einsetzen Ein Projekt des MRE-Netz Rhein-Main. Gesundheitswesen 2016. [DOI: 10.1055/s-0036-1578935] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Dickmann P, Wittgens K, Keeping S, Mischler D, Heudorf U. Re-thinking risk communication: information needs of patients, health professionals and the public regarding MRSA--the communicative behaviour of a public health network in Germany responding to the demand for information. Public Health 2015; 131:56-62. [PMID: 26710665 DOI: 10.1016/j.puhe.2015.11.012] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2014] [Revised: 10/08/2015] [Accepted: 11/15/2015] [Indexed: 10/22/2022]
Abstract
OBJECTIVES Multidrug resistant organisms (MDRO), including Meticillin-resistant Staphylococcus aureus (MRSA), and health care associated infections (HCAIs) are pressing issues for health care systems across the world. Information and communication are considered key tools for the prevention and management of infectious diseases. Public Health Authorities (PHA) are in a unique position to communicate with health care professionals, patients and the public regarding the health risks. STUDY DESIGN We used PHA helpdesk interaction data to first ascertain the information requirements of those getting in contact with the service, and secondly to examine the communicative behaviour of the PHA, with a view to improving the quality of communication strategies. METHODS Data on helpdesk interactions between 2010 and 2012 were obtained from a MDRO network of nine German PHAs. 501 recordings were coded and descriptive statistics generated for further qualitative thematic analysis. RESULTS Our analysis revealed a similar pattern of questions among different groups. Key areas of need for information were around eradication, cleaning and isolation measures. Reported problems were a lack of expert knowledge and continuity of treatment. The helpdesk response was mainly a conversation offering scientific advice, but also included other communication services that went beyond the provision of scientific facts, such as follow-up calls, referral suggestions and consultations on behalf of the caller. These social communication activities seem to have an important impact on the acceptability of public health recommendations and use of the helpdesk. CONCLUSIONS Our findings support a broader discussion about the role of information in the communication process and underline the importance of social elements in the communication process, such as relationship and trust building.
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Affiliation(s)
- P Dickmann
- London School of Economics and Political Science, LSE Health and Social Care, United Kingdom; Dickmann Risk Communication Drc, 21 Lancaster Grove, London NW3 4EX, United Kingdom.
| | - K Wittgens
- London School of Economics and Political Science, LSE Health and Social Care, United Kingdom
| | - S Keeping
- London School of Economics and Political Science, LSE Health and Social Care, United Kingdom
| | - D Mischler
- Public Health Authority Frankfurt, Germany
| | - U Heudorf
- Public Health Authority Frankfurt, Germany
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Heudorf U, Färber D, Mischler D, Schade M, Zinn C, Nillius D, Herrmann M. Multiresistente Erreger in Rehabilitationseinrichtungen im Rhein-Main-Gebiet, Deutschland, 2014: II. Ärztliche Risikoanalyse und Hygienemaßnahmen. REHABILITATION 2015; 54:375-81. [DOI: 10.1055/s-0035-1564099] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
| | | | | | | | - C. Zinn
- Institut für Medizinische Diagnostik GmbH, Zentrum für Hygiene und Infektionsprävention, Ingelheim
| | - D. Nillius
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum des Saarlandes, Homburg/Saar und MRSAar Netz
| | - M. Herrmann
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum des Saarlandes, Homburg/Saar und MRSAar Netz
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26
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Heudorf U, Färber D, Mischler D, Schade M, Zinn C, Cuny C, Nillius D, Herrmann M. [Multidrug-Resistant Organisms (MDRO) in Rehabilitation Clinics in the Rhine-Main-District, Germany, 2014: Prevalence and Risk Factors]. REHABILITATION 2015; 54:339-45. [PMID: 26505186 DOI: 10.1055/s-0035-1559642] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
BACKGROUND While a limited number of studies have investigated the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in medical rehabilitation institutions, almost no data on the colonization of rehabilitation patients with multiresistant gram-negative rods is available. Here we report on a large multicenter study on the prevalence of MRSA and multiresistant pathogens in rehabilitation institutions in the Rhine-Main area in 2014. MATERIALS AND METHODS Altogether, 21 rehabilitation hospitals participated. For all patients, age, gender, previous history of hospitalizations, surgery, previous colonization with multidrug-resistant organisms, use of a medical device, current antimicrobial therapy, and the current infection status were ascertained. On voluntary basis, nare and throat swabs were taken for analysis of MRSA and rectal swabs were tested for extended spectrum betalactamase-producing gram-negative bacteria (ESBL). RESULTS 50% of 2 440 patients had a history of hospitalization within the previous 6 months while 39% had undergone surgery during the past 30 days. Approximately a quarter of the patients had been transferred to a rehabilitation hospital directly from an acute care hospital, had been under antimicrobial therapy with the past three months, or had travelled to a foreign country within the previous year. Risk factors such as lesions of the intact skin or presence of medical devices were rarely reported (< 5%) within the exception of patients undergoing geriatric or neurologic acute care rehabilitation. 