Methicillin-Resistant Staphylococcus aureus (MRSA): A Briefing for Acute Care Hospitals and Nursing Facilities

1994 ◽  
Vol 15 (2) ◽  
pp. 105-115 ◽  
Author(s):  
John M. Boyce ◽  
Marguerite M. Jackson ◽  
Gina Pugliese ◽  
Murray D. Batt ◽  
David Fleming ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Acute Care ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Acute Care Hospitals ◽  
Nursing Facilities ◽  
Methicillin Resistant

Methicillin-Resistant Staphylococcus aureus (MRSA): A Briefing for Acute Care Hospitals and Nursing Facilities

1994 ◽  
Vol 15 (2) ◽  
pp. 105-115 ◽  
Author(s):  
John M. Boyce ◽  
Marguerite M. Jackson ◽  
Gina Pugliese ◽  
Murray D. Batt ◽  
David Fleming ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Acute Care ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Acute Care Hospitals ◽  
Nursing Facilities ◽  
Methicillin Resistant

Challenges of Implementing National Guidelines for the Control and Prevention of Methicillin-Resistant Staphylococcus aureus Colonization or Infection in Acute Care Hospitals in the Republic of Ireland

2009 ◽  
Vol 30 (3) ◽  
pp. 277-281 ◽  
Author(s):  
Fidelma Fitzpatrick ◽  
Fiona Roche ◽  
Robert Cunney ◽  
Hilary Humphreys ◽  
Keyword(s):  
Staphylococcus Aureus ◽  
Acute Care ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Acute Care Hospitals ◽  
National Guidelines ◽  
Methicillin Resistant ◽  
Stewardship Program ◽  
Control And Prevention ◽  
The Republic ◽  
Poor Infrastructure

Of the 49 acute care hospitals in Ireland that responded to the survey questionnaire drafted by the Infection Control Subcommittee of the Health Protection Surveillance Centre's Strategy for the Control of Antimicrobial Resistance in Ireland, 43 reported barriers to the full implementation of national guidelines for the control and prevention of methicillin-resistant Staphylococcus aureus infection; these barriers included poor infrastructure (42 hospitals), inadequate laboratory resources (40 hospitals), inadequate staffing (39 hospitals), and inadequate numbers of isolation rooms and beds (40 hospitals). Four of the hospitals did not have an educational program on hand hygiene, and only 17 had an antibiotic stewardship program.

Methicillin-Resistant Staphylococcus aureus in Long-Term Care Facilities

1990 ◽  
Vol 11 (11) ◽  
pp. 600-603 ◽  
Author(s):  
Carol A. Kauffman ◽  
Suzanne F. Bradley ◽  
Margaret S. Terpenning
Keyword(s):  
Staphylococcus Aureus ◽  
Acute Care ◽  
Long Term Care ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Early Report ◽  
Acute Care Hospitals ◽  
Term Care ◽  
Methicillin Resistant ◽  
Care Facilities

Methicillin-resistant Staphylococcus aureus (MRSA) infections emerged as a problem in acute-care hospitals in this country in the 1970s. However, as is true of most nosocomial infections, long-term care facilities have not been exempt from those issues that plague acute-care hospitals, and, indeed, bring their own peculiar circumstances to bear on the problem. Infection and colonization with MRSA has been no exception and has evolved as a major infection control issue within long-term care facilities. Aside from an early report of MRSA cultured from patients in a nursing home in Seattle, Washington in 1969, data on MRSA in long-term care facilities have appeared only recently. In spite of the dearth of information, many long-term care facilities established policies relating to MRSA in the early to mid-1980s; often these policies were developed in hopes of excluding MRSA from their facility, and for many reasons often have not helped solve the problems associated with MRSA in long-term care facilities.

Are Rates of Methicillin-Resistant Staphylococcus aureus and Clostridioides difficile Associated With Quality and Clinical Outcomes in US Acute Care Hospitals?

2020 ◽  
pp. 106286062094231
Author(s):  
Alessandra B. Garcia Reeves ◽  
Justin G. Trogdon ◽  
Sally C. Stearns ◽  
James W. Lewis ◽  
David J. Weber ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Clinical Outcomes ◽  
Acute Care ◽  
Fixed Effects ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Hospital Readmissions ◽  
Acute Care Hospitals ◽  
Methicillin Resistant ◽  
Clostridioides Difficile ◽  
Level Data

The purpose of this study was to examine the association between rates of methicillin-resistant Staphylococcus aureus (MRSA)/ Clostridioides difficile and quality and clinical outcomes in US acute care hospitals. The population was all Medicare-certified US acute care hospitals with MRSA/ C difficile standardized infection ratio (SIR) data available from 2013 to 2017. Hospital-level data from the Centers for Medicare & Medicaid Services were used to estimate hospital and time fixed effects models for 30-day hospital readmissions, length of stay, 30-day mortality, and days in the intensive care unit. The key explanatory variables were SIR for MRSA and C difficile. No association was found between MRSA or C difficile rates and any of the 4 outcomes. The null results add to the mixed evidence in the field, but there are likely residual confounding factors. Future research should use larger samples of patient-level data and appropriate methods to provide evidence to guide efforts to tackle antimicrobial resistance.

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