Contact precautions for methicillin-resistant Staphylococcus aureus colonization: Costly and unnecessary?
Background Methicillin-resistant Staphylococcus aureus (MRSA) is frequently encountered in health care facilities. Many hospitals have established screening programs to identify individuals harboring the organism. Patients identified as carrying MRSA are frequently placed in Contact Precautions at t...
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| Veröffentlicht in: | American journal of infection control 2012-08, Vol.40 (6), p.535-538 |
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| creator | Spence, Michael R., MD, MPH Dammel, Tereal, RN, CIC Courser, Shari, RN, CIC |
| description | Background Methicillin-resistant Staphylococcus aureus (MRSA) is frequently encountered in health care facilities. Many hospitals have established screening programs to identify individuals harboring the organism. Patients identified as carrying MRSA are frequently placed in Contact Precautions at time of admission. Methods Between January 1, 2007, and December 31, 2010, we screened a select group of patients for MRSA employing polymerase chain reaction testing. We recorded our screening results and also recorded the MRSA hospital-acquired infection (HAI) rate. In January 2010, we discontinued placing individuals, asymptomatically colonized with MRSA, in Contact Precautions. Results Between January 1, 2007, and December 31, 2010, we screened 6,712 asymptomatic patients for MRSA and found 633 (9.4%) to be positive. During this same time period, we encountered 7 MRSA HAI. There was 1 MRSA HAI in the first year and 2 in each of the last 3 years of the study period. The costs incurred for Contact Precautions for the MRSA study population averaged $8,055 per year for each of the first 3 years and $0 for 2010. Conclusion Placing patients who are asymptomatically harboring MRSA in Contact Precautions did not decrease the rate of HAI caused by this organism and was relatively expensive. |
| doi_str_mv | 10.1016/j.ajic.2011.07.016 |
| format | Article |
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Many hospitals have established screening programs to identify individuals harboring the organism. Patients identified as carrying MRSA are frequently placed in Contact Precautions at time of admission. Methods Between January 1, 2007, and December 31, 2010, we screened a select group of patients for MRSA employing polymerase chain reaction testing. We recorded our screening results and also recorded the MRSA hospital-acquired infection (HAI) rate. In January 2010, we discontinued placing individuals, asymptomatically colonized with MRSA, in Contact Precautions. Results Between January 1, 2007, and December 31, 2010, we screened 6,712 asymptomatic patients for MRSA and found 633 (9.4%) to be positive. During this same time period, we encountered 7 MRSA HAI. There was 1 MRSA HAI in the first year and 2 in each of the last 3 years of the study period. The costs incurred for Contact Precautions for the MRSA study population averaged $8,055 per year for each of the first 3 years and $0 for 2010. Conclusion Placing patients who are asymptomatically harboring MRSA in Contact Precautions did not decrease the rate of HAI caused by this organism and was relatively expensive.</description><identifier>ISSN: 0196-6553</identifier><identifier>EISSN: 1527-3296</identifier><identifier>DOI: 10.1016/j.ajic.2011.07.016</identifier><identifier>PMID: 22015256</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Asymptomatic carriage ; Bacterial diseases ; Biological and medical sciences ; Carrier State - diagnosis ; Carrier State - microbiology ; Cross Infection - microbiology ; Cross Infection - prevention & control ; Epidemiology. Vaccinations ; General aspects ; Hospital-associated infection ; Hospitals ; Human bacterial diseases ; Human infectious diseases. Experimental studies and models ; Humans ; Infection Control ; Infection Control - economics ; Infection Control - methods ; Infectious Disease ; Infectious diseases ; Medical sciences ; Methicillin-Resistant Staphylococcus aureus - isolation & purification ; Nosocomial infections ; Patients ; Polymerase Chain Reaction ; Prevalence ; Screening ; Staphylococcal Infections - diagnosis ; Staphylococcal Infections - microbiology ; Staphylococcal infections, streptococcal infections, pneumococcal infections ; Staphylococcus infections ; Surveillance</subject><ispartof>American journal of infection control, 2012-08, Vol.40 (6), p.535-538</ispartof><rights>Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2012 Association for Professionals in Infection Control and Epidemiology, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.