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Prolonged Hospital Stay, an Adverse Effect of Strict National Policy for Controlling the Spread of Highly Resistant Microorganisms

  • Gabriel Birgand (a1) (a2) (a3), Michael Schwarzinger (a1) (a2), Anne Perozziello (a4), Isabelle Lolom (a3), Camille Pelat (a1) (a2), Laurence Armand-Lefevre (a5), Jean-Claude Buzzi (a4), Antoine Andremont (a5), Yazdan Yazdanpanah (a1) (a2) (a6) and Jean-Christophe Lucet (a1) (a2) (a3)...


Corresponding author

Unité d’Hygiène et de Lutte contre l’Infection Nosocomiale, GH Bichat-Claude Bernard, 46 rue Henri Huchard, 75877 Paris Cedex 18, France (


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2. European Centre for Disease Prevention and Control (ECDC). Carbapenemase-producing bacteria in Europe: interim results from the European survey on carbapenemase-producing Enterobacteriaceae (EuSCAPE) project 2013. Accessed June 13, 2014.
3. ECDC. Antimicrobial resistance surveillance in Europe. Accessed June 13, 2014.
4. Haut Conseil de la Santé Publique. Prévention de la transmission croisée des Bactéries Hautement Résistantes aux antibiotiques émergentes (BHRe). Accessed June 13, 2014.
5. Agence Technique de l’Information sur l’Hospitalisation. Echelle nationale de coûts par GHM (en euros), référentiel national de coûts. 2011. http://wwwatihsantefr/. Accessed June 13, 2014.
6. Horan, TC, Gaynes, RP, Martone, WJ, Jarvis, WR, Emori, TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol 1992;13:606608.
7. European Center for Disease Prevention And Control. Antimicrobial resistance interactive database (EARS-Net). Accessed June 13, 2014.
8. Fournier, S, Brun-Buisson, C, Jarlier, V. Twenty years of antimicrobial resistance control programme in a regional multi-hospital institution, with focus on emerging bacteria (VRE and CPE). Antimicrob Resist Infect Control 2012;1:9.
9. Morgan, DJ, Diekema, DJ, Sepkowitz, K, Perencevich, EN. Adverse outcomes associated with contact precautions: a review of the literature. Am J Infect Control 37, 8593 (2009).
10. Birgand, G, Ruimy, R, Schwarzinger, M, et al. Rapid detection of glycopeptide-resistant enterococci: impact on decision-making and costs. Antimicrob Resist Infect Control 2013;2:30.


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