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Article: Are there regional variations in the diagnosis surveillance, and control of methicillin-resistant Staphylococcus aureus?
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TitleAre there regional variations in the diagnosis surveillance, and control of methicillin-resistant Staphylococcus aureus?
 
AuthorsRichet, HM11 10
Benbachir, M14
Brown, DFJ2
Giamarellou, H5
Gould, I4
Gubina, M13
Heczko, P16
Kalenic, S6
Pana, M9
Pittet, D7
Redjeb, SB3
Schindler, J12
Starling, C8
Struelens, MJ15
Witte, W1
Jarvis, WR11
Lopardo, H
Rotter, M
Struelens, M
Ostjic, M
Saliba, J
Markova, B
Yuen, KY
Dosso, M
Bencic, I
KucisecTepes, N
Skrlin, J
Susic, E
Tomic, M
Burgetova, D
AndreRichet
Barraud, D
Besnard
Bichier, E
Bingen, M
Branger, C
Cirioni, A
Clavel, S
Clévenot, S
Collet, A
Coulomb, F
Courvalin, P
David, A
Denis, F
Ploy, MC
Esvant, JY
Ferrant
Genuis, A
Guir
Jan, D
Jezequel, F
Laborie, JL
Le Gallou, F
Lemoign
Rennes, C
Richard, P
Ruellan, Y
Vaucel, J
Zbierski, L
Christiansen, B
Fitzner, J
Hermann, M
Kramer, M
Mathys, W
Schubert, S
Weber, S
Katrachoura, A
Papafrangas, EA
Sofianou, D
Marton, A
Keller, N
Rubinstein, E
Cornaglia, G
Perevostikos, J
Selga, I
Hemmer, R
Alaoui, MA
BenoudaBenjilaji, A
Wagenvoort, JHT
Pytlos, M
Hryniewicz, W
Andrei, MA
Andries, D
Blana, D
Debeleac, L
Dorobat, O
MedvetchiPanatescu, A
Nistor, I
Papagheorge, R
Silaghi, E
Tudorache, D
Dekhitch, A
Stratchounski, L
Boye, SBC
Seme, K
Garau, J
Navarro, F
Prats, G
Trilla, A
 
Issue Date2003
 
PublisherUniversity of Chicago Press. The Journal's web site is located at http://www.journals.uchicago.edu/ICHE/home.html
 
CitationInfection Control And Hospital Epidemiology, 2003, v. 24 n. 5, p. 334-341 [How to Cite?]
DOI: http://dx.doi.org/10.1086/502216
 
AbstractOBJECTIVE: To assess the way healthcare facilities (HCFs) diagnose, survey, and control methicillin-resistant Staphylococcus 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-resistant S. aureus but 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 (≥ 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-resistant S. aureus.
 