0.7% (15/2155) of the patients were colonized with MRSA, while 7.7% (110/1434) showed a positive result for ESBL. The highest prevalence rates for multiresistant organisms were encountered among patients with neurologic rehabilitation (MRSA, 1.3%, and ESBL, 10.2%) or with geriatric rehabilitation (MRSA, 9.4%, and ESBL, 22.7%). CONCLUSION In the rehabilitation patient population, the prevalence rates of MRSA and ESBL were found to be in the range of rates encountered in the general population (reported rates for MRSA, 0.5%, and ESBL, 6.3%). The known risk factors for MRSA such as skin lesions, medical devices and previous history for MRSA were also confirmed among this patient population. Direct transfer from an acute care hospital, antimicrobial treatment during the past 3 months, and wounds proved significant risk factors for ESBL colonization. Patients of neurologic rehabilitation and geriatric patients showed the highest rates of risk factors and the highest prevalence rates of multidrug-resistant organisms. It appears to be of importance for rehabilitation hospitals to be geared to the needs of patients with multidrug-resistant organisms, and prevent the transmission of these pathogens by appropriate hygiene measures.
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Affiliation(s)
- U Heudorf
- MRE-Netz Rhein-Main, Gesundheitsamt der Stadt Frankfurt am Main
| | - D Färber
- MRE-Netz Rhein-Main, Gesundheitsamt der Stadt Frankfurt am Main
| | - D Mischler
- MRE-Netz Rhein-Main, Gesundheitsamt der Stadt Frankfurt am Main
| | - M Schade
- MRE-Netz Rhein-Main, Gesundheitsamt der Stadt Frankfurt am Main
| | - C Zinn
- Zentrum für Hygiene und Infektionsprävention, Institut für Medizinische Diagnostik GmbH, Ingelheim
| | - C Cuny
- Nationales Referenzzentrum für Staphylokokken, Wernigerode
| | - D Nillius
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum des Saarlandes, Homburg/Saar, und MRSAar Netz
| | - M Herrmann
- Institut für Medizinische Mikrobiologie und Hygiene, Universitätsklinikum des Saarlandes, Homburg/Saar, und MRSAar Netz
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Schade M, Heudorf U, Tiarks-Jungk P. [The Humanitarian Consultation-hour in Frankfurt am Main: Utilization by Gender, Age, Country of Origin]. Gesundheitswesen 2015; 77:466-74. [PMID: 26227381 DOI: 10.1055/s-0035-1550026] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND The humanitarian consultation-hour is a voluntary, anonymous offer provided by the City of Frankfurt am Main, which was established in December 2001. Here, people without health insurance or undocumented migrants can be treated for free. The aim of this analysis is to investigate the utilization of the consultation-hour by gender, age, country of origin and diagnosis since 2008. METHODS The digital data documentation is available since 2008. Data from the years 2008-2013 were considered. The examination date, the date of birth, sex, country of origin, frequency of visits, diseases and medication amongst other data were examined. RESULTS In the period from 2008 to 2013, 8,574 consultations were counted and 2,384 patients were treated during office hours. The amount of consultations has doubled between 2008 (n=673) and 2009 (n=1,154) and is rising steadily since then (1,911 visits in 2013). The majority of patients come from Africa. Since 2008, an increase of patients from Bulgaria and Romania has been recorded. Approximately two-thirds of the patients are female, one third male. One fifth of those seeking help are children and adolescents under 20 years and adults over 60 years. The most common age group is between 20-40 years old. The main diagnoses include diseases of the cardiovascular and vascular system and the musculoskeletal system, metabolic diseases (diabetes mellitus), digestive diseases and pregnancy/childbirth. CONCLUSION The humanitarian consultation-hour is an important offer provided by the Public Health Department of the City of Frankfurt am Main and is used by a large number of people who are seeking help. In particular, people from South Eastern Europe are increasingly visiting the consultation-hour. Activities such as the humanitarian consultation-hour can take over subsidiary activities for a transitional period, however long-term structural solutions must be provided to ensure access to health care for this vulnerable group.
