Preventing the introduction of meticillin-resistant Staphylococcus aureus into hospitals
The objective of this review was to provide an up-to-date account of the interventions used to prevent the introduction of meticillin-resistant Staphylococcus aureus (MRSA) from the expanding community and livestock reservoirs into hospitals in the USA, Denmark, The Netherlands and Western Australia...
| Main Authors: | , , , , , , , |
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| Format: | Journal Article |
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Elsevier
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/9132 |
| _version_ | 1848745861248450560 |
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| author | Larsen, J. David, M. Vos, M. Coombs, Geoffrey Grundmann, H. Harbarth, S. Voss, A. Skov, R. |
| author_facet | Larsen, J. David, M. Vos, M. Coombs, Geoffrey Grundmann, H. Harbarth, S. Voss, A. Skov, R. |
| author_sort | Larsen, J. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | The objective of this review was to provide an up-to-date account of the interventions used to prevent the introduction of meticillin-resistant Staphylococcus aureus (MRSA) from the expanding community and livestock reservoirs into hospitals in the USA, Denmark, The Netherlands and Western Australia. A review of existing literature and local guidelines for the management of MRSA in hospitals was performed. In Denmark, The Netherlands and Western Australia, where the prevalence of MRSA is relatively low, targeted admission screening and isolation of predefined high-risk populations have been used for several decades to successfully control MRSA in the hospital. Furthermore, in Denmark and The Netherlands, all identified MRSA carriers undergo routine decolonisation, whereas only carriers of particularly transmissible or virulent MRSA clones are subjected to decolonisation in Western Australia. In the USA, which continues to be a high-prevalence MRSA country, policies vary by state and even by hospital, and whilst guidelines from professional organisations provide a framework for infection control practices, these guidelines lack the authority of a legislative mandate. In conclusion, the changing epidemiology of MRSA, exemplified by the recent emergence of MRSA in the community and in food animals, makes it increasingly difficult to accurately identify specific high-risk groups to screen for MRSA carriage. Understanding the changing epidemiology of MRSA in a local as well as global context is fundamental to prevent the introduction of MRSA into hospitals. |
| first_indexed | 2025-11-14T06:24:05Z |
| format | Journal Article |
| id | curtin-20.500.11937-9132 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:24:05Z |
| publishDate | 2014 |
| publisher | Elsevier |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-91322017-09-13T14:51:30Z Preventing the introduction of meticillin-resistant Staphylococcus aureus into hospitals Larsen, J. David, M. Vos, M. Coombs, Geoffrey Grundmann, H. Harbarth, S. Voss, A. Skov, R. Screening Reservoir Meticillin-resistant Staphylococcus aureus Infection control Decolonisation Hospital Isolation The objective of this review was to provide an up-to-date account of the interventions used to prevent the introduction of meticillin-resistant Staphylococcus aureus (MRSA) from the expanding community and livestock reservoirs into hospitals in the USA, Denmark, The Netherlands and Western Australia. A review of existing literature and local guidelines for the management of MRSA in hospitals was performed. In Denmark, The Netherlands and Western Australia, where the prevalence of MRSA is relatively low, targeted admission screening and isolation of predefined high-risk populations have been used for several decades to successfully control MRSA in the hospital. Furthermore, in Denmark and The Netherlands, all identified MRSA carriers undergo routine decolonisation, whereas only carriers of particularly transmissible or virulent MRSA clones are subjected to decolonisation in Western Australia. In the USA, which continues to be a high-prevalence MRSA country, policies vary by state and even by hospital, and whilst guidelines from professional organisations provide a framework for infection control practices, these guidelines lack the authority of a legislative mandate. In conclusion, the changing epidemiology of MRSA, exemplified by the recent emergence of MRSA in the community and in food animals, makes it increasingly difficult to accurately identify specific high-risk groups to screen for MRSA carriage. Understanding the changing epidemiology of MRSA in a local as well as global context is fundamental to prevent the introduction of MRSA into hospitals. 2014 Journal Article http://hdl.handle.net/20.500.11937/9132 10.1016/j.jgar.2014.09.003 Elsevier restricted |
| spellingShingle | Screening Reservoir Meticillin-resistant Staphylococcus aureus Infection control Decolonisation Hospital Isolation Larsen, J. David, M. Vos, M. Coombs, Geoffrey Grundmann, H. Harbarth, S. Voss, A. Skov, R. Preventing the introduction of meticillin-resistant Staphylococcus aureus into hospitals |
| title | Preventing the introduction of meticillin-resistant Staphylococcus aureus into hospitals |
| title_full | Preventing the introduction of meticillin-resistant Staphylococcus aureus into hospitals |
| title_fullStr | Preventing the introduction of meticillin-resistant Staphylococcus aureus into hospitals |
| title_full_unstemmed | Preventing the introduction of meticillin-resistant Staphylococcus aureus into hospitals |
| title_short | Preventing the introduction of meticillin-resistant Staphylococcus aureus into hospitals |
| title_sort | preventing the introduction of meticillin-resistant staphylococcus aureus into hospitals |
| topic | Screening Reservoir Meticillin-resistant Staphylococcus aureus Infection control Decolonisation Hospital Isolation |
| url | http://hdl.handle.net/20.500.11937/9132 |