ISSN0899-823X
2013 Impact Factor: 3.938
2013 SCImago Journal Rankings: 2.413
 
DOIhttp://dx.doi.org/10.1086/502216
 
ISI Accession Number IDWOS:000182892700010
 
ReferencesReferences in Scopus
 
DC FieldValue
dc.contributor.authorRichet, HM
 
dc.contributor.authorBenbachir, M
 
dc.contributor.authorBrown, DFJ
 
dc.contributor.authorGiamarellou, H
 
dc.contributor.authorGould, I
 
dc.contributor.authorGubina, M
 
dc.contributor.authorHeczko, P
 
dc.contributor.authorKalenic, S
 
dc.contributor.authorPana, M
 
dc.contributor.authorPittet, D
 
dc.contributor.authorRedjeb, SB
 
dc.contributor.authorSchindler, J
 
dc.contributor.authorStarling, C
 
dc.contributor.authorStruelens, MJ
 
dc.contributor.authorWitte, W
 
dc.contributor.authorJarvis, WR
 
dc.contributor.authorLopardo, H
 
dc.contributor.authorRotter, M
 
dc.contributor.authorStruelens, M
 
dc.contributor.authorOstjic, M
 
dc.contributor.authorSaliba, J
 
dc.contributor.authorMarkova, B
 
dc.contributor.authorYuen, KY
 
dc.contributor.authorDosso, M
 
dc.contributor.authorBencic, I
 
dc.contributor.authorKucisecTepes, N
 
dc.contributor.authorSkrlin, J
 
dc.contributor.authorSusic, E
 
dc.contributor.authorTomic, M
 
dc.contributor.authorBurgetova, D
 
dc.contributor.authorAndreRichet
 
dc.contributor.authorBarraud, D
 
dc.contributor.authorBesnard
 
dc.contributor.authorBichier, E
 
dc.contributor.authorBingen, M
 
dc.contributor.authorBranger, C
 
dc.contributor.authorCirioni, A
 
dc.contributor.authorClavel, S
 
dc.contributor.authorClévenot, S
 
dc.contributor.authorCollet, A
 
dc.contributor.authorCoulomb, F
 
dc.contributor.authorCourvalin, P
 
dc.contributor.authorDavid, A
 
dc.contributor.authorDenis, F
 
dc.contributor.authorPloy, MC
 
dc.contributor.authorEsvant, JY
 
dc.contributor.authorFerrant
 
dc.contributor.authorGenuis, A
 
dc.contributor.authorGuir
 
dc.contributor.authorJan, D
 
dc.contributor.authorJezequel, F
 
dc.contributor.authorLaborie, JL
 
dc.contributor.authorLe Gallou, F
 
dc.contributor.authorLemoign
 
dc.contributor.authorRennes, C
 
dc.contributor.authorRichard, P
 
dc.contributor.authorRuellan, Y
 
dc.contributor.authorVaucel, J
 
dc.contributor.authorZbierski, L
 
dc.contributor.authorChristiansen, B
 
dc.contributor.authorFitzner, J
 
dc.contributor.authorHermann, M
 
dc.contributor.authorKramer, M
 
dc.contributor.authorMathys, W
 
dc.contributor.authorSchubert, S
 
dc.contributor.authorWeber, S
 
dc.contributor.authorKatrachoura, A
 
dc.contributor.authorPapafrangas, EA
 
dc.contributor.authorSofianou, D
 
dc.contributor.authorMarton, A
 
dc.contributor.authorKeller, N
 
dc.contributor.authorRubinstein, E
 
dc.contributor.authorCornaglia, G
 
dc.contributor.authorPerevostikos, J
 
dc.contributor.authorSelga, I
 
dc.contributor.authorHemmer, R
 
dc.contributor.authorAlaoui, MA
 
dc.contributor.authorBenoudaBenjilaji, A
 
dc.contributor.authorWagenvoort, JHT
 
dc.contributor.authorPytlos, M
 
dc.contributor.authorHryniewicz, W
 
dc.contributor.authorAndrei, MA
 
dc.contributor.authorAndries, D
 
dc.contributor.authorBlana, D
 
dc.contributor.authorDebeleac, L
 
dc.contributor.authorDorobat, O
 
dc.contributor.authorMedvetchiPanatescu, A
 
dc.contributor.authorNistor, I
 
dc.contributor.authorPapagheorge, R
 
dc.contributor.authorSilaghi, E
 
dc.contributor.authorTudorache, D
 
dc.contributor.authorDekhitch, A
 
dc.contributor.authorStratchounski, L
 
dc.contributor.authorBoye, SBC
 
dc.contributor.authorSeme, K
 
dc.contributor.authorGarau, J
 
dc.contributor.authorNavarro, F
 
dc.contributor.authorPrats, G
 
dc.contributor.authorTrilla, A
 
dc.date.accessioned2012-08-08T08:49:17Z
 
dc.date.available2012-08-08T08:49:17Z
 
dc.date.issued2003
 
dc.description.abstractOBJECTIVE: To assess the way healthcare facilities (HCFs) diagnose, survey, and control methicillin-resistant Staphylococcus 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-resistant S. aureus but 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 (≥ 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-resistant S. aureus.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationInfection Control And Hospital Epidemiology, 2003, v. 24 n. 5, p. 334-341 [How to Cite?]
DOI: http://dx.doi.org/10.1086/502216
 