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Affiliation(s)
- M Schade
- Gesundheitsberichterstattung, Gesundheitsamt, Stadt Frankfurt am Main
| | - U Heudorf
- Abteilung Infektiologie und Hygiene, Gesundheitsamt, Stadt Frankfurt am Main
| | - P Tiarks-Jungk
- Abteilung Medizinische Dienste, Gesundheitsamt, Stadt Frankfurt am Main
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Heudorf U. [Hygiene and Infection Prevention in Medical Institutions, Kindergartens and Schools - Statutory Basis, Infection Control Practice and Experiences of the Public Health Services]. Gesundheitswesen 2015; 77:481-7. [PMID: 26154256 DOI: 10.1055/s-0035-1550021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Infection prevention is one of the main tasks of the public health services. The "Protection against infection act" places all medical institutions and facilities for children (kindergartens and schools) under the obligation to assume responsibility and to cooperate. Duties of the institutions are described, and public health services are obliged to perform hygiene control visits.Regarding medical institutions, the guidelines of the German Commission on Hospital Hygiene and Infection Control have to be observed, and the counties were obliged to publish hygiene enactments. Subsequently, good improvements in hygiene management in medical institutions were achieved. In schools, however, severe hygienic problems (i.e. sanitary hygiene, indoor air hygiene) are detected, without any improvement - obviously due to a missing sense of responsibility in the school community. Causes for poor behaviour prevention (hand hygiene, ventilation) and missing situational prevention (i.e. cleaning) are discussed. Without reversion to the obviously needed but nearly forgotten subject school hygiene, obligatory guidelines and the assuming of responsibility, permanent improvements cannot be achieved.
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Westphal T, Voigt K, Heudorf U. [Amendments to the Drinking Water Ordinance: Legionellae in Hot Water Systems - Data from the Public Health Authority Frankfurt am Main, Germany]. Gesundheitswesen 2015; 77:475-80. [PMID: 26154259 DOI: 10.1055/s-0035-1550027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND The first and second amendment to the Drinking Water Ordinance came in to force in the years 2011 and 2012 causing additional tasks and responsibilities for operators of commercial large-scale systems, usually hot water systems in large residential buildings, and for the local health authorities. This article describes the experiences of the health authority in Frankfurt/Main with these new regulations. Some of the revisions in the first amendment of the ordinance (TrinkwV 2001 (2011)) were omitted in the second revision (TrinkwV 2001 (2012)) such as the obligation to notify for large-scale systems. Furthermore, the intervals between the obligatory inspections were extended from 1 to 3 years and merely exceedances of the legal limits were to be notified in contrast to the previous obligation to notify all values. RESULTS On the basis of the TrinkwV 2001 (2011) a large additional staff requirement had been estimated (13/21 positions). After the TrinkwV 2001 (2012) the tasks can be accomplished by less than 2 employees. While the notification obligation was still in force, the health authority received 4,461 notifications of large-scale systems, since then a further 477 have been notified. Of a total of 1,335 initial analyses, 794 (60%) exceeded the technical action value and in 113 properties with values exceeding 10,000/100 ml a usage restriction was necessary. CONCLUSIONS Due to the suspension of the notification obligation to report any result of the analyses performed the assessment of the reports on large-scale systems has become difficult. An appropriate assessment of the implementation of the regulation is not possible, since the total number of large-scale systems is not known and a failure to report may result from a measured value below the technical action value as well as from a not inspected system. The large number of usage restrictions is an indication for the necessity to inspect and if required to treat and restore the system.
