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Postgraduate Thesis: MRSA bloodstream infection and the efficacy of an infection control program in a local Hong Kong hospital
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TitleMRSA bloodstream infection and the efficacy of an infection control program in a local Hong Kong hospital
 
AuthorsTse, Yin-fung
謝彥丰
 
Issue Date2011
 
PublisherThe University of Hong Kong (Pokfulam, Hong Kong)
 
AbstractObjective. (1) To evaluate the efficacy of enhanced infection control measures against hospital acquired methicillin resistant Staphylococcus aureus (MRSA) bacteremia in a local hospital. (2) To determine the demographic characteristics of patients with MRSA bacteremia and identify possible sources of infection. Setting. A 720?bed community hospital in Hong Kong. Methods. Cases with MRSA bacteremias were retrospectively analyzed between January 2009 and December 2011. Isolates were identified by hospital microbiology laboratory and the discharge summaries of patients with positive MRSA blood cultures were reviewed. The rates of MRSA bacteremia before and after infection control measures were compared. Results. A significant reduction of hospital acquired MRSA bacteremia was observed after the infection control program. The major sources of bacteremia were bone/skin/soft tissue infections, respiratory tract and urinary tract despite a large proportion of cases had an unknown source. There was no significant difference in the source of bacteremia for hospital and community acquired cases. Mortality was significantly higher for cases with hospital acquired bacteremia. Conclusions. Implementation of an enhanced infection control program effectively decreased the rate of hospital acquired MRSA bacteremia.
 
DescriptionThesis (P. Dip.)--University of Hong Kong, 2012.
"This work is submitted to Faculty of Medicine of the University of Hong Kong in partial fulfillment of the requirements for the Postgraduate Diploma in Infectious Diseases, PDipID (HK)."
Includes bibliographical references (p. 15).
 
DegreePostgraduate Diploma in Infectious Diseases
 
SubjectStaphylococcus aureus infections -- China -- Hong Kong.
Methicillin resistance -- China -- Hong Kong.
Nosocomial infections -- China -- Hong Kong -- Prevention.
 
Dept/ProgramMicrobiology
 
DC FieldValue
dc.contributor.authorTse, Yin-fung
 
dc.contributor.author謝彥丰
 
dc.date.accessioned2012-11-01T02:50:34Z
 
dc.date.available2012-11-01T02:50:34Z
 
dc.date.issued2011
 
dc.description.abstractObjective. (1) To evaluate the efficacy of enhanced infection control measures against hospital acquired methicillin resistant Staphylococcus aureus (MRSA) bacteremia in a local hospital. (2) To determine the demographic characteristics of patients with MRSA bacteremia and identify possible sources of infection. Setting. A 720?bed community hospital in Hong Kong. Methods. Cases with MRSA bacteremias were retrospectively analyzed between January 2009 and December 2011. Isolates were identified by hospital microbiology laboratory and the discharge summaries of patients with positive MRSA blood cultures were reviewed. The rates of MRSA bacteremia before and after infection control measures were compared. Results. A significant reduction of hospital acquired MRSA bacteremia was observed after the infection control program. The major sources of bacteremia were bone/skin/soft tissue infections, respiratory tract and urinary tract despite a large proportion of cases had an unknown source. There was no significant difference in the source of bacteremia for hospital and community acquired cases. Mortality was significantly higher for cases with hospital acquired bacteremia. Conclusions. Implementation of an enhanced infection control program effectively decreased the rate of hospital acquired MRSA bacteremia.
 
dc.description.naturepublished_or_final_version
 
dc.descriptionThesis (P. Dip.)--University of Hong Kong, 2012.
 
dc.description"This work is submitted to Faculty of Medicine of the University of Hong Kong in partial fulfillment of the requirements for the Postgraduate Diploma in Infectious Diseases, PDipID (HK)."
 
dc.descriptionIncludes bibliographical references (p. 15).
 
