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

Richet, H. M.; Benbachir, Mohamed; Brown, D. E.; Giamarellou, Helen; Gould, Ian; Gubina, Marija; Heczko, Piotr; Kalenic, Smilja; Pana, Marina; Pittet, Didier; Redjeb, S. B.; Schindler, Jiri; Starling, Carlos; Struelens, M. J.; Witte, Wolfgang; Jarvis, W. R.

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Title		Are there regional variations in the diagnosis, surveillance, and control of methicillin-resistant Staphylococcus aureus?
Authors		Richet, H. M. Benbachir, Mohamed Brown, D. E. Giamarellou, Helen Gould, Ian Gubina, Marija Heczko, Piotr Kalenic, Smilja Pana, Marina Pittet, Didier Redjeb, S. B. Schindler, Jiri Starling, Carlos Struelens, M. J. Witte, Wolfgang Jarvis, W. R. show all authors [1 - 16]
Published in		Infection Control and Hospital Epidemiology. 2003, vol. 24, no. 5, p. 334-341
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'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 (> or = 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.
Keywords		Cross Infection/ diagnosis/epidemiology/microbiology/prevention & control — Hospitals, Public — Hospitals, Teaching — Humans — Infection Control/ methods — Methicillin Resistance — Microbial Sensitivity Tests — Sentinel Surveillance — Staphylococcal Infections/ diagnosis/epidemiology/microbiology/prevention & control — Staphylococcus aureus/drug effects/ isolation & purification — Vancomycin Resistance — World Health
Identifiers		DOI: 10.1086/502216 PMID: 12785406
Full text		Article - Limited access to UNIGE Other version: http://www.journals.uchicago.edu/doi/abs/10.1086/502216
Structures		Faculté de médecine / Section de médecine clinique / Département de médecine interne des spécialités
Research group		Staphylocoques dorés résistants à la méthicilline et hygiène hospitalière (330)
Citation (ISO format)		RICHET, H. M. et al. Are there regional variations in the diagnosis, surveillance, and control of methicillin-resistant Staphylococcus aureus?. In: Infection Control and Hospital Epidemiology, 2003, vol. 24, n° 5, p. 334-341. https://archive-ouverte.unige.ch/unige:7548