An effective active surveillance method for controlling nosocomial MRSA transmission in a Japanese hospital

Daisuke Ohkushi, Yuki Uehara, Akira Iwamoto, Shigeki Misawa, Shigemi Kondo, Kenichiro Shimizu, Satoshi Hori, Keiichi Hiramatsu

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

Hospital-wide active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) targeted to adult patients with a history of MRSA carriage within the past 5 years was performed in Juntendo University Hospital (JUH) over a 2-year period. In the first year, MRSA screening culture was ordered by physicians in charge. In the second year, infection-control practitioners (ICPs) took samples for active surveillance culture. The average monthly transmission rate of MRSA in JUH was 0.35 per 1,000 bed-days in the first year and decreased significantly to 0.26 per 1,000 bed-days in the second year (P < 0.05). In the second year, more active commitment of ICPs to MRSA screening was effective in improving the performance rate of screening, shortening turn-around time of screening results, and decreasing transmission rate. Increasing compliance with active MRSA surveillance by involvement of ICPs, targeting patients with a previous history of MRSA carriage in the previous 5 years, was effective to control nosocomial MRSA transmission.

Original languageEnglish
Pages (from-to)871-875
Number of pages5
JournalJournal of Infection and Chemotherapy
Volume19
Issue number5
DOIs
Publication statusPublished - 10-2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Microbiology (medical)
  • Infectious Diseases
  • Pharmacology (medical)

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