</rights><rights>Copyright Mosby-Year Book, Inc. Aug 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c535t-869af2d7fb4a8b5b3a07b8e3ad2c4170e8dfd089882e8a87af2d18779b8bcc9b3</citedby><cites>FETCH-LOGICAL-c535t-869af2d7fb4a8b5b3a07b8e3ad2c4170e8dfd089882e8a87af2d18779b8bcc9b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ajic.2011.07.016$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26203585$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22015256$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Spence, Michael R., MD, MPH</creatorcontrib><creatorcontrib>Dammel, Tereal, RN, CIC</creatorcontrib><creatorcontrib>Courser, Shari, RN, CIC</creatorcontrib><title>Contact precautions for methicillin-resistant Staphylococcus aureus colonization: Costly and unnecessary?</title><title>American journal of infection control</title><addtitle>Am J Infect Control</addtitle><description>Background Methicillin-resistant Staphylococcus aureus (MRSA) is frequently encountered in health care facilities. Many hospitals have established screening programs to identify individuals harboring the organism. Patients identified as carrying MRSA are frequently placed in Contact Precautions at time of admission. Methods Between January 1, 2007, and December 31, 2010, we screened a select group of patients for MRSA employing polymerase chain reaction testing. We recorded our screening results and also recorded the MRSA hospital-acquired infection (HAI) rate. In January 2010, we discontinued placing individuals, asymptomatically colonized with MRSA, in Contact Precautions. Results Between January 1, 2007, and December 31, 2010, we screened 6,712 asymptomatic patients for MRSA and found 633 (9.4%) to be positive. During this same time period, we encountered 7 MRSA HAI. There was 1 MRSA HAI in the first year and 2 in each of the last 3 years of the study period. The costs incurred for Contact Precautions for the MRSA study population averaged $8,055 per year for each of the first 3 years and $0 for 2010. Conclusion Placing patients who are asymptomatically harboring MRSA in Contact Precautions did not decrease the rate of HAI caused by this organism and was relatively expensive.</description><subject>Asymptomatic carriage</subject><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Carrier State - diagnosis</subject><subject>Carrier State - microbiology</subject><subject>Cross Infection - microbiology</subject><subject>Cross Infection - prevention & control</subject><subject>Epidemiology. Vaccinations</subject><subject>General aspects</subject><subject>Hospital-associated infection</subject><subject>Hospitals</subject><subject>Human bacterial diseases</subject><subject>Human infectious diseases. Experimental studies and models</subject><subject>Humans</subject><subject>Infection Control</subject><subject>Infection Control - economics</subject><subject>Infection Control - methods</subject><subject>Infectious Disease</subject><subject>Infectious diseases</subject><subject>Medical sciences</subject><subject>Methicillin-Resistant Staphylococcus aureus - isolation & purification</subject><subject>Nosocomial infections</subject><subject>Patients</subject><subject>Polymerase Chain Reaction</subject><subject>Prevalence</subject><subject>Screening</subject><subject>Staphylococcal Infections - diagnosis</subject><subject>Staphylococcal Infections - microbiology</subject><subject>Staphylococcal infections, streptococcal infections, pneumococcal infections</subject><subject>Staphylococcus infections</subject><subject>Surveillance</subject><issn>0196-6553</issn><issn>1527-3296</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kk2L1EAQhoMo7rj6BzxIQAQvif0xnXREFBn8ggUPq-emU6mwHTPdY1dHGH-9HWZ0YQ-eCornra-3iuIpZzVnvHk11XZyUAvGec3aOqfuFRuuRFtJ0TX3iw3jXVM1SsmL4hHRxBjrZKMeFhcia5RQzaZwu-CThVQeIoJdkgueyjHEco_pxoGbZ-eriOQoWZ_K62QPN8c5QABYqLRLxBwgzMG733ZVvy53gdJ8LK0fysV7BCSy8fjucfFgtDPhk3O8LL5__PBt97m6-vrpy-79VQVKqlTpprOjGNqx31rdq15a1vYapR0EbHnLUA_jwHSntUBtdbvCXLdt1-seoOvlZfHyVPcQw88FKZm9I8B5th7DQoYzyblqpFQZfX4HncISfZ5upfKxtJTbTIkTBTEQRRzNIbp9XilDZjXCTGY1wqxGGNaanMqiZ-fSS7_H4Z_k7-Uz8OIMWAI7j9F6cHTLNYJJpdcZ35w4zDf75TAaAocecHDZsWSG4P4_x9s7csiOutzxBx6Rbvc1JAwz1-vLrB_Dc0HGBZd_AB5HvSc</recordid><startdate>20120801</startdate><enddate>20120801</enddate><creator>Spence, Michael R., MD, MPH</creator><creator>Dammel, Tereal, RN, CIC</creator><creator>Courser, Shari, RN, CIC</creator><general>Mosby, Inc</general><general>Elsevier</general><general>Mosby-Year Book, Inc</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20120801</creationdate><title>Contact precautions for methicillin-resistant Staphylococcus aureus colonization: Costly and unnecessary?