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Long-Term Control of Endemic Hospital-Wide Methicillin-Resistant Staphylococcus aureus (MRSA): The Impact of Targeted Active Surveillance for MRSA in Patients and Healthcare Workers

Opened Access Long-Term Control of Endemic Hospital-Wide Methicillin-Resistant Staphylococcus aureus (MRSA): The Impact of Targeted Active Surveillance for MRSA in Patients and Healthcare Workers

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Autor: Rodríguez-Baño, Jesús
García, Lola
Ramírez, Encarnación
Lupión Mendoza, Carmen
Muniain Ezcurra, Miguel Angel
Velasco Ramírez, María del Carmen
Gálvez-Acebal, Juan
Toro López, María Dolores del
B. Millán, Antonio
López Cerero, Lorena
Pascual Hernández, Álvaro
Departamento: Universidad de Sevilla. Departamento de Medicina.
Universidad de Sevilla. Departamento de Microbiología
Fecha: 2010-08
Tipo de documento: Artículo
Resumen: To evaluate the long-term impact of successive interventions on rates of methicillin-resistant Staphylococcus aureus (MRSA) colonization or infection and MRSA bacteremia in an endemic hospital-wide situation. DESIGN:Quasi-experimental, interrupted time-series analysis. The impact of the interventions was analyzed by use of segmented regression. Representative MRSA isolates were typed by use of pulsed-field gel electrophoresis. SETTING:A 950-bed teaching hospital in Seville, Spain. PATIENTS:All patients admitted to the hospital during the period from 1995 through 2008. METHODS:Three successive interventions were studied: (1) contact precautions, with no active surveillance for MRSA; (2) targeted active surveillance for MRSA in patients and healthcare workers in specific wards, prioritized according to clinical epidemiology data; and (3) targeted active surveillance for MRSA in patients admitted from other medical centers. RESULTS:Neither the preintervention rate of MRSA colonization or...
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Cita: Rodríguez-Baño, J., García, L., Ramírez, E., Lupión Mendoza, C., Muniain Ezcurra, M.A., Velasco Ramírez, M.d.C.,...,Pascual Hernández, Á. (2010). Long-Term Control of Endemic Hospital-Wide Methicillin-Resistant Staphylococcus aureus (MRSA): The Impact of Targeted Active Surveillance for MRSA in Patients and Healthcare Workers.
Tamaño: 1.291Mb
Formato: PDF

URI: http://hdl.handle.net/11441/40206

DOI: http://dx.doi.org/10.1086/654003

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