Hospital Staff Perceptions of a Legislative Mandate for Methicillin-Resistant Staphylococcus aureus Screening

2011 ◽  
Vol 32 (6) ◽  
pp. 573-578 ◽  
Author(s):  
Matthew E. Wise ◽  
Stephen G. Weber ◽  
Amy Schneider ◽  
Meg Stojcevski ◽  
Anne Marie France ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Focus Group ◽  
Focus Groups ◽  
Hospital Staff ◽  
Negative Consequences ◽  
Staff Perceptions ◽  
Methicillin Resistant ◽  
Chicago Area ◽  
Use Of Resources ◽  
Implementation Plans

Objective.In August 2007, Illinois passed legislation mandating methicillin-resistant Staphylococcus aureus (MRSA) admission screening for intensive care unit patients. We assessed hospital staff perceptions of the implementation of this law.Design.Mixed-methods evaluation using structured focus groups and questionnaires.Setting.Eight Chicago-area hospitals.Participants.Three strata of staff (leadership, midlevel, and frontline) at each hospital.Methods.All participants completed a questionnaire and participated in a focus group. Focus group transcripts were thematically coded and analyzed. The proportion of staff agreeing with statements about MRSA and the legislation was compared across staff types.Results.Overall, 126 hospital staff participated in 23 focus groups. Fifty-six percent of participants agreed that the legislation had a positive effect at their facility; frontline staff were more likely to agree than midlevel and leadership staff (P < .01). Perceived benefits of the legislation included increased awareness of MRSA among staff and better knowledge of the epidemiology of MRSA colonization. Perceived negative consequences included the psychosocial effect of screening and contact precautions on patients and increased use of resources. Most participants (59%) would choose to continue the activities associated with the legislation but advised facilities in states considering similar legislation to educate staff and patients about MRSA screening and to draft clear implementation plans.Conclusion.Staff from Chicago-area hospitals perceived that mandatory MRSA screening legislation resulted in some benefits but highlighted implementation challenges. States considering similar initiatives might minimize these challenges by optimizing messaging to patients and healthcare staff, drafting implementation plans, and developing program evaluation strategies.

METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS RISK PERCEPTION BY HEALTHCARE PERSONNEL IN A PUBLIC HOSPITAL

2007 ◽  
Vol 35 (1) ◽  
pp. 89-100 ◽  
Author(s):  
Dongo Rémi Kouabenan ◽  
Michel Dubois ◽  
Régis de Gaudemaris ◽  
Fabien Scarnato ◽  
Marie-Reine Mallaret
Keyword(s):  
Staphylococcus Aureus ◽  
Risk Perception ◽  
Perceived Risk ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Hospital Staff ◽  
University Hospital ◽  
Hospital Environment ◽  
Healthcare Personnel ◽  
Methicillin Resistant ◽  
Staff Members

This study examines perceived risk of contamination by methicillin-resistant staphylococcus aureus (MRSA) among healthcare personnel in a French university hospital. MRSA poses a public health threat for healthcare staff who work in a hospital environment. This study is part of a pluridisciplinary research project on the risk factors of MRSA contamination. In many studies (Kouabenan, 1998; Slovic, 1987; Slovic et al., 1981), risk perception appears to be an important factor in understanding attitudes towards accident prevention and selfprotective behavior. A questionnaire measuring several dimensions of perceived MRSA risk (risk for oneself, risk for others, severity, controllability, frequency, preventive efforts) and a questionnaire assessing optimism were administered to 187 hospital staff members of various occupations. The results revealed that the risk of MRSA contamination was well perceived as a whole by healthcare personnel. However, certain factors like proximity to patients and length of service tended to be accompanied by an underestimation of the risk, while other factors like little education, working part-time, and a lack of experience tended to cause overestimation. Preventive measures are recommended.

scholarly journals Nasal Carriage of Epidemic Methicillin-Resistant Staphylococcus aureus 15 (EMRSA-15) Clone Observed in Three Chicago-Area Long-Term Care Facilities

2013 ◽  
Vol 57 (9) ◽  
pp. 4551-4553 ◽  
Author(s):  
Sanchita Das ◽  
Christopher J. Anderson ◽  
Althea Grayes ◽  
Katherine Mendoza ◽  
Maureen Harazin ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Long Term Care ◽  
The United States ◽  
Health Concern ◽  
Term Care ◽  
Methicillin Resistant ◽  
Content Type ◽  
Chicago Area ◽  
Care Facilities