</title><author>Spence, Michael R., MD, MPH ; Dammel, Tereal, RN, CIC ; Courser, Shari, RN, CIC</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c535t-869af2d7fb4a8b5b3a07b8e3ad2c4170e8dfd089882e8a87af2d18779b8bcc9b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Asymptomatic carriage</topic><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Carrier State - diagnosis</topic><topic>Carrier State - microbiology</topic><topic>Cross Infection - microbiology</topic><topic>Cross Infection - prevention & control</topic><topic>Epidemiology. Vaccinations</topic><topic>General aspects</topic><topic>Hospital-associated infection</topic><topic>Hospitals</topic><topic>Human bacterial diseases</topic><topic>Human infectious diseases. Experimental studies and models</topic><topic>Humans</topic><topic>Infection Control</topic><topic>Infection Control - economics</topic><topic>Infection Control - methods</topic><topic>Infectious Disease</topic><topic>Infectious diseases</topic><topic>Medical sciences</topic><topic>Methicillin-Resistant Staphylococcus aureus - isolation & purification</topic><topic>Nosocomial infections</topic><topic>Patients</topic><topic>Polymerase Chain Reaction</topic><topic>Prevalence</topic><topic>Screening</topic><topic>Staphylococcal Infections - diagnosis</topic><topic>Staphylococcal Infections - microbiology</topic><topic>Staphylococcal infections, streptococcal infections, pneumococcal infections</topic><topic>Staphylococcus infections</topic><topic>Surveillance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Spence, Michael R., MD, MPH</creatorcontrib><creatorcontrib>Dammel, Tereal, RN, CIC</creatorcontrib><creatorcontrib>Courser, Shari, RN, CIC</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of infection control</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Spence, Michael R., MD, MPH</au><au>Dammel, Tereal, RN, CIC</au><au>Courser, Shari, RN, CIC</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contact precautions for methicillin-resistant Staphylococcus aureus colonization: Costly and unnecessary?</atitle><jtitle>American journal of infection control</jtitle><addtitle>Am J Infect Control</addtitle><date>2012-08-01</date><risdate>2012</risdate><volume>40</volume><issue>6</issue><spage>535</spage><epage>538</epage><pages>535-538</pages><issn>0196-6553</issn><eissn>1527-3296</eissn><abstract>Background Methicillin-resistant Staphylococcus aureus (MRSA) is frequently encountered in health care facilities. Many hospitals have established screening programs to identify individuals harboring the organism. Patients identified as carrying MRSA are frequently placed in Contact Precautions at time of admission. Methods Between January 1, 2007, and December 31, 2010, we screened a select group of patients for MRSA employing polymerase chain reaction testing. We recorded our screening results and also recorded the MRSA hospital-acquired infection (HAI) rate. In January 2010, we discontinued placing individuals, asymptomatically colonized with MRSA, in Contact Precautions. Results Between January 1, 2007, and December 31, 2010, we screened 6,712 asymptomatic patients for MRSA and found 633 (9.4%) to be positive. During this same time period, we encountered 7 MRSA HAI. There was 1 MRSA HAI in the first year and 2 in each of the last 3 years of the study period. The costs incurred for Contact Precautions for the MRSA study population averaged $8,055 per year for each of the first 3 years and $0 for 2010. Conclusion Placing patients who are asymptomatically harboring MRSA in Contact Precautions did not decrease the rate of HAI caused by this organism and was relatively expensive.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>22015256</pmid><doi>10.1016/j.ajic.2011.07.016</doi><tpages>4</tpages></addata></record> |
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| subjects | Asymptomatic carriage Bacterial diseases Biological and medical sciences Carrier State - diagnosis Carrier State - microbiology Cross Infection - microbiology Cross Infection - prevention & control Epidemiology. Vaccinations General aspects Hospital-associated infection Hospitals Human bacterial diseases Human infectious diseases. Experimental studies and models Humans Infection Control Infection Control - economics Infection Control - methods Infectious Disease Infectious diseases Medical sciences Methicillin-Resistant Staphylococcus aureus - isolation & purification Nosocomial infections Patients Polymerase Chain Reaction Prevalence Screening Staphylococcal Infections - diagnosis Staphylococcal Infections - microbiology Staphylococcal infections, streptococcal infections, pneumococcal infections Staphylococcus infections Surveillance |
| title | Contact precautions for methicillin-resistant Staphylococcus aureus colonization: Costly and unnecessary? |
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