Table 1.
Symbol | Description | Source | Pre-intervention value | Post-intervention value |
---|---|---|---|---|
H | Number of HCWs during a time-shift | Clinical data | 17 | 17 |
KH | Per-capita contact rate (daily contacts per HCW per patient) | Calculated as a function of h17,37 (see Supplementary Table S3) | 0.776 ± 0.008 | 0.964 ± 0.009 |
h | Hand hygiene compliance | Fitted on point prevalence time series | 0.855 ± 0.008 | 0.868 ± 0.008 |
Increase in transmission probability by antibiotic consumption |
Clinical data |
1.50 | 1.28 | |
ε | Treatment duration (LOS fraction) | Clinical data | 0.23 | 0.15 |
ξ | Increased risk of acquiring resistance due to antibiotic pressure | Literature29 | 3.15 | 2.94 |
d | Average discharge rate (inverse of LOS) | Clinical data | 1/10.6 days−1 | 1/9.2 days−1 |
a | Admission rate (new patients per day) | Clinical data | 3.4 per day | 3.6 per day |
pF | PF fraction at admission | Clinical data | 0.969 | – |
pS | PS fraction at admission | Clinical data | 0.025 | – |
pR | PR fraction at admission | Clinical data | 0.006 | – |
μH | Clearance rate for HCWs (inverse of contamination) | Assuming contamination to last 1 h | 24 days−1 | – |
γ | Probability of KP contamination P → HCW per single contact | Literature17 | 0.21 | – |
α | Probability of KP transmission HCW→ P per single contact | Literature21 | 0.45 | – |
q | Fraction of HCWs allocated to cohorting | Fitted on point prevalence time series | 0.10 ± 0.07 | 0.10 ± 0.07 |
ωRF | Decolonization rate of PR (inverse of colonization duration) | Literature18 | 1 month−1 | – |
ωSF | Decolonization rate of PS (inverse of colonization duration) | Literature18 | 1 month−1 | – |
Parameters value is reported both for the pre- and post-intervention periods.
HCW health care workers, P patients, KP Klebsiella pneumoniae, LOS length of hospital stay, PF not colonized/free, PR colonized/infected by resistant strain, PS colonized/infected by susceptible strain.