Evidence of Delays in Transferring Patients With Methicillin-Resistant Staphylococcus aureus or Vancomycin-Resistant Enterococcus to Long-Term–Care Facilities

2000 ◽  
Vol 21 (4) ◽  
pp. 270-271 ◽  
Author(s):  
Elizabeth A. Bryce ◽  
Shelley M. Tiffin ◽  
Judith L. Isaac-Renton ◽  
Charles J. Wright

This retrospective case-control study examined whether there was a difference in length of time awaiting long-term-care lacement for patients identified as having methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus compared to controls. Thirty-nine patients with methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus waited for placement an average of 61 days longer than controls (P<.0002). The average number of requests for placement was 2.5 compared to 1.7 for controls (P=.015).

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Vincent CC Cheng ◽  
Josepha WM Tai ◽  
Zoie SY Wong ◽  
Jonathan HK Chen ◽  
Kris BQ Pan ◽  
...  

2005 ◽  
Vol 26 (10) ◽  
pp. 811-815 ◽  
Author(s):  
Trisha Kreman ◽  
Jianfang Hu ◽  
Jean Pottinger ◽  
Loreen A. Herwaldt

AbstractObjectives:To identify infection control policies and practices used by long-term-care facilities (LTCFs) in Iowa for residents with methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant enterococci (VRE), and to estimate the prevalence of residents known to have these organisms.Design:Survey.Setting:LTCFs in Iowa from December 2002 through March 2003.Results:Of the 429 LTCFs in Iowa, 331 (77%) responded to the survey. The estimated prevalence of residents known to have MRSA was 13.4 per 1,000 and that of residents known to have VRE was 2.3 per 1,000. Facilities owned by the government or those with an average of more than 86 occupied beds were more likely to have residents known to have MRSA and VRE (P = .002 and .007, respectively). Of the responding facilities, 7.3% acknowledged that they refused to accept individuals known to have MRSA and 16.9% acknowledged that they refused to accept those known to have VRE. Facilities in large communities (population, > 100,000) were least likely to deny admission to an individual known to have either MRSA or VRE (P = .05). Most facilities reported adhering to the national guidelines, but fewer than half (44.7%) of the respondents had heard of the Iowa Antibiotic Resistance Task Force's guidelines regarding residents with MRSA or VRE.Conclusions:Many LTCFs in Iowa care for residents known to have MRSA or VRE, but some refuse to admit these individuals. Infection control personnel and public health officials should work together to educate LTCF staff so that residents receive proper care and resistant organisms do not spread within this setting.


2016 ◽  
Vol 157 (27) ◽  
pp. 1071-1078
Author(s):  
Rita Szabó

Introduction: Methicillin-resistant Staphylococcus aureus is one of the most important pathogens of healthcare and long-term care-associated infections over the world, resulting high morbidity, mortality and extra costs in these settings. Aim: The authors analyze the prevalence and predisposing factors of methicillin-resistant Staphylococcus aureus in long-term care facilities. Method: Systematic review using PubMed, ScienceDirect and Cochrane Library CENTRAL databases between January 1, 2006 and December 31, 2015 was performed. Results: In the past ten years methicillin-resistant Staphylococcus aureus prevalence in European long-term care facilities (12.6%) was lower than in North America (33.9%). The most frequent predisposing factor was previous antimicrobial therapy, hospital admission and infection/colonisation, chronic wounds, and high care need. Conclusions: Based on the results, the prevention and control of methicillin-resistant Staphylococcus aureus is an important public health priority in the European and Hungarian long-term care facilities. Orv. Hetil., 2016, 157(27), 1071–1078.


1991 ◽  
Vol 12 (5) ◽  
pp. 274-278 ◽  
Author(s):  
Joseph M. Mylotte ◽  
Carol A. Kauffman ◽  
Suzanne F. Bradley ◽  
Margaret S. Terpenning

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