TY - JOUR
T1 - An effective active surveillance method for controlling nosocomial MRSA transmission in a Japanese hospital
AU - Ohkushi, Daisuke
AU - Uehara, Yuki
AU - Iwamoto, Akira
AU - Misawa, Shigeki
AU - Kondo, Shigemi
AU - Shimizu, Kenichiro
AU - Hori, Satoshi
AU - Hiramatsu, Keiichi
N1 - Funding Information:
Acknowledgments We thank the staff of Juntendo University Hospital, especially members of the Department of Infection Control and the Microbiological Laboratory, for cooperating in this study. We also appreciate professor David Greenwood for his English proofreading. This study was supported in part by a Grant-in-Aid (S0991013) from the Ministry of Education, Culture, Sports, Science and Technology, Japan (MEXT) for the Foundation of Strategic Research Projects in Private Universities.
PY - 2013/10
Y1 - 2013/10
N2 - 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.
AB - 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.
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U2 - 10.1007/s10156-013-0584-y
DO - 10.1007/s10156-013-0584-y
M3 - Article
C2 - 23558667
AN - SCOPUS:84885959301
SN - 1341-321X
VL - 19
SP - 871
EP - 875
JO - Journal of Infection and Chemotherapy
JF - Journal of Infection and Chemotherapy
IS - 5
ER -