ABSTRACTThe spread of pandemic methicillin-resistantStaphylococcus aureus(MRSA) clones such as USA300 and EMRSA-15 is a global health concern. As a part of a surveillance study of three long-term care facilities in the Greater Chicago area, phenotypic and molecular characterization of nasal MRSA isolates was performed. We report a cluster of pandemic EMRSA-15, an MRSA clone rarely reported from the United States, detected during this study.

scholarly journals The Impact of Methicillin-Resistant Staphylococcus aureus (MRSA) and Vancomycin-Resistant Enterococcus (VRE) Flags on Hospital Operations

2016 ◽  
Vol 37 (7) ◽  
pp. 782-790 ◽  
Author(s):  
Erica S. Shenoy ◽  
Hang Lee ◽  
Taige Hou ◽  
Winston Ware ◽  
Erin E. Ryan ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Length Of Stay ◽  
Massachusetts General Hospital ◽  
Severity Of Illness ◽  
Vancomycin Resistant Enterococcus ◽  
Methicillin Resistant ◽  
Use Of Resources ◽  
Hospital Transfer ◽  
Vancomycin Resistant ◽  
The Impact

OBJECTIVETo determine the impact of methicillin-resistant Staphylococcus aureus and vancomycin-resistant Enterococcus (MRSA/VRE) designations, or flags, on selected hospital operational outcomes.DESIGNRetrospective cohort study of inpatients admitted to the Massachusetts General Hospital during 2010–2011.METHODSOperational outcomes were time to bed arrival, acuity-unrelated within-hospital transfers, and length of stay. Covariates considered included demographic and clinical characteristics: age, gender, severity of illness on admission, admit day of week, residence prior to admission, hospitalization within the prior 30 days, clinical service, and discharge destination.RESULTSOverall, 81,288 admissions were included. After adjusting for covariates, patients with a MRSA/VRE flag at the time of admission experienced a mean delay in time to bed arrival of 1.03 hours (9.63 hours [95% CI, 9.39–9.88] vs 8.60 hours [95% CI, 8.47–8.73]). These patients had 1.19 times the odds of experiencing an acuity-unrelated within-hospital transfer [95% CI, 1.13–1.26] and a mean length of stay 1.76 days longer (7.03 days [95% CI, 6.82–7.24] vs 5.27 days [95% CI, 5.15–5.38]) than patients with no MRSA/VRE flag.CONCLUSIONSMRSA/VRE designation was associated with delays in time to bed arrival, increased likelihood of acuity-unrelated within-hospital transfers and extended length of stay. Efforts to identify patients who have cleared MRSA/VRE colonization are critically important to mitigate inefficient use of resources and to improve inpatient flow.Infect Control Hosp Epidemiol 2016;37:782–790

Nasal Carriage of Methicillin-Resistant Staphylococcus aureus Among Hospital Staff and Outpatients

2004 ◽  
Vol 25 (2) ◽  
pp. 169-171 ◽  
Author(s):  
Salih Cesur ◽  
Fügen Çokça
Keyword(s):  
Staphylococcus Aureus ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Nasal Carriage ◽  
Hospital Staff ◽  
Methicillin Resistant ◽  
Nasal Swabs

AbstractThis study sought to determine the rate of nasal methicillin-resistant Staphylococcus aureus (MRSA) carriage among hospital staff and outpatients. Nasal swabs were obtained from 500 outpatients and 500 hospital staff. Hospital staff were 2.3-fold more likely to carry MRSA than were outpatients (6% vs 2.6%, P = .013).

scholarly journals In-Vitro Antibacterial Activity of crude Garlic (Allium Sativum) Extract Against Clinical Isolates of Methicillin Resistant Staphylococcus aureus

2021 ◽  
Vol 14 (3) ◽  
pp. 1449-1457
Author(s):  
Salma Osman Noorelhuda Mohammed ◽  
Nadir Musa Khalil Abuzeid ◽  
Sara Abdelghani ◽  
Lienda Bashier Eltayeb
Keyword(s):  
Staphylococcus Aureus ◽  
Allium Sativum ◽  
Antimicrobial Agents ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Clinical Isolates ◽  
Diffusion Method ◽  
Negative Consequences ◽  
Methicillin Resistant ◽  
And Staphylococcus Aureus

