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- Title
A survey of methicillin-resistant Staphylococcus aureus control strategies in Italy.
- Authors
Pan, A.; Bombana, E.; Tura, G.; Curti, C.; Lorenzotti, S.; Mondello, P.; Patroni, A.; Tacconelli, E.; Rigobello, V.; Signorini, L.; Vizio, M.; Goglio, A.
- Abstract
Purpose: Data regarding the implementation of state-of-the-art methicillin-resistant Staphylococcus aureus (MRSA) control procedures in Italy are lacking. There is a need to evaluate compliance with MRSA recommendations (CR) in Italian hospitals. Methods: A 67-question closed-answer survey was sent to all Italian hospitals, in order to analyze and evaluate program consistency with CR [hand hygiene (HH), contact precautions, screening of high-risk patients, decolonization, feedback on surveillance data, and antimicrobial guidelines and education programs]. Results: 205 hospitals, which account for 42 % of national admissions, returned questionnaires. 131 hospitals (64 %) did not have written MRSA control guidelines. Hospitals reported the following levels of compliance with CR: (1) HH: 67 hospitals (33 %); (2) contact precautions: 33 (16 %); (3) MRSA screening: 66 (32 %); (4) MRSA decolonization: 42 (20 %); (5) surveillance data feedback: 87 (43 %); and (6) antimicrobial guidelines and education programs: 41 (20 %). One hospital (0.5 % of responses) had implemented all recommendations and 28 hospitals (14 %) had implemented four or five recommendations. 31 % of hospitals surveyed had implemented none. Multivariate analysis showed that the only factor identified as being associated with the implementation of MRSA control recommendations was the number of meetings/year of the infection control team (ICT) ( p = 0.004). Conclusions: Written MRSA control guidelines are available in only one-third of Italian facilities. An organized system, with ≥4 interventions, has been implemented in just 1 out of 7 hospitals. HH programs and ICT activity are related to better MRSA control. In Italy, there is significant opportunity for improvement in MRSA control.
- Subjects
ITALY; STAPHYLOCOCCAL disease prevention; LEGAL compliance; EPIDEMIOLOGICAL research; HAND washing; HEALTH facility administration; MEDICAL protocols; MULTIVARIATE analysis; PROFESSIONS; QUALITY assurance; QUESTIONNAIRES; STAPHYLOCOCCAL diseases; STATISTICAL hypothesis testing; STATISTICS; DISEASE prevalence; METHICILLIN-resistant staphylococcus aureus; DATA analysis software
- Publication
Infection, 2013, Vol 41, Issue 4, p783
- ISSN
0300-8126
- Publication type
Article
- DOI
10.1007/s15010-013-0454-7