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Affiliation(s)
| | - K Voigt
- Gesundheitsamt Frankfurt am Main
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Hogardt M, Proba P, Mischler D, Cuny C, Kempf VA, Heudorf U. Current prevalence of multidrug-resistant organisms in long-term care facilities in the Rhine-Main district, Germany, 2013. ACTA ACUST UNITED AC 2015; 20. [PMID: 26159310 DOI: 10.2807/1560-7917.es2015.20.26.21171] [Citation(s) in RCA: 42] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
Multidrug-resistant organisms (MDRO) and in particular multidrug-resistant Gram-negative organisms (MRGN) are an increasing problem in hospital care. However, data on the current prevalence of MDRO in long-term care facilities (LTCFs) are rare. To assess carriage rates of MDRO in LTCF residents in the German Rhine-Main region, we performed a point prevalence survey in 2013. Swabs from nose, throat and perineum were analysed for meticillin-resistant Staphylococcus aureus (MRSA), perianal swabs were analysed for extended-spectrum beta-lactamase (ESBL)-producing organisms, MRGN and vancomycin-resistant enterococci (VRE). In 26 LTCFs, 690 residents were enrolled for analysis of MRSA colonisation and 455 for analysis of rectal carriage of ESBL/MRGN and VRE. Prevalences for MRSA, ESBL/MRGN and VRE were 6.5%, 17.8%, and 0.4%, respectively. MRSA carriage was significantly associated with MRSA history, the presence of urinary catheters, percutaneous endoscopic gastrostomy tubes and previous antibiotic therapy, whereas ESBL/MRGN carriage was exclusively associated with urinary catheters. In conclusion, this study revealed no increase in MRSA prevalence in LTCFs since 2007. In contrast, the rate of ESBL/MRGN carriage in German LTCFs was remarkably high. In nearly all positive residents, MDRO carriage had not been known before, indicating a lack of screening efforts and/or a lack of information on hospital discharge.
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Affiliation(s)
- M Hogardt
- Institute for Medical Microbiology and Infection Control, University Hospital, Goethe-University, Frankfurt am Main, Germany
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Woltering R, Hoffmann G, Isermann J, Heudorf U. [Surface Cleaning and Disinfection in the Hospital. Improvement by Objective Monitoring and Intervention]. Gesundheitswesen 2015; 78:759-764. [PMID: 26107964 DOI: 10.1055/s-0035-1545267] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Background and Objective: An assessment of cleaning and disinfection in hospitals by the use of objective surveillance and review of mandatory corrective measures was undertaken. Methods: A prospective examination of the cleaning and disinfection of surfaces scheduled for daily cleaning in 5 general care hospitals by use of an ultraviolet fluorescence targeting method (UVM) was performed, followed by structured educational and procedural interventions. The survey was conducted in hospital wards, operating theatres and intensive care units. Cleaning performance was measured by complete removal of UVM. Training courses and reinforced self-monitoring were implemented after the first evaluation. 6 months later, we repeated the assessment for confirmation of success. Results: The average cleaning performance was 34% (31/90) at base-line with significant differences between the 5 hospitals (11-67%). The best results were achieved in intensive care units (61%) and operating theatres (58%), the worst results in hospital wards (22%). The intervention significantly improved cleaning performance up to an average of 69% (65/94; +34.7%; 95% confidence interval (CI): 21.2-48.3; p<0.05), with differences between the hospitals (20-95%). The largest increase was achieved in hospital wards (+45%; CI 29.2-60.8; p<0.05). Improvements in operating theatres (+22.9%; CI 10.9-56.7) and intensive care units (+5.6%; CI 25.8-36.9) were statistically not significant. Conclusions: The monitoring of cleaning and disinfection of surfaces by fluorescence targeting is appropriate for evaluating hygiene regulations. An intervention can lead to a significant improvement of cleaning performance. As part of a strategy to improve infection control in hospitals, fluorescence targeting enables a simple inexpensive and effective surveillance of the cleaning performance and corrective measures.