Background:Methicillin-resistant Staphylococcus aureus (MRSA) has gained significant health solicitude globallydue to its resistance to nearly almost antimicrobial agents, and garlic is one of nature's most powerful antibiotics that must be used as a pharmaceutical regimen. The current study aimed to determine the In-Vitro antibacterial efficacy of crude garlic extract against MRSA. Methods: The aqueous and 70% ethanol crude garlic (Alllium sativum)extract was prepared. Disc diffusion method was performed to assess the antimicrobial activity for100 clinical isolates of MRSA collected,The reference standard strain was Staphylococcus aureus (ATCC 25923). Results: All MRSA strains assessed were significantly sensitive to 70% ethanolic extract at various concentrations range from 200 to 25%, exhibited inhibitory effects against clinical isolates and Staphylococcus aureus (ATCC 25923) with the means of inhibition zones ranging from 17.76- 14.35 mm and 15-13 mm in length, while the aqueous extracts were less in both clinical isolates and Staphylococcus aureus (ATCC 25923) ranging from 11.93-8.62 mm and 11-8 mm respectively, methanol and distilled water were not effected on growth. Conclusion: The findings demonstrate that 70%ethanol extract of crude Allium sativum has significantly inhibitory effect on methicillin-resistant Staphylococcus aureus is better than aqueous extract. This study does not undermine the value of antibiotic use, but instead the probability of using them in low dosage to minimize their negative consequences.

Molecular and epidemiological analysis of methicillin-resistant Staphylococcus aureus otorrhoea: hospital- or community-acquired?

2010 ◽  
Vol 124 (12) ◽  
pp. 1247-1250 ◽  
Author(s):  
R G Nassif ◽  
R Soliman ◽  
D H Edwards ◽  
N Kara ◽  
S S M Hussain
Keyword(s):  
Staphylococcus Aureus ◽  
Molecular Typing ◽  
Local Population ◽  
Hospital Staff ◽  
University Teaching ◽  
Newly Diagnosed ◽  
Bacterial Strains ◽  
Ear Infection ◽  
Methicillin Resistant ◽  
Hospital Acquired

AbstractObjectives:(1) To identify newly diagnosed cases of methicillin-resistant Staphylococcus aureus ear infection in our local population; (2) to determine the risk factors involved in these patients' clinical courses, and (3) to type the bacterial strains isolated and thus identify whether they were hospital- or community-acquired.Design and setting:Retrospective review of case notes, together with laboratory-based molecular studies in the departments of otolaryngology and medical microbiology in a university teaching hospital in Scotland, UK.Subjects:Over a two-year period, 35 patients were identified with ear swabs positive for methicillin-resistant Staphylococcus aureus infection. These cases came from both hospital and community settings.Main outcome measures:(1) Identification of primary methicillin-resistant Staphylococcus aureus otorrhoea in patients with no previously documented colonisation; and (2) molecular typing of the strains isolated, using spa technology, to identify whether they were hospital- or community-acquired.Results:Of the 35 positive patients, 27 were previously known carriers of methicillin-resistant Staphylococcus aureus. The eight patients with newly diagnosed methicillin-resistant Staphylococcus aureus otorrhoea presented initially in the community. All of these patients had had contact with hospital staff (as in-patients or out-patients) in the weeks preceding development of their ear infection. Using the spa technique for molecular typing, we identified hospital-acquired (‘epidemic’) methicillin-resistant Staphylococcus aureus type 15 in all eight patients' isolates. All were sensitive to topical gentamicin.Conclusions:In our cohort, hospital-acquired methicillin-resistant Staphylococcus aureus type 15 was the commonest cause of methicillin-resistant Staphylococcus aureus otorrhoea, despite the fact that these patients all first presented in the community. We believe that contact with hospital staff or health care workers is a risk factor for acquiring methicillin-resistant Staphylococcus aureus otorrhoea in the community.

scholarly journals Complete Genome Sequence of the Methicillin-Resistant Staphylococcus aureus Colonizing Strain M92

2017 ◽  
Vol 5 (23) ◽  
Author(s):  
Jo-Ann McClure ◽  
Kunyan Zhang
Keyword(s):  
Staphylococcus Aureus ◽  
Complete Genome ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Hospital Staff ◽  
Nasal Colonization ◽  
Methicillin Resistant ◽  
Content Type ◽  
Mrsa Strains ◽  
Highly Virulent ◽  
Insight Into