dc.identifier.doihttp://dx.doi.org/10.1086/502216
 
dc.identifier.epage341
 
dc.identifier.isiWOS:000182892700010
 
dc.identifier.issn0899-823X
2013 Impact Factor: 3.938
2013 SCImago Journal Rankings: 2.413
 
dc.identifier.issue5
 
dc.identifier.pmid12785406
 
dc.identifier.scopuseid_2-s2.0-0037609704
 
dc.identifier.spage334
 
dc.identifier.urihttp://hdl.handle.net/10722/157357
 
dc.identifier.volume24
 
dc.languageeng
 
dc.publisherUniversity of Chicago Press. The Journal's web site is located at http://www.journals.uchicago.edu/ICHE/home.html
 
dc.publisher.placeUnited States
 
dc.relation.ispartofInfection Control and Hospital Epidemiology
 
dc.relation.referencesReferences in Scopus
 
dc.subject.meshCross Infection - Diagnosis - Epidemiology - Microbiology - Prevention & Control
 
dc.subject.meshHospitals, Public
 
dc.subject.meshHospitals, Teaching
 
dc.subject.meshHumans
 
dc.subject.meshInfection Control - Methods
 
dc.subject.meshMethicillin Resistance
 
dc.subject.meshMicrobial Sensitivity Tests
 
dc.subject.meshSentinel Surveillance
 
dc.subject.meshStaphylococcal Infections - Diagnosis - Epidemiology - Microbiology - Prevention & Control
 
dc.subject.meshStaphylococcus Aureus - Drug Effects - Isolation & Purification
 
dc.subject.meshVancomycin Resistance
 
dc.subject.meshWorld Health
 
dc.titleAre there regional variations in the diagnosis surveillance, and control of methicillin-resistant Staphylococcus aureus?
 
dc.typeArticle
 
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<contributor.author>Jezequel, F</contributor.author>
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<date.accessioned>2012-08-08T08:49:17Z</date.accessioned>
<date.available>2012-08-08T08:49:17Z</date.available>
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<identifier.citation>Infection Control And Hospital Epidemiology, 2003, v. 24 n. 5, p. 334-341</identifier.citation>
<identifier.issn>0899-823X</identifier.issn>
<identifier.uri>http://hdl.handle.net/10722/157357</identifier.uri>
<description.abstract>OBJECTIVE: To assess the way healthcare facilities (HCFs) diagnose, survey, and control methicillin-resistant Staphylococcus 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-resistant S. aureus but 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&apos;s door (43%), or all four. When the characteristics of HCFs with low incidence rates (&lt; 0.4 per 1,000 patient-days) were compared with those of HCFs with high incidence rates (&#8805; 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-resistant S. aureus.</description.abstract>
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Author Affiliations
  1. Robert Koch Institut
  2. Addenbrooke's Hospital
  3. Charles Nicolle Hospital Tunis
  4. National Health Service
  5. Sismanoglio Hospital
  6. University of Zagreb School of Medicine
  7. Hôpitaux universitaires de Genève
  8. F. Rocho/Vera Cruz/Sao Francisco H.
  9. Streptococcus Natl. Reference Center
  10. Institut de Biologie, Nantes
  11. Centers for Disease Control and Prevention
  12. Univerzita Karlova v Praze
  13. University of Ljubljana Faculty of Medicine
  14. Centre Hospitalier Universitaire Ibn-Rochd
  15. Hospital Erasme
  16. Collegium Medicum Uniwersytet Jagiellońskiego