Infection control measures in nosocomial MRSA outbreaks-Results of a systematic analysis
There is a lack of data on factors that contribute to the implementation of hygiene measures during nosocomial outbreaks (NO) caused by Methicillin-resistant Staphylococcus aureus (MRSA). Therefore, we first conducted a systematic literature analysis to identify MRSA outbreak reports. The expenditur...
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| description | There is a lack of data on factors that contribute to the implementation of hygiene measures during nosocomial outbreaks (NO) caused by Methicillin-resistant Staphylococcus aureus (MRSA). Therefore, we first conducted a systematic literature analysis to identify MRSA outbreak reports. The expenditure for infection control in each outbreak was then evaluated by a weighted cumulative hygiene score (WCHS). Effects of factors on this score were determined by multivariable linear regression analysis. 104 NO got included, mostly from neonatology (n = 32), surgery (n = 27), internal medicine and burn units (n = 10 each), including 4,361 patients (thereof 657 infections and 73 deaths) and 279 employees. The outbreak sources remained unknown in 10 NO and were not reported from further 61 NO. The national MRSA prevalence did not correlate with the WCHS (p = .714). There were significant WCHS differences for internal medicine (p = 0.014), burn units (p |
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Therefore, we first conducted a systematic literature analysis to identify MRSA outbreak reports. The expenditure for infection control in each outbreak was then evaluated by a weighted cumulative hygiene score (WCHS). Effects of factors on this score were determined by multivariable linear regression analysis. 104 NO got included, mostly from neonatology (n = 32), surgery (n = 27), internal medicine and burn units (n = 10 each), including 4,361 patients (thereof 657 infections and 73 deaths) and 279 employees. The outbreak sources remained unknown in 10 NO and were not reported from further 61 NO. The national MRSA prevalence did not correlate with the WCHS (p = .714). There were significant WCHS differences for internal medicine (p = 0.014), burn units (p<0.01), for Japanese NO (p<0.01), and NO with an unknown source (p<0.01). In sum, management of a NO due to MRSA does not depend on the local MRSA burden. However, differences of MRSA management among medical departments do exist. Strict adherence to the Outbreak Reports and Intervention Studies Of Nosocomial infection (ORION) statement is highly recommended for. The WCHS may also serve as a useful tool to quantify infection control effort and could therefore be used for further investigations.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0249837</identifier><identifier>PMID: 33826678</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Antimicrobial agents ; Antimicrobial resistance ; Biology and life sciences ; Cost control ; Cross infection ; Disease control ; Drug resistance ; Editing ; Engineering and Technology ; Environmental health ; Epidemics ; Epidemiology ; Health aspects ; Hospitals ; Hygiene ; Intensive care ; Medicine and health sciences ; Methicillin ; Methodology ; Microbiology ; Nosocomial infection ; Nosocomial infections ; Outbreaks ; Patient outcomes ; Prevention ; Public health ; Risk factors ; Staphylococcus aureus ; Staphylococcus aureus infections ; Staphylococcus infections ; Surveillance ; Urinary tract infections ; Variables</subject><ispartof>PloS one, 2021-04, Vol.16 (4), p.e0249837</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Pannewick et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Therefore, we first conducted a systematic literature analysis to identify MRSA outbreak reports. The expenditure for infection control in each outbreak was then evaluated by a weighted cumulative hygiene score (WCHS). Effects of factors on this score were determined by multivariable linear regression analysis. 104 NO got included, mostly from neonatology (n = 32), surgery (n = 27), internal medicine and burn units (n = 10 each), including 4,361 patients (thereof 657 infections and 73 deaths) and 279 employees. The outbreak sources remained unknown in 10 NO and were not reported from further 61 NO. The national MRSA prevalence did not correlate with the WCHS (p = .714). There were significant WCHS differences for internal medicine (p = 0.014), burn units (p<0.01), for Japanese NO (p<0.01), and NO with an unknown source (p<0.01). In sum, management of a NO due to MRSA does not depend on the local MRSA burden. However, differences of MRSA management among medical departments do exist. 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Collection</collection><collection>Genetics Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pannewick, Béke</au><au>Baier, Claas</au><au>Schwab, Frank</au><au>Vonberg, Ralf-Peter</au><au>de Lencastre, Herminia</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infection control measures in nosocomial MRSA outbreaks-Results of a systematic analysis</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-04-07</date><risdate>2021</risdate><volume>16</volume><issue>4</issue><spage>e0249837</spage><pages>e0249837-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>There is a lack of data on factors that contribute to the implementation of hygiene measures during nosocomial outbreaks (NO) caused by Methicillin-resistant Staphylococcus aureus (MRSA). Therefore, we first conducted a systematic literature analysis to identify MRSA outbreak reports. The expenditure for infection control in each outbreak was then evaluated by a weighted cumulative hygiene score (WCHS). Effects of factors on this score were determined by multivariable linear regression analysis. 104 NO got included, mostly from neonatology (n = 32), surgery (n = 27), internal medicine and burn units (n = 10 each), including 4,361 patients (thereof 657 infections and 73 deaths) and 279 employees. The outbreak sources remained unknown in 10 NO and were not reported from further 61 NO. The national MRSA prevalence did not correlate with the WCHS (p = .714). There were significant WCHS differences for internal medicine (p = 0.014), burn units (p<0.01), for Japanese NO (p<0.01), and NO with an unknown source (p<0.01). In sum, management of a NO due to MRSA does not depend on the local MRSA burden. However, differences of MRSA management among medical departments do exist. Strict adherence to the Outbreak Reports and Intervention Studies Of Nosocomial infection (ORION) statement is highly recommended for. The WCHS may also serve as a useful tool to quantify infection control effort and could therefore be used for further investigations.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>33826678</pmid><doi>10.1371/journal.pone.0249837</doi><tpages>e0249837</tpages><orcidid>https://orcid.org/0000-0001-7706-8511</orcidid><orcidid>https://orcid.org/0000-0003-3895-5446</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Antimicrobial agents Antimicrobial resistance Biology and life sciences Cost control Cross infection Disease control Drug resistance Editing Engineering and Technology Environmental health Epidemics Epidemiology Health aspects Hospitals Hygiene Intensive care Medicine and health sciences Methicillin Methodology Microbiology Nosocomial infection Nosocomial infections Outbreaks Patient outcomes Prevention Public health Risk factors Staphylococcus aureus Staphylococcus aureus infections Staphylococcus infections Surveillance Urinary tract infections Variables |
| title | Infection control measures in nosocomial MRSA outbreaks-Results of a systematic analysis |
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