Author:
Richet Hervé M.,Benbachir Mohamed,Brown Derek F. J.,Giamarellou Helen,Gould Ian,Gubina Marija,Heczko Piotr,Kalenic Smilja,Pana Marina,Pittet Didier,Redjeb Saida Ben,Schindler Jiri,Starling Carlos,Struelens Marc J.,Witte Wolfgang,Jarvis William R.,
Abstract
AbstractObjective:To assess the way healthcare facilities (HCFs) diagnose, survey, and control methicillin-resistantStaphylococcus aureus(MRSA).Design:Questionnaire.Setting:Ninety HCFs in 30 countries.Results:Evaluation of susceptibility testing methods showed that 8 laboratories (9%) used oxacillin disks with antimicrobial content different from the one recommended, 12 (13%) did not determine MRSA susceptibility to vancomycin, and 4 (4.5%) reported instances of isolation of vancomycin-resistantS. aureusbut neither confirmed this resistance nor alerted public health authorities. A MRSA control program was reported by 55 (61.1%) of the HCFs. The following isolation precautions were routinely used: hospitalization in a private room (34.4%), wearing of gloves (62.2%), wearing of gowns (44.4%), hand washing by healthcare workers (53.3%), use of an isolation sign on the patient's door (43%), or all four. When the characteristics of HCFs with low incidence rates (< 0.4 per 1,000 patient-days) were compared with those of HCFs with high incidence rates (P= 0.4 per 1,000 patient-days), having a higher mean number of beds per infection control nurse was the only factor significantly associated with HCFs with high incidence rates (834 vs 318 beds;P= .02).Conclusion:Our results emphasize the urgent need to strengthen the microbiologic and epidemiologic capacities of HCFs worldwide to prevent MRSA transmission and to prepare them to address the possible emergence of vancomycin-resistantS. aureus.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Microbiology (medical),Epidemiology
Cited by
28 articles.
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