Page 89 - Hospital Authority Convention 2018
P. 89

Special Sessions



                SS3.3     Antimicrobial Resistance                                           14:30 Theatre 2

               Antimicrobial Resistance Control in Long-term Care Facilities
               Chen H
               Infection Control Branch, Centre for Health Protection, Department of Health, The Government of the Hong Kong Special
               Administrative Region                                                                               HOSPITAL AUTHORITY CONVENTION 2018

               In Hong Kong, Residential Care Homes for the Elderly (RCHEs) are a heterogeneous group of institutions providing different
               levels of care for aged people, who, for personal, social, health or other reasons, can no longer live alone or with their
               families. Around 9% of the elderly population in Hong Kong requires residential care. There are about 750 RCHEs providing
               over 79,000 residential places for elderly. With the ageing population, more and more people need to stay in old age homes.
               With the crowded environment and the frailty of elders, infection control plays a very important role to prevent the spread of
               infections among residents.

               Multidrug-resistant organisms (MDROs) are microorganisms that are resistant to one or more classes of antimicrobial agents.
               Infections caused by MDROs often fail to respond to standard therapy and require treatment with big gun antibiotics, which
               may be associated with higher toxicity and costs. Infection with MDROs leads to prolonged illness and higher mortality.
               Discharging asymptomatic colonizers from hospital to community especially to RCHEs may increase the risk of transmission
               among residents within these facilities.
               Transmission of multidrug resistant organisms (MDROs) in RCHEs is an emerging challenge for infection control
               professionals, made complex by the significant amount of residents’ movements between acute care hospitals and the long-
               term setting, where transmission and acquisition of hospital-acquired infections occur not infrequently, including MDROs.
               Programmes to promote different Infection control measures in RCHEs to contain the spread of MDROs would be elaborated
               and discussed in the presentation.                                                                  Monday, 7 May 2018


























































                                                                                                                   87
   84   85   86   87   88   89   90   91   92   93   94