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Affiliation(s)
| | | | | | - U Heudorf
- Abteilung Infektiologie und Hygiene, Gesundheitsamt, Frankfurt am Main
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Heudorf U, Hausemann A. Antibiotikaverbrauchssurveillance nach §23 IfSG, 2011 – eine neue Herausforderung für Krankenhäuser und Gesundheitsämter – Daten aus Frankfurt am Main, 2012 und 2013. Gesundheitswesen 2015. [DOI: 10.1055/s-0035-1546879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Heudorf U, Gustav C, Mischler D, Schulze J. [Healthcare associated infections (HAI), antibiotic use and prevalence of multidrug-resistant bacteria (MDRO) in residents of long-term care facilities: the Frankfurt HALT plus MDRO project 2012]. Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 2015; 57:414-22. [PMID: 24658671 DOI: 10.1007/s00103-013-1927-7] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
BACKGROUND Residents of long-term care facilities (LTCF) are at risk of healthcare associated infections (HAI) and are often treated with antibiotics. In Germany a current HAI prevalence of 1.6 % and antibiotic use in 1.15% have been reported. However, data published on the current prevalence of multidrug-resistant organisms (MRDO) in LTCFs in Germany are scarce. Therefore, the prevalence of HAI, antibiotic use and presence of MDROs were investigated in LTCF residents in Frankfurt am Main, Germany. METHODS A point prevalence study of HAI and antibiotic use according to the European HALT protocol (health care associated infections in long-term care facilities) was carried out; swabs from the nose, throat and perineum were analyzed for methicillin-resistant Staphylococcus aureus (MRSA), extended spectrum beta-lactamase producing enterobacteria (ESBL) and vancomycin-resistant enterococci (VRE). RESULTS A total of 880 residents in 8 LTCFs were enrolled in the study in 2012. The study participants were 30% male, 46.7% were more than 85 years old, 70% exhibitied urinary or fecal incontinence, 11.4% had an indwelling urinary catheter and 0.1% a vascular catheter. Prevalence rates of HAI and of antibiotic use were 2.5 % and 1.5%, respectively. The prevalence of MDROs in 184 residents who agreed to being tested for MDROs was 9.2% MRSA, 26.7% ESBL and 2.7% VRE. CONCLUSION The HAIs and antibiotic use were comparable to the German HALT data from 2010. Compared to other German studies there is a steadily increasing MRSA problem in German LTCFs. High and increasing ESBL rates have been detected in German LTCFs. Further studies are needed to confirm this trend, preferably encompassing molecular methods to study epidemiology.
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Affiliation(s)
- U Heudorf
- Amt für Gesundheit, Breite Gasse 28, 60313, Frankfurt am Main, Deutschland,
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Jager E, Hausemann A, Hofmann H, Otto U, Heudorf U. [Hygiene in endoscopy in clinic and practice 2013 in comparison with 2003--structure and process quality]. Z Gastroenterol 2014; 52:1402-7. [PMID: 25474279 DOI: 10.1055/s-0034-1366776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
BACKGROUND Endoscopy is an important part of modern medical diagnostics and therapy. The invasive procedures are however associated with a risk to transmit infections. Against this background the KRINKO has published the "Hygienic requirements for the reprocessing of flexible endoscopes and endoscopic accessories" in 2002 and has updated these recommendations in 2012. In 2003 and 2013 all gastroenterological facilities in Frankfurt am Main using flexible endoscopes were monitored for compliance with the recommendations. METHODS The inspections were performed after prior notice by a staff member of the health authority using a checklist which had been developed on the basis of the current KRINKO recommendations. RESULTS In both years all institutions performing endoscopic procedures were visited: 2003 15 hospitals and 23 practices; 2013 14 clinics and 10 practices. In 2013 (data for 2003 in brackets) 100 % (93 %) of the hospitals and 60 % (22 %) of practices reprocessed their endoscopes by automated methods. The appropriate reprocessing and filling of water bottles for rinsing the scope channels with sterile water and the sterilisation of accessories were satisfactorily performed in 2003 and 2013 by all hospitals. However in 2013 only 90 % (2003: 74 %) of the practices correctly reprocessed water bottles and 80 % (52 %) used sterile water for filling the bottle. In 2013 100 % (2003: 57 %) of the practices correctly sterilised accessory instruments, while 2 practices used disposable, i. e., single-use materials. In 2013 all institutions performed microbiological tests according to KRINKO recommendations, while in 2003 all hospitals but only 43 % of the practices could present such tests. DISCUSSION While the gastroenterological departments of Frankfurt hospitals already complied with the KRINKO recommendations in 2003, the inspection of several practices in 2003 had revealed considerable shortcomings in the implementation of these recommendations. Subsequently the practices have improved their hygiene management.
