Antimicrobial Therapy for Methicillin-Resistant Staphylococcus aureus Colonization in Residents and Staff of a Veterans Affairs Nursing Home Care Unit

1992 ◽  
Vol 13 (3) ◽  
pp. 151-159 ◽  
Author(s):  
Larry J. Strausbaugh ◽  
Cleone Jacobson ◽  
David L. Sewell ◽  
Susan Potter ◽  
Thomas T. Ward
Keyword(s):  
Staphylococcus Aureus ◽  
Nursing Home ◽  
Home Care ◽  
Antimicrobial Therapy ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Veterans Affairs ◽  
Nursing Home Care ◽  
Methicillin Resistant

Methicillin-Resistant Staphylococcus aureus in a Nursing Home and Affiliated Hospital: A Four Year Prespective

1993 ◽  
Vol 14 (6) ◽  
pp. 331-336 ◽  
Author(s):  
Larry J. Strausbaugh ◽  
Cleone Jacobson ◽  
Terri Yost
Keyword(s):  
Staphylococcus Aureus ◽  
Nursing Home ◽  
Acute Care ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Medical Center ◽  
Care Facility ◽  
Nursing Home Care ◽  
Methicillin Resistant ◽  
Patient Transfers ◽  
Mrsa Colonization

AbstractObjectives:To determine the effect of a methicillin-resistant Staphylococcus aureus (MRSA) outbreak in a nursing home on the subsequent MRSA caseload in a closely affiliated hospital.Design:Observational and descriptive; routine and special MRSA surveillance data for nursing home and hospital were reviewed for a four-year period (1988 to 1991) as were records regarding patient transfers from nursing home to hospital.Setting:The 120-bed nursing home care unit (NHCU) and the geographically separate 434-bed acute care facility (hospital) of the Portland Veterans' Affairs Medical Center (PVAMC).Patients:Veterans hospitalized in the acute care division of NHCU.Results:Following the introduction of MRSA into the NHCU in December 1987, it quickly disseminated. Two to 32 newly colonized or infected patients were recognized in each quarter of the study period. Facilitywide prevalence surveys on two occasions disclosed MRSA colonization rates of 34% and 10%. During the study period, 15 to 54 (mean: 37.6) patients were transferred each quarter from the NHCU to the hospital of the PVAMC. The number of MRSA cases transferred ranged from 0 to 16 per quarter (mean: 5.4). During the same period, the total number of MRSA cases in the hospital increased, rising from 7 cases in 1987 to 16 in 1988, 48 in 1989, 34 in 1990, and 35 in 1991. The percentage of hospital MRSA cases accounted for by NHCU transfers was 0% in 1988, 38% in 1989, 12% in 1990, and 11% in 1991.Conclusions:Despite the steady flow of patients between the NHCU and the hospital, the MRSA outbreak in the NHCU was associated with only a modest increase in the MRSA caseload at the affiliated hospital.

Double-swab 5% versus single-swab 10% iodophor for reducing methicillin-resistant Staphylococcus aureus with routine chlorhexidine bathing

2021 ◽  
pp. 1-3
Author(s):  
Lauren T. Heim ◽  
Loren G. Miller ◽  
Raveena D. Singh ◽  
James A. McKinnell ◽  
Tabitha D. Catuna ◽  
...  
Keyword(s):  
Staphylococcus Aureus ◽  
Cohort Study ◽  
Nursing Home ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Nursing Home Residents ◽  
Nasal Carriage ◽  
Methicillin Resistant ◽  
Chlorhexidine Bathing

Abstract In a prospective cohort study, we compared a 2-swabs-per-nostril 5% iodophor regimen with a 1-swab-per-nostril 10% iodophor regimen on methicillin-resistant Staphylococcus aureus carriage in nursing-home residents. Compared with baseline, both single-swab and double-swab regimens resulted in an identical 40% reduction in nasal carriage and 60% reduction in any carriage, skin or nasal.

scholarly journals Wanderers with Cognitive Impairment in Department of Veterans Affairs Nursing Home Care Units

2007 ◽  
Vol 55 (5) ◽  
pp. 692-699 ◽  
Author(s):  
Lawrence Schonfeld ◽  
Bellinda King-Kallimanis ◽  
Lisa M. Brown ◽  
Darlene M. Davis ◽  
William D. Kearns ◽  
...  
Keyword(s):  
Nursing Home ◽  
Cognitive Impairment ◽  
Home Care ◽  
Veterans Affairs ◽  
Nursing Home Care ◽  
Department Of Veterans Affairs
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