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Article: Are there regional variations in the diagnosis surveillance, and control of methicillin-resistant Staphylococcus aureus?

TitleAre there regional variations in the diagnosis surveillance, and control of methicillin-resistant Staphylococcus aureus?
Authors
Issue Date2003
PublisherUniversity of Chicago Press. The Journal's web site is located at http://www.journals.uchicago.edu/ICHE/home.html
Citation
Infection Control And Hospital Epidemiology, 2003, v. 24 n. 5, p. 334-341 How to Cite?
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.
Persistent Identifierhttp://hdl.handle.net/10722/157357
ISSN
2014 Impact Factor: 4.175
2014 SCImago Journal Rankings: 1.800
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorRichet, HMen_US
dc.contributor.authorBenbachir, Men_US
dc.contributor.authorBrown, DFJen_US
dc.contributor.authorGiamarellou, Hen_US
dc.contributor.authorGould, Ien_US
dc.contributor.authorGubina, Men_US
dc.contributor.authorHeczko, Pen_US
dc.contributor.authorKalenic, Sen_US
dc.contributor.authorPana, Men_US
dc.contributor.authorPittet, Den_US
dc.contributor.authorRedjeb, SBen_US
dc.contributor.authorSchindler, Jen_US
dc.contributor.authorStarling, Cen_US
dc.contributor.authorStruelens, MJen_US
dc.contributor.authorWitte, Wen_US
dc.contributor.authorJarvis, WRen_US
dc.contributor.authorLopardo, Hen_US
dc.contributor.authorRotter, Men_US
dc.contributor.authorStruelens, Men_US
dc.contributor.authorOstjic, Men_US
dc.contributor.authorSaliba, Jen_US
dc.contributor.authorMarkova, Ben_US
dc.contributor.authorYuen, KYen_US
dc.contributor.authorDosso, Men_US
dc.contributor.authorBencic, Ien_US
dc.contributor.authorKucisecTepes, Nen_US
dc.contributor.authorSkrlin, Jen_US
dc.contributor.authorSusic, Een_US
dc.contributor.authorTomic, Men_US
dc.contributor.authorBurgetova, Den_US
dc.contributor.authorAndreRicheten_US
dc.contributor.authorBarraud, Den_US
dc.contributor.authorBesnarden_US
dc.contributor.authorBichier, Een_US
dc.contributor.authorBingen, Men_US
dc.contributor.authorBranger, Cen_US
dc.contributor.authorCirioni, Aen_US
dc.contributor.authorClavel, Sen_US
dc.contributor.authorClévenot, Sen_US
dc.contributor.authorCollet, Aen_US
dc.contributor.authorCoulomb, Fen_US
dc.contributor.authorCourvalin, Pen_US
dc.contributor.authorDavid, Aen_US
dc.contributor.authorDenis, Fen_US
dc.contributor.authorPloy, MCen_US
dc.contributor.authorEsvant, JYen_US
dc.contributor.authorFerranten_US
dc.contributor.authorGenuis, Aen_US
dc.contributor.authorGuiren_US
dc.contributor.authorJan, Den_US
dc.contributor.authorJezequel, Fen_US
dc.contributor.authorLaborie, JLen_US
dc.contributor.authorLe Gallou, Fen_US
dc.contributor.authorLemoignen_US
dc.contributor.authorRennes, Cen_US
dc.contributor.authorRichard, Pen_US
dc.contributor.authorRuellan, Yen_US
dc.contributor.authorVaucel, Jen_US
dc.contributor.authorZbierski, Len_US
dc.contributor.authorChristiansen, Ben_US
dc.contributor.authorFitzner, Jen_US
dc.contributor.authorHermann, Men_US
dc.contributor.authorKramer, Men_US
dc.contributor.authorMathys, Wen_US
dc.contributor.authorSchubert, Sen_US
dc.contributor.authorWeber, Sen_US
dc.contributor.authorKatrachoura, Aen_US
dc.contributor.authorPapafrangas, EAen_US
dc.contributor.authorSofianou, Den_US
dc.contributor.authorMarton, Aen_US
dc.contributor.authorKeller, Nen_US
