The Impact of a Universal Decolonization Protocol on Hospital-Acquired Methicillin-Resistant Staphylococcus aureus in a Burn Population
| Autor: | Ryan M Fey, Anne L Lambert Wagner, Arthur T Johnson, Ellie M. Cohen, Rachel M. Nygaard |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Methicillin-Resistant Staphylococcus aureus Pediatrics medicine.medical_specialty Adolescent Burn Units Population Mupirocin 030501 epidemiology medicine.disease_cause law.invention Young Adult 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Clinical Protocols law Intensive care Internal medicine Humans Medicine 030212 general & internal medicine education Cross Infection Infection Control education.field_of_study business.industry Incidence Incidence (epidemiology) Chlorhexidine Rehabilitation Baths Burn center Middle Aged Staphylococcal Infections Intensive care unit Methicillin-resistant Staphylococcus aureus Anti-Bacterial Agents chemistry Staphylococcus aureus Emergency Medicine Female Surgery Burns 0305 other medical science business |
| Zdroj: | Journal of Burn Care & Research. 37:e525-e530 |
| ISSN: | 1559-047X |
| DOI: | 10.1097/bcr.0000000000000301 |
| Popis: | Hospital-acquired (HA) methicillin-resistant Staphylococcus aureus (MRSA) is a leading cause of HA infections and a significant concern for burn centers. The use of 2% chlorhexidine-impregnated wipes and nasal mupirocin significantly decreases the rate of HA-MRSA in adult intensive care units. The aim of this study was to examine the impact of universal decolonization on the rate of MRSA conversion in an American Burn Association verified adult and pediatric burn center. Universal decolonization protocol consisting of daily chlorhexidine baths and a 5-day course of nasal mupirocin was implemented in the burn unit. MRSA screening both on admission and weekly and contact isolation practices were in place in pre-decolonization and post-decolonization periods. Patient data were analyzed 2 years before and 1 year after implementation of the protocol. The incidence rate of MRSA was significantly decreased after the implementation of the decolonization protocol (11.8 vs 1.0 per 1000 patient days, P < .001). Secondary to the loss of the skin barrier and suppressed immune systems, burn patients are at greater risk for invasive infection leading to severe complications and death. The prevalence of HA-MRSA at our institution's burn center was significantly decreased after the implementation of a universal decolonization protocol. |
| Databáze: | OpenAIRE |
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