Survey of meticillin-resistant Staphylococcus aureus policies in UK eye departments
| Autor: | I. K. Hosein, S.K. Webber, D. Rathod, N. Luqmani |
|---|---|
| Rok vydání: | 2009 |
| Předmět: |
Methicillin-Resistant Staphylococcus aureus
Microbiology (medical) medicine.medical_specialty Pediatrics Meticillin medicine.medical_treatment MEDLINE Surveys and Questionnaires medicine Humans Mass Screening Surgical Wound Infection Antibacterial agent Cross Infection Infection Control business.industry Public health Health services research General Medicine Staphylococcal Infections Cataract surgery Organizational Policy United Kingdom Confidence interval Infectious Diseases Meticillin resistant Family medicine Practice Guidelines as Topic Guideline Adherence Health Services Research business medicine.drug |
| Zdroj: | Journal of Hospital Infection. 72:314-318 |
| ISSN: | 0195-6701 |
| DOI: | 10.1016/j.jhin.2009.04.015 |
| Popis: | The purpose of this study was to investigate meticillin-resistant Staphylococcus aureus (MRSA) screening and decolonisation practices for patients undergoing routine cataract surgery in ophthalmology departments across the UK. A postal questionnaire survey of all ophthalmology departments in the UK was carried out, with 75 of 152 (49.3%) questionnaires returned. Sixty-three percent of units had a departmental MRSA policy. Preoperative MRSA screening was performed in 50 (66.7%) units, three of which screened all preoperative patients and the remainder performed selective screening. The proportion of patients screened for MRSA ranged from 0 to 100%, with a median of 2% and a mean of 9.9% (95% confidence interval: 3.5-16.2%). Overall, 65.3% of respondents felt that their departmental policy was reasonable, although there was considerable dissatisfaction and confusion, with comments identifying lack of evidence and the need for guidelines applicable to day-case cataract surgery. The survey demonstrates significant inconsistencies in preoperative MRSA screening practice in ophthalmology departments throughout the UK. Current recommendations from the Department of Health suggest that day-case ophthalmology patients do not require routine screening, although the implication appears that high risk patients continue to do so. Further investigation is required to ascertain the scientific validity of these recommendations. |
| Databáze: | OpenAIRE |
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