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Schade M, Heudorf U, Hornberg C. „Umwelt, Soziale Lage und Gesundheit bei Kindern in Frankfurt am Main“ – Welche Parameter (umweltbezogene, soziale und gesundheitsbezogene) beeinflussen die Lebensqualität und den Gesundheitszustand der Kinder? Gesundheitswesen 2014. [DOI: 10.1055/s-0034-1387005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Westphal T, Weckel S, Heudorf U. Neue Trinkwasserverordnung und Legionellenüberwachung – Erste Erfahrungen. Gesundheitswesen 2014. [DOI: 10.1055/s-0034-1371577] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Westphal T, Weckel S, Heudorf U. Neue Trinkwasserverordnung und Legionellenüberwachung – Erste Erfahrungen. Gesundheitswesen 2014. [DOI: 10.1055/s-0034-1371609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Proba P, Hogardt M, Kempf V, Heudorf U. Infektionen, Antibiotikaeinsatz und multiresistente Erreger (MRE) bei Bewohnern von Altenpflegeheimen. Ergebnisse aus dem MRE-Netz Rhein-Main, 2013. Gesundheitswesen 2014. [DOI: 10.1055/s-0034-1371620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Gustav C, Schulze J, Heudorf U. Infektionen, Antibiotikaeinsatz und multiresistente Erreger (MRE) bei Bewohnern von Altenpflegeheimen. Ergebnisse einer Pilotstudie im MRE-Netz-Rhein-Main, 2012. Gesundheitswesen 2014. [DOI: 10.1055/s-0034-1371665] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Schade M, Heudorf U, Tiarks-Jungk P. Die Humanitäre Sprechstunde in Frankfurt am Main: Nutzungsverhalten nach Geschlecht, Alter und ethnischer Herkunft. Gesundheitswesen 2014. [DOI: 10.1055/s-0034-1371573] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Schade M, Heudorf U, Hornberg C. Ergebnisse zur Studie „Umwelt, Soziale Lage und Gesundheit bei Kindern in Frankfurt am Main“ nach Migrationshintergrund der Kinder. Gesundheitswesen 2014. [DOI: 10.1055/s-0034-1371602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Klug C, Schade M, Dittmar R, Mischler D, Nagel E, Heudorf U. [Network against multidrug-resistant organisms in the Rhine-Main region, Germany. A first evaluation]. Gesundheitswesen 2014; 76:742-9. [PMID: 24639387 DOI: 10.1055/s-0034-1367008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
BACKGROUND Multidrug-resistant organisms (MDROs) are not only a problem in the hospital but also in the community setting. The MRE-Net Rhine-Main was founded in order to decrease the rate of development and spread of MDROs in the region and to counter the stigmatisation of people with MDROs. The network attempts to achieve these goals by offering telephone support, information flyers, internet services, information events and training for health-care practitioners from hospitals (HOSP), residential and nursing homes (RNH), outpatient care services (OCS), emergency services (ES), medical practices (MP) and rehabilitation centers (RC). A first interim evaluation examined the expectations each institution had associated with its participation and how well these objectives were fulfilled. Furthermore the utilisation and acceptance of the services offered by the network were investigated. METHOD The participating institutions (n=143) received a standardised questionnaire adapted to the type of institution by mail including questions focusing on the above-mentioned issues. RESULTS 96 questionnaires could be evaluated (response 67.1%). More than 90% of the participants expected to participate in trainings, receive improved information, to gain more confidence in handling patients and to improve hygiene measures - with great differences between HOSP, RNH and OCS. These expectations were largely satisfied. 65.5% of the institutions participated at least once in a training, particularly RNH, OCS, whereby the usefulness of the trainings was rated high by these institutions. 14.4% of the institutions had made use of the telephone service, the gain of information was rated as high by HOSP, RNH and OCS. 81% knew of and used the flyers, but almost half of the institutions did not know the homepage of the network. CONCLUSIONS Overall the expectations of the network participants were met well to very well and the benefit derived from the trainings and the print and online media was rated as high. Therefore the network will continue and further intensify its work.
