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- Title
Estratégia para Controlar o Staphylococcus Aureus Resistente à Meticilina: A Experiência de Cinco Anos de um Hospital.
- Authors
PERES, David; NEVES, Isabel; VIEIRA, Fernanda; DEVESA, Ilda
- Abstract
Introduction: Methicillin-resistant Staphylococcus aureus remains one of the principal resistant pathogens causing serious healthcare-associated infections. The objective of this study was to control and monitor methicillin-resistant Staphylococcus aureus cases using multimodal strategy in a Portuguese hospital. Material and Methods: Multistep procedure involving isolation measures and active surveillance cultures in a selected population (patients from other hospitals and nursing homes; history of hospitalization/ methicillin-resistant Staphylococcus aureus; intensive and intermediate care patients and, in other inpatient services, direct contacts of newly detected methicillin-resistant Staphylococcus aureus patients and, since 2012, patients doing hemodialysis). Other parallel activities: (a) review of isolation and standard precautions policy, (b) reinforcement of alcohol-based handrubs at point of patient care, (c) information sessions to health professionals, (d) targeted information flyer for health professionals, (e) information leaflet for patients/ visitors; (f) procedure monitoring by audit (g) patient decolonization in intensive and intermediate care units, with follow-up screenings. Results: Between 2007 and 2012, methicillin-resistant Staphylococcus aureus surveillance detected a decrease in proportion from 66% to 57% and, in density of incidence, from 1.80 to 0.68 cases per thousand days of hospitalization (p < 0.001; RR 0.38; CI95%: 0.29-0.49). Discussion/Conclusion: According to published European data, using blood and cerebrospinal fluid isolates only, Portugal was the country with the highest level of methicillin-resistant Staphylococcus aureus in 2011. Using this inclusion criteria, our hospital reveled a proportion of methicillin-resistant Staphylococcus aureus below its national level (34% versus 55%) in 2011. Fighting methicillin-resistant Staphylococcus aureus using a multimodal strategy is being effective in a high endemic level hospital, but perseverance is needed through continuous surveillance of cases, feed-back to professionals and procedure audits.
- Subjects
METHICILLIN-resistant staphylococcus aureus; NOSOCOMIAL infection prevention; HOSPITAL care; HAND sanitizers; CEREBROSPINAL fluid examination; BLOOD testing
- Publication
Acta Médica Portuguesa, 2014, Vol 27, Issue 1, p67
- ISSN
0870-399X
- Publication type
Article
- DOI
10.20344/amp.4736