Nationwide reduction of health careeassociated methicillin-resistant Staphylococcus aureus infections in Veterans Affairs long-term care facilities

被引：37

作者：

Evans, Martin E. ^{[1
,2
,3
]}

Kralovic, Stephen M. ^{[4
,5
,6
]}

Simbartl, Loretta A. ^{[4
,5
]}

Freyberg, Ron W. ^{[7
]}

Obrosky, D. Scott ^{[8
]}

Roselle, Gary A. ^{[4
,5
,6
]}

Jain, Rajiv

机构：

[1] Vet Hlth Adm MRSA, MDRO Program Off, Vet Affairs Cent Off, Natl Infect Dis Serv,Patient Care Serv, Lexington, KY USA

[2] Lexington Vet Affairs Med Ctr, Lexington, KY USA

[3] Univ Kentucky, Sch Med, Dept Internal Med, Lexington, KY 40536 USA

[4] Vet Affairs Cent Off, Patient Care Serv, Natl Infect Dis Serv, Cincinnati, OH USA

[5] Cincinnati Vet Affairs Med Ctr, Cincinnati, OH USA

[6] Univ Cincinnati, Coll Med, Dept Internal Med, Cincinnati, OH USA

[7] Vet Affairs Inpatient Evaluat Ctr, Cincinnati, OH USA

[8] Vet Affairs Pittsburgh Healthcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA USA

来源：

AMERICAN JOURNAL OF INFECTION CONTROL | 2014年 / 42卷 / 01期

关键词：

Methicillin-resistant Staphylococcus aureus; Long-term care; Nursing home; Health care-associated infection; NURSING-HOMES; COLONIZATION; PREVENTION; RESIDENTS; CARRIAGE;

D O I：

10.1016/j.ajic.2013.06.004

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

100235 [预防医学];

摘要：

The Veterans Affairs methicillin-resistant Staphylococcus aureus (MRSA) Prevention Initiative was implemented in its 133 long-term care facilities in January 2009. Between July 2009 and December 2012, there were similar to 12.9 million resident-days in these facilities nationwide. During this period, the mean quarterly MRSA admission prevalence increased from 23.3% to 28.7% (P < .0001, Poisson regression for trend), but the overall rate of MRSA health care-associated infections decreased by 36%, from 0.25 to 0.16/1,000 resident-days (P < .0001, Poisson regression for trend). Published by Elsevier Inc. on behalf of the Association for Professionals in Infection Control and Epidemiology, Inc.

引用

页码：60 / 62

页数：3

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