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- Title
An effective active surveillance method for controlling nosocomial MRSA transmission in a Japanese hospital.
- Authors
Ohkushi, Daisuke; Uehara, Yuki; Iwamoto, Akira; Misawa, Shigeki; Kondo, Shigemi; Shimizu, Kenichiro; Hori, Satoshi; Hiramatsu, Keiichi
- Abstract
Hospital-wide active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) targeted to adult patients with a history of MRSA carriage within the past 5 years was performed in Juntendo University Hospital (JUH) over a 2-year period. In the first year, MRSA screening culture was ordered by physicians in charge. In the second year, infection-control practitioners (ICPs) took samples for active surveillance culture. The average monthly transmission rate of MRSA in JUH was 0.35 per 1,000 bed-days in the first year and decreased significantly to 0.26 per 1,000 bed-days in the second year ( P < 0.05). In the second year, more active commitment of ICPs to MRSA screening was effective in improving the performance rate of screening, shortening turn-around time of screening results, and decreasing transmission rate. Increasing compliance with active MRSA surveillance by involvement of ICPs, targeting patients with a previous history of MRSA carriage in the previous 5 years, was effective to control nosocomial MRSA transmission.
- Subjects
JAPAN; NOSOCOMIAL infections; METHICILLIN-resistant staphylococcus aureus; PUBLIC health surveillance; MEDICAL screening; BACTERIAL cultures; UNIVERSITY hospitals; INFECTIOUS disease transmission
- Publication
Journal of Infection & Chemotherapy (Springer Science & Business Media B.V.), 2013, Vol 19, Issue 5, p871
- ISSN
1341-321X
- Publication type
Article
- DOI
10.1007/s10156-013-0584-y