Veterans Affairs Initiative to Prevent Methicillin-Resistant Staphylococcus aureus Infections
In this report, implementation of a MRSA bundle (nasal surveillance for MRSA, contact precautions for patients with MRSA, hand hygiene, and an institutional culture change whereby infection control was everyone's responsibility) was associated with a significant decline in MRSA transmission. Me...
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| Veröffentlicht in: | The New England journal of medicine 2011-04, Vol.364 (15), p.1419-1430 |
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| container_title | The New England journal of medicine |
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| creator | Jain, Rajiv Kralovic, Stephen M Evans, Martin E Ambrose, Meredith Simbartl, Loretta A Obrosky, D. Scott Render, Marta L Freyberg, Ron W Jernigan, John A Muder, Robert R Miller, LaToya J Roselle, Gary A |
| description | In this report, implementation of a MRSA bundle (nasal surveillance for MRSA, contact precautions for patients with MRSA, hand hygiene, and an institutional culture change whereby infection control was everyone's responsibility) was associated with a significant decline in MRSA transmission.
Methicillin-resistant
Staphylococcus aureus
(MRSA) infections are a problem in the United States
1
and elsewhere. MRSA is one of the most common causes of ventilator-associated pneumonia, bloodstream infection associated with central venous catheters, and surgical-site infections.
1
,
2
In 2001, the Veterans Affairs (VA) Pittsburgh Healthcare System began working with the Pittsburgh Regional Healthcare Initiative and the Centers for Disease Control and Prevention (CDC) to eliminate health care–associated MRSA infections with the use of a “MRSA bundle.” The bundle, which was based on published guidelines, comprised universal nasal surveillance for MRSA colonization, contact precautions for patients who were carriers of MRSA, hand . . . |
| doi_str_mv | 10.1056/NEJMoa1007474 |
| format | Article |
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Methicillin-resistant
Staphylococcus aureus
(MRSA) infections are a problem in the United States
1
and elsewhere. MRSA is one of the most common causes of ventilator-associated pneumonia, bloodstream infection associated with central venous catheters, and surgical-site infections.
1
,
2
In 2001, the Veterans Affairs (VA) Pittsburgh Healthcare System began working with the Pittsburgh Regional Healthcare Initiative and the Centers for Disease Control and Prevention (CDC) to eliminate health care–associated MRSA infections with the use of a “MRSA bundle.” The bundle, which was based on published guidelines, comprised universal nasal surveillance for MRSA colonization, contact precautions for patients who were carriers of MRSA, hand . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJMoa1007474</identifier><identifier>PMID: 21488764</identifier><identifier>CODEN: NEJMAG</identifier><language>eng</language><publisher>Waltham, MA: Massachusetts Medical Society</publisher><subject>Bacterial diseases ; Biological and medical sciences ; Cross Infection - prevention & control ; Cross Infection - transmission ; Disease Transmission, Infectious - prevention & control ; Educational materials ; General aspects ; Hand Disinfection ; Health care policy ; Hospitals ; Hospitals, Veterans - organization & administration ; Human bacterial diseases ; Humans ; Infection Control - methods ; Infectious diseases ; Intensive Care Units ; Medical sciences ; Mental health ; Methicillin-Resistant Staphylococcus aureus ; Organizational Culture ; Prevention and actions ; Professional Role ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Staphylococcal Infections - microbiology ; Staphylococcal Infections - prevention & control ; Staphylococcal Infections - transmission ; Staphylococcal infections, streptococcal infections, pneumococcal infections ; Staphylococcus infections ; United States ; Universal Precautions ; Veterans</subject><ispartof>The New England journal of medicine, 2011-04, Vol.364 (15), p.1419-1430</ispartof><rights>Copyright © 2011 Massachusetts Medical Society. All rights reserved.</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-b9f10075c77204c5125fc79e607cec76ab270491546d0027289d9a3b7b21a32c3</citedby><cites>FETCH-LOGICAL-c379t-b9f10075c77204c5125fc79e607cec76ab270491546d0027289d9a3b7b21a32c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJMoa1007474$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJMoa1007474$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2746,2747,26080,27901,27902,52357,54039</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24065169$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21488764$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jain, Rajiv</creatorcontrib><creatorcontrib>Kralovic, Stephen M</creatorcontrib><creatorcontrib>Evans, Martin E</creatorcontrib><creatorcontrib>Ambrose, Meredith</creatorcontrib><creatorcontrib>Simbartl, Loretta A</creatorcontrib><creatorcontrib>Obrosky, D. Scott</creatorcontrib><creatorcontrib>Render, Marta L</creatorcontrib><creatorcontrib>Freyberg, Ron W</creatorcontrib><creatorcontrib>Jernigan, John A</creatorcontrib><creatorcontrib>Muder, Robert R</creatorcontrib><creatorcontrib>Miller, LaToya J</creatorcontrib><creatorcontrib>Roselle, Gary A</creatorcontrib><title>Veterans Affairs Initiative to Prevent Methicillin-Resistant Staphylococcus aureus Infections</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>In this report, implementation of a MRSA bundle (nasal surveillance for MRSA, contact precautions for patients with MRSA, hand hygiene, and an institutional culture change whereby infection control was everyone's responsibility) was associated with a significant decline in MRSA transmission.
