5 years of experience implementing a methicillin-resistant Staphylococcus aureus search and destroy policy at the largest university medical center in the Netherlands

OBJECTIVE: To evaluate the effectiveness of a rigorous search and destroy policy for controlling methicillin-resistant Staphylococcus aureus (MRSA) infection or colonization. DESIGN: Hospital-based observational follow-up study. SETTING: Erasmus University Medical Center Rotterdam, a 1,200-bed tertiary care center in Rotterdam, the Netherlands. METHODS: Outbreak control was accomplished by the use of active surveillance cultures for persons at risk, by the preemptive isolation of patients at risk, and by the strict isolation of known MRSA carriers and the eradication of MRSA carriage. For unex... Mehr ...

Verfasser: Vos, M.C. (Margreet)
Behrendt, M.D. (Myra)
Melles, D.C. (Damian)
Mollema, F.P.N. (Femke)
Groot, W. (Woutrinus) de
Parlevliet, G. (Gerard)
Ott, A. (Alewijn)
Horst-Kreft, D. (Deborah)
Belkum, A.F. (Alex) van
Verbrugh, H.A. (Henri)
Dokumenttyp: Artikel
Erscheinungsdatum: 2009
Schlagwörter: *Program Evaluation / Academic Medical Centers/*statistics & numerical data / Carrier State/epidemiology/microbiology/prevention & control / Cross Infection/epidemiology/microbiology/*prevention & control / Culture Media / Disease Outbreaks/*prevention & control / Health Personnel / Health Policy / Humans / Infection Control/*methods / Mass Screening/*methods / Methicillin-Resistant Staphylococcus aureus/*isolation & purification / Microbial Sensitivity Tests / Netherlands/epidemiology / Patient Isolation / Staphylococcal Infections/diagnosis/microbiology/prevention & control
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-27217244
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://repub.eur.nl/pub/17674

OBJECTIVE: To evaluate the effectiveness of a rigorous search and destroy policy for controlling methicillin-resistant Staphylococcus aureus (MRSA) infection or colonization. DESIGN: Hospital-based observational follow-up study. SETTING: Erasmus University Medical Center Rotterdam, a 1,200-bed tertiary care center in Rotterdam, the Netherlands. METHODS: Outbreak control was accomplished by the use of active surveillance cultures for persons at risk, by the preemptive isolation of patients at risk, and by the strict isolation of known MRSA carriers and the eradication of MRSA carriage. For unexpected cases of MRSA colonization or infection, patients placed in strict isolation or contact isolation and healthcare workers (HCWs) were screened. We collected data from 2000-2004. RESULTS: During the 5-year study period, 51,907 MRSA screening cultures