Mrsa | MRSA Infection Rates Decline From Infection Control Certification

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Columbia University School of Nursing researchers conducted an infection prevention and control department survey in 203 Californian acute care hospitals to determine a possible link between their program’s structure and practices and the frequency of infections caused by antibiotic-resistant bacteria. The study is one of the first to discover a relationship between patient care practices, specific infrastructure elements and rates of healthcare-associated infections.

The researchers analyzed 91 hospital’s MRSA bloodstream infection data to establish whether any factors were linked to MRSA infection frequency. They found that those hospitals that had a board certified director who participated in a multi-facility performance improvement project had substantially lower MRSA BSI rates.

Of all hospitals, 97% reported they had some kind of screening policy in place to test for multidrug-resistant organisms, i.e. mainly for MRSA, upon patient admission. The most typically targeted populations were transfers from nursing homes (77.8%), ICU patients (72.8%), and dialysis patients (63.3%), as well as readmissions within 30 days (75.6%). Only few hospitals reported to screen for two other multidrug-resistant organisms, i.e. vancomycin-resistant Enterococcus (VRE) and Clostridium difficile (C. difficile).

Even though by Californian law hospitals are required to screen for MRSA, the researchers argue that screening for other pathogens, such as VRE and C. difficile , may be limited

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