Methicillin-resistant Staphylococcus aureus nosocomial acquisition and carrier state in a wound care center

被引:22
作者
Kac, G
Buu-Hoï, A
Hérisson, E
Biancardini, P
Debure, C
机构
[1] Hop Broussais, Microbiol Serv, Unite Hyg, F-75014 Paris, France
[2] Hop Broussais, Microbiol Lab, F-75014 Paris, France
[3] Hop Broussais, Serv Reeduc Vasc, F-75014 Paris, France
关键词
D O I
10.1001/archderm.136.6.735
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Objective: To assess methicillin-resistant Staphylococcus aureus (MRSA) nosocomial acquisition and carrier state in a wound care center. Design and Setting: The results of an intervention to control MRSA were compared with those of historical controls at the wound care center of university-based Hopital Broussais, Paris, France. Patients: Patients admitted for specific care of chronic ulcers and surgical wounds. Main Outcome Measures: Incidence rates of MRSA carriers and acquisition in wounds. Results: Of 88 patients admitted during a 3-month preintervention period in 1993, 18 (21%) were MRSA carriers. Of 334 patients admitted in 1994 and 395 in 1996, 65 (19.5%) and 81 (20.5%) were MRSA carriers, respectively (P=.80). In 1993, 6 (9%) of 70 patients without MRSA acquired MRSA wound infections; the corresponding numbers were 6 (2.2%) of 269 in 1994 and 3 (0.9%) of 314 in 1996. Despite that the number of MRSA carriers remained stable at admission to the wound care center, the rate of MRSA infections in wounds per 100 noncarriers decreased significantly between the preintervention period and subsequent pears: 1994 (P=.02) and 1996 (P=.002). Conclusions: Although our results are limited by the use of historical controls, they showed that simple infection control measures, such as the use of soap and water and barrier precautions associated with staff education, seemed to significantly reduce MRSA infection rates in patients with chronic skin breaks.
引用
收藏
页码:735 / 739
页数:5
相关论文
共 23 条
[1]  
Acar J., 1992, Pathologie Biologie, V40, P741
[2]  
AYLIFFE GAJ, 1996, RECOMMENDATIONS CONT, P1
[3]  
Bonten MJM, 1996, INFECT CONT HOSP EP, V17, P193
[4]  
BOYCE JM, 1992, INFECT CONT HOSP EP, V13, P725
[5]   Methicillin-resistant Staphylococcus aureus in nursing homes - Epidemiology, prevention and management [J].
Bradley, SF .
DRUGS & AGING, 1997, 10 (03) :185-198
[6]   METHICILLIN-RESISTANT STAPHYLOCOCCUS-AUREUS - COLONIZATION AND INFECTION IN A LONG-TERM CARE FACILITY [J].
BRADLEY, SF ;
TERPENNING, MS ;
RAMSEY, MA ;
ZARINS, LT ;
JORGENSEN, KA ;
SOTTILE, WS ;
SCHABERG, DR ;
KAUFFMAN, CA .
ANNALS OF INTERNAL MEDICINE, 1991, 115 (06) :417-422
[8]   Risk factors for developing clinical infection with methicillin-resistant Staphylococcus aureus (MRSA) amongst hospital patients initially only colonized with MRSA [J].
Coello, R ;
Glynn, JR ;
Gaspar, C ;
Picazo, JJ ;
Fereres, J .
JOURNAL OF HOSPITAL INFECTION, 1997, 37 (01) :39-46
[9]   CDC DEFINITIONS FOR NOSOCOMIAL INFECTIONS, 1988 [J].
GARNER, JS ;
JARVIS, WR ;
EMORI, TG ;
HORAN, TC ;
HUGHES, JM .
AMERICAN JOURNAL OF INFECTION CONTROL, 1988, 16 (03) :128-140
[10]   Selective screening of carriers for control of methicillin-resistant Staphylococcus aureus (MRSA) in high-risk hospital areas with a high level of endemic MRSA [J].
Girou, E ;
Pujade, G ;
Legrand, P ;
Cizeau, F ;
Brun-Buisson, C .
CLINICAL INFECTIOUS DISEASES, 1998, 27 (03) :543-550