ABSTRACT M92 is a methicillin-resistant Staphylococcus aureus (MRSA) colonizing strain belonging to ST239-MRSA-III. It frequently shows local nasal colonization in our hospital staff, but has never been associated with infection. We sequenced the complete genome of M92, in order to compare it to highly virulent MRSA strains to gain insight into MRSA virulence factors.

scholarly journals Young Men’s Preferences for Design and Delivery of Physical Activity and Nutrition Interventions: A Mixed-Methods Study

2017 ◽  
Vol 11 (5) ◽  
pp. 1588-1599 ◽  
Author(s):  
Lee M. Ashton ◽  
Philip J. Morgan ◽  
Melinda J. Hutchesson ◽  
Megan E. Rollo ◽  
Clare E. Collins
Keyword(s):  
Physical Activity ◽  
Mixed Methods ◽  
Focus Group ◽  
Focus Groups ◽  
Mixed Methods Study ◽  
Delivery Mode ◽  
Negative Consequences ◽  
Nutrition Interventions ◽  
Face To Face ◽  
Program Content

Young adult men are under-represented in health research, and little is known about how to reach and engage them in lifestyle interventions. This mixed-methods study aimed to explore young males’ preferences for recruitment strategies, content, format (delivery mode and program duration and frequency), and facilitator characteristics for future physical activity and nutrition interventions. Ten focus groups involving 61 men (aged 18–25 years) in the Hunter region, New South Wales, Australia and an online survey distributed within Australia were completed by 282 males (aged 18–25 years). Key focus group themes included a preference for recruitment via multiple sources, ensuring images and recruiters were relatable; intervention facilitators to be engaging and refrain from discussing negative consequences of being unhealthy. Key program content preferences included skill development and individualized goals and feedback. Focus groups and the survey confirmed a preference for multiple delivery modes, including; face-to-face (group and individual), with support using eHealth technologies. Survey results confirmed the most favored program content as: “healthy eating on a budget,” “quick and easy meals,” and “resistance training.” Focus group responses suggested a program duration of ≥6 months, with 2–3 combined face-to-face and supportive eHealth sessions per week. Survey intervention duration preference was 3 months with 4 face-to-face sessions per month. Findings can guide the design, conduct, and evaluation of relevant contemporary physical activity and or nutrition interventions for young men. There is a need to identify the most effective ways to address young men’s individual preferences in intervention research.

scholarly journals Coagulase Typing and spa Typing of Methicillin Resistant Staphylococcus aureus: Relatedness Among Patients' and Carrier Strains

2016 ◽  
Vol 2 (1) ◽  
pp. 3-7
Author(s):  
Sadia Afroz ◽  
ABM Bayezid Hossain ◽  
Afzalunnessa Binte Lutfor ◽  
Naima Muazzam
Keyword(s):  
Staphylococcus Aureus ◽  
Wound Infection ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Hospital Staff ◽  
Spa Typing ◽  
Methicillin Resistant ◽  
Mrsa Strains ◽  
Spa Types ◽  
Spa Type

This study was carried out to determine the types of Methicillin-Resistant Staphylococcus aureus (MRSA) by two typing systems, Coagulase typing and spa typing and to identify relationship between types of MRSA strains isolated from patients and hospital staff carriers. A total of 40 MRSA strains, 33 from cases of wound infection and 7 from anterior nares of hospital staffs were investigated. Coagulase typing showed that all the MRSA strains isolated from patients were coagulase type VI and all the strains isolated from carriers were coagulase type VII. In spa typing, seven spa types were detected such as S4, S6, S7, S8, S9, S10 and S11. Predominant spa type in patients was S7 detected in 15 (45.45%) MRSA isolates, followed by S4 in 8 (24.24%) strains and S6 in 5(15.15%) strains. Other spa types detected in patients in small numbers were S8 (3.03%), S9 (3.03%), S10 (6.06%) and S11 (3.03%). While in strains of MRSA isolated from carriers, only two types S4 and S9 were detected. Both the spa types identified from carriers were also detected in a total of 9 (27.2%) of MRSA strains isolated from patients.Bangladesh J Med Microbiol 2008; 02 (01): 3-7DOI: http://dx.doi.org/10.3329/bjmm.v2i1.21780

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