Review - Reviewer's Assessment

1. Short summary / abstract
Increasing problems in hospitals in England with Acinetobacter spp. and a lack of national guidance and systematic review led to this guidance being developed rapidly by a working group to address the problem of lack of definitive guidance. (Group representing - Association of Medical microbiologists, British Society for Antimicrobial Chemotherapy, Hospital Infection Society, Infection Control Nurses Association and the Department of Health)
The guidance includes definitions, guidance on multi-resistant Acinetobacter, MRAB and MRAB-C incidents, and further useful information


2. What question is the document addressing?
With the lack of national guidance this document provides present definitive guidance on dealing with the emerging problems Acinetobacter in hospitals

3. Type of study
Guidelines, review

4. Methods valid & appropriate?
Yes

Comments:
The working group intend to explore views on this guidance and local data to provide supporting evidence for effective interventions and review.

5. Results / recommendations reliable?
Yes

6. Any major problems and biases?
A systematic review and evidence based guidance could usefully be developed from this initial document

7. Any other important / relevant studies which confirm or contradict?
1. Department of Health WebPages on Antimicrobial Resistance http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/AntimicrobialResistance/fs/en
2. Department of Health Web Directory Antibiotic resistance http://www.dh.gov.uk/PolicyAndGuidance/HealthAndSocialCareTopics/AntibioticResistance/fs/en
3. Health Protection Agency website http://www.hpa.org.uk/default.htm
4. British Society for Antimicrobial Chemotherapy: Treatment of Hospital Infections http://www.bsac.org.uk/pyxis
5. Specialist Advisory Committee on Antimicrobial Resistance (SACAR) - UK Template for hospital antimicrobial guidelines, Department of Health
6. Multidrug-Resistant (MDR) Acinetobacter
http://www.hopkinsmedicine.org/heic/ID/mdr/


8. Keywords
Acinetobacter Outbreaks multi resistant organisms antibiotic prescribing infection control environment



Reviewer's Details:

Name:Sue Wiseman
Post:Nurse Consultant –Infection Control, DH
Affiliations
(Society / Organisation / Advisory Committee):
Member Advisory Committee on Dangerous Pathogens
Health Protection Adviser Royal College of Nursing P/T
Member Infection Control Nurses Association


*** Note: These are the views of a professional expert rather than an official statement from his or her society, organisation or advisory committee.






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