Meticillin-resistant
Contact patient
MRSA
Nosocomial transmission
Screening strategy
Spa type
Journal
Infection prevention in practice
ISSN: 2590-0889
Titre abrégé: Infect Prev Pract
Pays: England
ID NLM: 101777928
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
09
09
2021
accepted:
17
02
2022
entrez:
25
3
2022
pubmed:
26
3
2022
medline:
26
3
2022
Statut:
epublish
Résumé
The optimal screening strategy in hospitals to identify secondary cases after contact with a meticillin-resistant Single center, retrospective, nested case-control study. We evaluated the screening strategy in our 950 bed tertiary care hospital from 2008 - 2014. Room and ward contacts of MRSA index patients present at time of MRSA identification were screened. We compared characteristics of Among 270,000 inpatients from 2008 - 2014, 215 MRSA screenings yielded 3013 contact patients, and 6 (0.2%) spa-type matched pairs. We included 225 controls for the nested case-control study. The contact type for the cases was more frequently "same room" and less frequently "same ward" compared with the controls ( The extensive MRSA screening strategy revealed only few index/contact matches based on spa-typing. Prolonged exposure time and a shared room were significantly associated with MRSA transmission. A targeted screening strategy may be more useful in a low prevalence setting than screening entire wards.
Sections du résumé
Background
UNASSIGNED
The optimal screening strategy in hospitals to identify secondary cases after contact with a meticillin-resistant
Method
UNASSIGNED
Single center, retrospective, nested case-control study. We evaluated the screening strategy in our 950 bed tertiary care hospital from 2008 - 2014. Room and ward contacts of MRSA index patients present at time of MRSA identification were screened. We compared characteristics of
Results
UNASSIGNED
Among 270,000 inpatients from 2008 - 2014, 215 MRSA screenings yielded 3013 contact patients, and 6 (0.2%) spa-type matched pairs. We included 225 controls for the nested case-control study. The contact type for the cases was more frequently "same room" and less frequently "same ward" compared with the controls (
Conclusion
UNASSIGNED
The extensive MRSA screening strategy revealed only few index/contact matches based on spa-typing. Prolonged exposure time and a shared room were significantly associated with MRSA transmission. A targeted screening strategy may be more useful in a low prevalence setting than screening entire wards.
Identifiants
pubmed: 35330753
doi: 10.1016/j.infpip.2022.100211
pii: S2590-0889(22)00012-9
pmc: PMC8938870
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100211Informations de copyright
© 2022 The Authors.
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