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Affiliation(s)
- C Klug
- Universität Bayreuth, Institut für Medizinmanagement und Gesundheitswissenschaften, Bayreuth
| | - M Schade
- MRE-Netz Rhein-Main, Amt für Gesundheit, Frankfurt am Main
| | - R Dittmar
- Universität Bayreuth, Institut für Medizinmanagement und Gesundheitswissenschaften, Bayreuth
| | - D Mischler
- MRE-Netz Rhein-Main, Amt für Gesundheit, Frankfurt am Main
| | - E Nagel
- Universität Bayreuth, Institut für Medizinmanagement und Gesundheitswissenschaften, Bayreuth
| | - U Heudorf
- MRE-Netz Rhein-Main, Amt für Gesundheit, Frankfurt am Main
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Heudorf U. [Hygiene control visits in medical practices - topics to be focused on]. Gesundheitswesen 2013; 75:697-704. [PMID: 24285157 DOI: 10.1055/s-0033-1357165] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
According to the "Protection against Infection Act", public health services are obliged to supervise and consult the hygienic conditions not only in hospitals but also in ambulatory medical practices in Germany. Firstly, in this paper basic principles on transmission routes of pathogenic germs and general remarks on the infection control visits as well as on the special regulations (i.e., German commission on hospital hygiene and infection prevention) are described. Secondly, crucial points to be considered in all medical practices are mentioned. Finally, special issues in different practices are reported, such as dermatology, gastroenterology, gynaecology, paediatrics etc. This article aims to support the public health departments in their task to prevent infections in patients and personnel in medical practices.·
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Schade M, Heudorf U, Hornberg C. Umwelt, Soziale Lage und Gesundheit bei Kindern in Frankfurt am Main: Ergebnisse nach Sozialer Schicht der Kinder. Gesundheitswesen 2013. [DOI: 10.1055/s-0033-1354108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Heudorf U, Hausemann A, Hofmann H, Otto U, Jager E. Hygiene und Infektionsprävention in der Kinder- und Jugendarztpraxis. Monatsschr Kinderheilkd 2013. [DOI: 10.1007/s00112-013-3005-5] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Heudorf U, Mischler D, Bobyk D, Bornhofen B, Maiwald M, Merbs R, Mühlhaus R, Wendel L. [MRSA bloodstream infections according to the German obligation for notification - data and experience of the MDRO Network Rhine-Main, Germany, 2011]. Gesundheitswesen 2013; 76:385-91. [PMID: 23954986 DOI: 10.1055/s-0033-1349871] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
BACKGROUND Since July 1st, 2009 in accord with the statuary order based on the German law for infectious diseases (Infektionsschutzgesetz), MRSA in blood and liquor have to be notified to the public health authorities. The aim of this extension of the notification to report is to improve the surveillance of nosocomial infections and the prevention of nosocomial MRSA infections. In this paper data of the notifications in the year 2011 within the MDRO-Net Rhine-Main, an association of 7 public health authorities in the region, are reported in order to investigate whether the aims of the obligation for notification could be achieved. RESULTS In 2011, 138 MRSA bloodstream infections, including 1 MRSA in liquor culture, were notified to the 7 health protection authorities, resulting in an incidence rate of 5.6/100,000 inhabitants. In urban regions with more hospitals available, the incidence rate was higher than in rural districts with less medical facilities (6.9 vs. 4.4/100,000 inhabitants). Only 46 (35%) of the patients with MRSA cultured in their blood had been detected via anamnesis as patients on risk for MRSA, and 59 (45%) had been screened for MRSA on admission. The incidence rate in the different hospitals was 0.041 ± 0.031/1,000 patient days (range 0-0.145/1,000 patient days). CONCLUSIONS For the first time, data on notification of MRSA cultures in blood specimen are published from a whole MRE Network in Germany encompassing >2.1 million inhabitants. Incidence rates per 100,000 inhabitants alone do not seem adequate to cope with the aims of the obligation for notification. Instead, reference to patient days in the respective clinic enables an external comparison to other medical institutions in the region and is a better base for discussion with these institutions on improvements of surveillance, screening and hygiene.
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Affiliation(s)
- U Heudorf
- Amt für Gesundheit, Frankfurt am Main
| | | | - D Bobyk
- Fachdienst Gefahrenabwehr- und Gesundheitszentrum, Landkreis -Offenbach
| | - B Bornhofen
- Fachbereich Gesundheitsdienste, Hochtaunuskreis
| | - M Maiwald
- Stadtgesundheitsamt, Stadt Offenbach
| | - R Merbs
- Fachdienst Gesundheit & Gefahrenabwehr, Wetteraukreis
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Westphal T, Voigt K, Heudorf U. Neue Trinkwasserverordnung und Legionellenüberwachung - Anspruch 2011 und Wirklichkeit 2013. Gesundheitswesen 2013. [DOI: 10.1055/s-0033-1337496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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49
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Schade M, Heudorf U, Hornberg C. Umwelt, Soziale Lage und Gesundheit bei Kindern in Frankfurt am Main: Ergebnisse nach Sozialer Schicht der Kinder. Gesundheitswesen 2013. [DOI: 10.1055/s-0033-1337526] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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50
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Jager E, Hausemann A, Hofmann H, Otto U, Heudorf U. Hygiene in Gynäkologischen Praxen - Ergebnisse der infektionshygienischen Überwachung und Beratung in Frankfurt am Main, 2011/2012. Gesundheitswesen 2013. [DOI: 10.1055/s-0033-1337557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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