dc.contributor.authorRubinstein, Een_US
dc.contributor.authorCornaglia, Gen_US
dc.contributor.authorPerevostikos, Jen_US
dc.contributor.authorSelga, Ien_US
dc.contributor.authorHemmer, Ren_US
dc.contributor.authorAlaoui, MAen_US
dc.contributor.authorBenoudaBenjilaji, Aen_US
dc.contributor.authorWagenvoort, JHTen_US
dc.contributor.authorPytlos, Men_US
dc.contributor.authorHryniewicz, Wen_US
dc.contributor.authorAndrei, MAen_US
dc.contributor.authorAndries, Den_US
dc.contributor.authorBlana, Den_US
dc.contributor.authorDebeleac, Len_US
dc.contributor.authorDorobat, Oen_US
dc.contributor.authorMedvetchiPanatescu, Aen_US
dc.contributor.authorNistor, Ien_US
dc.contributor.authorPapagheorge, Ren_US
dc.contributor.authorSilaghi, Een_US
dc.contributor.authorTudorache, Den_US
dc.contributor.authorDekhitch, Aen_US
dc.contributor.authorStratchounski, Len_US
dc.contributor.authorBoye, SBCen_US
dc.contributor.authorSeme, Ken_US
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dc.contributor.authorTrilla, Aen_US
dc.date.accessioned2012-08-08T08:49:17Z-
dc.date.available2012-08-08T08:49:17Z-
dc.date.issued2003en_US
dc.identifier.citationInfection Control And Hospital Epidemiology, 2003, v. 24 n. 5, p. 334-341en_US
dc.identifier.issn0899-823Xen_US
dc.identifier.urihttp://hdl.handle.net/10722/157357-
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.en_US
dc.languageengen_US
dc.publisherUniversity of Chicago Press. The Journal's web site is located at http://www.journals.uchicago.edu/ICHE/home.htmlen_US
dc.relation.ispartofInfection Control and Hospital Epidemiologyen_US
dc.subject.meshCross Infection - Diagnosis - Epidemiology - Microbiology - Prevention & Controlen_US
dc.subject.meshHospitals, Publicen_US
dc.subject.meshHospitals, Teachingen_US
dc.subject.meshHumansen_US
dc.subject.meshInfection Control - Methodsen_US
dc.subject.meshMethicillin Resistanceen_US
dc.subject.meshMicrobial Sensitivity Testsen_US
dc.subject.meshSentinel Surveillanceen_US
dc.subject.meshStaphylococcal Infections - Diagnosis - Epidemiology - Microbiology - Prevention & Controlen_US
dc.subject.meshStaphylococcus Aureus - Drug Effects - Isolation & Purificationen_US
dc.subject.meshVancomycin Resistanceen_US
dc.subject.meshWorld Healthen_US
dc.titleAre there regional variations in the diagnosis surveillance, and control of methicillin-resistant Staphylococcus aureus?en_US
dc.typeArticleen_US
dc.identifier.emailYuen, KY:kyyuen@hkucc.hku.hken_US
dc.identifier.authorityYuen, KY=rp00366en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1086/502216en_US
dc.identifier.pmid12785406en_US
dc.identifier.scopuseid_2-s2.0-0037609704en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0037609704&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume24en_US
dc.identifier.issue5en_US
dc.identifier.spage334en_US
dc.identifier.epage341en_US
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dc.identifier.scopusauthoridGould, I=7102789342en_US
dc.identifier.scopusauthoridGubina, M=7004673583en_US
dc.identifier.scopusauthoridHeczko, P=7006121771en_US
dc.identifier.scopusauthoridKalenic, S=7003880273en_US
dc.identifier.scopusauthoridPana, M=6602926183en_US
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dc.identifier.scopusauthoridRedjeb, SB=35418876600en_US
dc.identifier.scopusauthoridSchindler, J=7102031056en_US
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