Methicillin-resistant Staphylococcus aureus. Nosocomial acquisition and carrier state in a wound care center
| Autor: | Elisabeth Herisson, Annie Buu-Hoï, Guillaume Kac, Clélia Debure, Patricia Biancardini |
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| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Micrococcaceae Meticillin Dermatology Drug resistance medicine.disease_cause Wound care Risk Factors Internal medicine Skin Ulcer medicine Infection control Humans Surgical Wound Infection Gloves Surgical Disposable Equipment Aged Aged 80 and over Cross Infection biology business.industry Incidence (epidemiology) Surgical wound General Medicine Staphylococcal Infections biology.organism_classification Methicillin-resistant Staphylococcus aureus Surgery Case-Control Studies Carrier State Wound Infection Methicillin Resistance France business medicine.drug Hand Disinfection |
| Zdroj: | Archives of dermatology. 136(6) |
| ISSN: | 0003-987X |
| Popis: | Objective To assess methicillin-resistant Staphylococcus aureus (MRSA) nosocomial acquisition and carrier state in a wound care center. Design and Setting The results of an intervention to control MRSA were compared with those of historical controls at the wound care center of university-based Hopital Broussais, Paris, France. Patients Patients admitted for specific care of chronic ulcers and surgical wounds. Main Outcome Measures Incidence rates of MRSA carriers and acquisition in wounds. Results Of 88 patients admitted during a 3-month preintervention period in 1993, 18 (21%) were MRSA carriers. Of 334 patients admitted in 1994 and 395 in 1996, 65 (19.5%) and 81 (20.5%) were MRSA carriers, respectively ( P =.80). In 1993, 6 (9%) of 70 patients without MRSA acquired MRSA wound infections; the corresponding numbers were 6 (2.2%) of 269 in 1994 and 3 (0.9%) of 314 in 1996. Despite that the number of MRSA carriers remained stable at admission to the wound care center, the rate of MRSA infections in wounds per 100 noncarriers decreased significantly between the preintervention period and subsequent years: 1994 ( P =.02) and 1996 ( P =.002). Conclusions Although our results are limited by the use of historical controls, they showed that simple infection control measures, such as the use of soap and water and barrier precautions associated with staff education, seemed to significantly reduce MRSA infection rates in patients with chronic skin breaks. |
| Databáze: | OpenAIRE |
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