Impact of a methicillin-resistant Staphylococcus aureus active surveillance program on contact precaution utilization in a surgical intensive care unit*
| Autor: | Victoria J. Fraser, Jeanne E. Zack, Craig M. Coopersmith, Liana R. Merz, David K. Warren, Rebecca M. Guth |
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| Rok vydání: | 2007 |
| Předmět: |
Staphylococcus aureus
Pediatrics medicine.medical_specialty Resuscitation Meticillin Microbial Sensitivity Tests Critical Care and Intensive Care Medicine medicine.disease_cause law.invention law Intensive care medicine Humans Infection control Prospective Studies Prospective cohort study Antibacterial agent business.industry Staphylococcal Infections Universal Precautions Methicillin-resistant Staphylococcus aureus Intensive care unit Intensive Care Units Population Surveillance Emergency medicine Methicillin Resistance business Surgery Department Hospital Program Evaluation medicine.drug |
| Zdroj: | Critical Care Medicine. 35:430-434 |
| ISSN: | 0090-3493 |
| DOI: | 10.1097/01.ccm.0000253813.98431.28 |
| Popis: | Objective: To determine the impact of an active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) on contact precaution utilization, as measured by additional number of contact precaution days attributable to the active surveillance program. Design: Prospective cohort study. Setting: Twenty-four-bed surgical intensive care unit (ICU). Patients: All patients admitted to the surgical ICU. Interventions: Nasal cultures for MRSA were performed at admission to a surgical ICU for 19 months. Patients admitted >48 hrs also received weekly and discharge nasal cultures. Measurements and Main Results: Clinical data, including start date and initial indication for contact precautions, were prospectively collected. Of 1,893 admissions, 253 (13%) were found to be MRSA-positive during their ICU stay. One hundred forty-six (58%) were identified by nasal culture alone. Compared with the first 10 months of study, the prevalence of MRSA on admission to the ICU during the last 9 months of the study period significantly increased (7.2% vs. 11.4%, p |
| Databáze: | OpenAIRE |
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