The infection control management of MRSA in acute care

Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of...

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Main Authors: Halcomb, E, Fernandez, R., Griffiths, R., Newton, Phillip, Hickman, L.
Format: Journal Article
Published: Blackwell Publishing 2008
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/9897
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author Halcomb, E
Fernandez, R.
Griffiths, R.
Newton, Phillip
Hickman, L.
author_facet Halcomb, E
Fernandez, R.
Griffiths, R.
Newton, Phillip
Hickman, L.
author_sort Halcomb, E
building Curtin Institutional Repository
collection Online Access
description Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Mangement strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002.Fourteen papers met the inclusion criteria for this review. Of these, 11 papers achieved a quality schore above the threshold and were included in the review. Of the included papers, five describe MRSA outbreaks, while the remaining six describe endemic MRSA. All included studies used either exploratory descriptive or comparative designs. The varying combination of interventions described in the included studies make it impossible to differentiate the efficacy of individual or even groups of interventions. The fact that most studies reported positive findings may reflect the bias towards publication of effective interventions.This review provides evidence that the use of multifaceted strategies can reduce nosocomial MRSA transmission in both outbreaks of MRSA and settings where MRSA is endemic. The heterogeneous nature of the topic, combinations of interventions implemented and methodological weaknesses of the studies impairs the ability to aggregate data and develop specific recommendations for practice
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spelling curtin-20.500.11937-98972017-09-13T16:06:41Z The infection control management of MRSA in acute care Halcomb, E Fernandez, R. Griffiths, R. Newton, Phillip Hickman, L. cross infection infection control MRSA equipment contamination systematic review Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Mangement strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002.Fourteen papers met the inclusion criteria for this review. Of these, 11 papers achieved a quality schore above the threshold and were included in the review. Of the included papers, five describe MRSA outbreaks, while the remaining six describe endemic MRSA. All included studies used either exploratory descriptive or comparative designs. The varying combination of interventions described in the included studies make it impossible to differentiate the efficacy of individual or even groups of interventions. The fact that most studies reported positive findings may reflect the bias towards publication of effective interventions.This review provides evidence that the use of multifaceted strategies can reduce nosocomial MRSA transmission in both outbreaks of MRSA and settings where MRSA is endemic. The heterogeneous nature of the topic, combinations of interventions implemented and methodological weaknesses of the studies impairs the ability to aggregate data and develop specific recommendations for practice 2008 Journal Article http://hdl.handle.net/20.500.11937/9897 10.1111/j.1744-1609.2008.00115.x Blackwell Publishing restricted
spellingShingle cross infection
infection control
MRSA
equipment contamination
systematic review
Halcomb, E
Fernandez, R.
Griffiths, R.
Newton, Phillip
Hickman, L.
The infection control management of MRSA in acute care
title The infection control management of MRSA in acute care
title_full The infection control management of MRSA in acute care
title_fullStr The infection control management of MRSA in acute care
title_full_unstemmed The infection control management of MRSA in acute care
title_short The infection control management of MRSA in acute care
title_sort infection control management of mrsa in acute care
topic cross infection
infection control
MRSA
equipment contamination
systematic review
url http://hdl.handle.net/20.500.11937/9897