Methicillin-resistant
Staphylococcus aureus
(MRSA) infections are a problem in the United States
1
and elsewhere. MRSA is one of the most common causes of ventilator-associated pneumonia, bloodstream infection associated with central venous catheters, and surgical-site infections.
1
,
2
In 2001, the Veterans Affairs (VA) Pittsburgh Healthcare System began working with the Pittsburgh Regional Healthcare Initiative and the Centers for Disease Control and Prevention (CDC) to eliminate health care–associated MRSA infections with the use of a “MRSA bundle.” The bundle, which was based on published guidelines, comprised universal nasal surveillance for MRSA colonization, contact precautions for patients who were carriers of MRSA, hand . . .</description><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Cross Infection - prevention & control</subject><subject>Cross Infection - transmission</subject><subject>Disease Transmission, Infectious - prevention & control</subject><subject>Educational materials</subject><subject>General aspects</subject><subject>Hand Disinfection</subject><subject>Health care policy</subject><subject>Hospitals</subject><subject>Hospitals, Veterans - organization & administration</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infection Control - methods</subject><subject>Infectious diseases</subject><subject>Intensive Care Units</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Methicillin-Resistant Staphylococcus aureus</subject><subject>Organizational Culture</subject><subject>Prevention and actions</subject><subject>Professional Role</subject><subject>Public health. Hygiene</subject><subject>Public health. 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Scott</au><au>Render, Marta L</au><au>Freyberg, Ron W</au><au>Jernigan, John A</au><au>Muder, Robert R</au><au>Miller, LaToya J</au><au>Roselle, Gary A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Veterans Affairs Initiative to Prevent Methicillin-Resistant Staphylococcus aureus Infections</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2011-04-14</date><risdate>2011</risdate><volume>364</volume><issue>15</issue><spage>1419</spage><epage>1430</epage><pages>1419-1430</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><coden>NEJMAG</coden><abstract>In this report, implementation of a MRSA bundle (nasal surveillance for MRSA, contact precautions for patients with MRSA, hand hygiene, and an institutional culture change whereby infection control was everyone's responsibility) was associated with a significant decline in MRSA transmission.
Methicillin-resistant
Staphylococcus aureus
(MRSA) infections are a problem in the United States
1
and elsewhere. MRSA is one of the most common causes of ventilator-associated pneumonia, bloodstream infection associated with central venous catheters, and surgical-site infections.
1
,
2
In 2001, the Veterans Affairs (VA) Pittsburgh Healthcare System began working with the Pittsburgh Regional Healthcare Initiative and the Centers for Disease Control and Prevention (CDC) to eliminate health care–associated MRSA infections with the use of a “MRSA bundle.” The bundle, which was based on published guidelines, comprised universal nasal surveillance for MRSA colonization, contact precautions for patients who were carriers of MRSA, hand . . .</abstract><cop>Waltham, MA</cop><pub>Massachusetts Medical Society</pub><pmid>21488764</pmid><doi>10.1056/NEJMoa1007474</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2011-04, Vol.364 (15), p.1419-1430 |
| issn | 0028-4793 1533-4406 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; New England Journal of Medicine |
| subjects | Bacterial diseases Biological and medical sciences Cross Infection - prevention & control Cross Infection - transmission Disease Transmission, Infectious - prevention & control Educational materials General aspects Hand Disinfection Health care policy Hospitals Hospitals, Veterans - organization & administration Human bacterial diseases Humans Infection Control - methods Infectious diseases Intensive Care Units Medical sciences Mental health Methicillin-Resistant Staphylococcus aureus Organizational Culture Prevention and actions Professional Role Public health. Hygiene Public health. Hygiene-occupational medicine Staphylococcal Infections - microbiology Staphylococcal Infections - prevention & control Staphylococcal Infections - transmission Staphylococcal infections, streptococcal infections, pneumococcal infections Staphylococcus infections United States Universal Precautions Veterans |
| title | Veterans Affairs Initiative to Prevent Methicillin-Resistant Staphylococcus aureus Infections |
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