dc.description.thesisdisciplineMicrobiology
 
dc.description.thesislevelPostgraduate diploma
 
dc.description.thesisnamePostgraduate Diploma in Infectious Diseases
 
dc.identifier.hkulb4832064
 
dc.identifier.urihttp://hdl.handle.net/10722/173744
 
dc.languageeng
 
dc.publisherThe University of Hong Kong (Pokfulam, Hong Kong)
 
dc.rightsCreative Commons: Attribution 3.0 Hong Kong License
 
dc.rightsThe author retains all proprietary rights, (such as patent rights) and the right to use in future works.
 
dc.subject.lcshStaphylococcus aureus infections -- China -- Hong Kong.
 
dc.subject.lcshMethicillin resistance -- China -- Hong Kong.
 
dc.subject.lcshNosocomial infections -- China -- Hong Kong -- Prevention.
 
dc.titleMRSA bloodstream infection and the efficacy of an infection control program in a local Hong Kong hospital
 
dc.typePG_Thesis
 
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<item><contributor.author>Tse, Yin-fung</contributor.author>
<contributor.author>&#35613;&#24421;&#20016;</contributor.author>
<date.accessioned>2012-11-01T02:50:34Z</date.accessioned>
<date.available>2012-11-01T02:50:34Z</date.available>
<date.issued>2011</date.issued>
<identifier.uri>http://hdl.handle.net/10722/173744</identifier.uri>
<description>Thesis (P. Dip.)--University of Hong Kong, 2012.</description>
<description>&quot;This work is submitted to Faculty of Medicine of the University of Hong Kong in partial fulfillment of the requirements for the Postgraduate Diploma in Infectious Diseases, PDipID (HK).&quot;</description>
<description>Includes bibliographical references (p. 15).</description>
<description.abstract>Objective. (1) To evaluate the efficacy of enhanced infection control measures
against hospital acquired methicillin resistant Staphylococcus aureus (MRSA)
bacteremia in a local hospital. (2) To determine the demographic characteristics of
patients with MRSA bacteremia and identify possible sources of infection.
Setting. A 720?bed community hospital in Hong Kong.
Methods. Cases with MRSA bacteremias were retrospectively analyzed between
January 2009 and December 2011. Isolates were identified by hospital microbiology
laboratory and the discharge summaries of patients with positive MRSA blood
cultures were reviewed. The rates of MRSA bacteremia before and after infection
control measures were compared.
Results. A significant reduction of hospital acquired MRSA bacteremia was
observed after the infection control program. The major sources of bacteremia were
bone/skin/soft tissue infections, respiratory tract and urinary tract despite a large
proportion of cases had an unknown source. There was no significant difference in
the source of bacteremia for hospital and community acquired cases. Mortality was
significantly higher for cases with hospital acquired bacteremia.
Conclusions. Implementation of an enhanced infection control program effectively
decreased the rate of hospital acquired MRSA bacteremia.</description.abstract>
<language>eng</language>
<publisher>The University of Hong Kong (Pokfulam, Hong Kong)</publisher>
<rights>Creative Commons: Attribution 3.0 Hong Kong License</rights>
<rights>The author retains all proprietary rights, (such as patent rights) and the right to use in future works.</rights>
<subject.lcsh>Staphylococcus aureus infections -- China -- Hong Kong.</subject.lcsh>
<subject.lcsh>Methicillin resistance -- China -- Hong Kong.</subject.lcsh>
<subject.lcsh>Nosocomial infections -- China -- Hong Kong -- Prevention.</subject.lcsh>
<title>MRSA bloodstream infection and the efficacy of an infection control program in a local Hong Kong hospital</title>
<type>PG_Thesis</type>
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<description.thesisname>Postgraduate Diploma in Infectious Diseases</description.thesisname>
<description.thesislevel>Postgraduate diploma</description.thesislevel>
<description.thesisdiscipline>Microbiology</description.thesisdiscipline>
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