CSIRO Publishing blank image blank image blank image blank imageBooksblank image blank image blank image blank imageJournalsblank image blank image blank image blank imageAbout Usblank image blank image blank image blank imageShopping Cartblank image blank image blank image You are here: Journals > Healthcare Infection   
Healthcare Infection
  Official Journal of the Australasian College for Infection Prevention and Control
blank image Search
blank image blank image
blank image
  Advanced Search

Journal Home
About the Journal
Editorial Structure
Online Early
Current Issue
Just Accepted
All Issues
Special Issues
Sample Issue
For Authors
General Information
Submit Article
Author Instructions
For Referees
Referee Guidelines
Review an Article
Annual Referee Index
For Subscribers
Subscription Prices
Customer Service
Print Publication Dates
For Advertisers

blue arrow e-Alerts
blank image
Subscribe to our Email Alert or RSS feeds for the latest journal papers.

red arrow Connect with HI
blank image

red arrow Connect with CP
blank image
facebook twitter LinkedIn

red arrow COPE Member
blank image
This journal is a member of, and subscribes to the principles of, the Committee on Publication Ethics (COPE) CopeLogo


Article << Previous     |     Next >>   Contents Vol 13(1)

Constructing clinical indicators for multiresistant organisms. Where do we begin?

Despina Kotsanas A D, Rhonda L. Stuart A B, Tony M. Korman A C, Elizabeth E. Gillespie B

A Department of Infectious Diseases, Southern Health, Monash Medical Centre, 246 Clayton Road, Clayton, Vic. 3168, Australia.
B Department of Infection Control and Epidemiology, Southern Health, Monash Medical Centre, 246 Clayton Road, Clayton, Vic. 3168, Australia.
C Department of Medicine, Monash University, Wellington Road, Clayton, Vic. 3168, Australia.
D Corresponding author. Email: despina.kotsanas@southernhealth.org.au
PDF (79 KB) $25
 Export Citation


Multidrug-resistant organisms (MROs) are a significant and growing concern in many healthcare facilities. Resistant organisms can be rapidly transmitted, have limited antimicrobial treatment options, are capable of significant morbidity and mortality, and are associated with longer hospital stays and greater overall costs. Clinical indicators can be used to identify environments that may benefit from closer monitoring. Specific indicators for Southern Health, the largest metropolitan health service in Victoria, were constructed using the methodology developed by the Australian Infection Control Association. Organisms monitored were methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Gram-negative bacilli (Pseudomonas spp., Acinetobacter spp., Serratia marcescens) and Clostridium difficile. Rate-based graphs were constructed to provide a display of changes to the prevalence of MROs. Denominator data (occupied bed days) were easily obtained from the health services clinical information system. Continuous monitoring using clinical indicators allows the infection control team to identify areas that may benefit from enhanced unit activity and allows a framework to be constructed for the ongoing development of quality indicators in infection control. Suitable statistical charts that provide 95% confidence intervals and flag MRO levels requiring action are currently under investigation.

Subscriber Login

Legal & Privacy | Contact Us | Help


© CSIRO 1996-2015