Conventional infection control measures found effective in reducing MRSA rates

Mar 19, 2010

Scientists at The Virginia Commonwealth University Medical Center found that an emphasis on compliance with non-pathogen specific infection control practices such as hand hygiene, efforts to reduce device-related infections and chlorhexidine bathing (a daily bath with the same antibacterial agent used by surgeons to "scrub in" before an operation), is successful in reducing rates of healthcare-associated methicillin-resistant Staphylococcus aureus. The findings were presented today at the Fifth Decennial International Conference on Healthcare-Associated Infections.

In an effort to reduce MRSA rates, some states have mandated active surveillance programs for patients admitted to hospitals. However, screening patients for MRSA remains controversial, with critics pointing to its expense, the tying of scarce infection prevention resources to one particular pathogen and the potential for adverse outcomes when patients who test positive are placed in isolation with reduced contact with healthcare personnel.

Over a seven year period, beginning in 2004, the medical center instituted a series of non-pathogen specific initiatives to reduce HAIs including an increasingly aggressive program, a central line bundle, a ventilator bundle, and chlorhexidine bathing of all adult ICU patients and a recommendation for bare below the elbows, along with compliance monitoring and feedback via unit-specific posters. Active surveillance cultures were not performed.

During this time, Michael Edmond, MD, MPH, MPA, chair of the division of infectious diseases, and colleagues observed a 91percent reduction in MRSA central line associated , a 62 percent reduction in MRSA catheter-associated and a 92 percent reduction in MRSA ventilator associated pneumonia. These outcomes were observed in a 16-bed medical ICU, 18-bed surgical ICU and 14-bed neuroscience ICU.

"Our broad approach allowed us to focus on reducing all pathogens, not just MRSA," said Edmond. "Using observation and providing feedback to hospital staff through unit-specific posters showing rates of infection, we were successful at reducing infection rates," he added.

Edmond cautioned this is an observational study using data from a single medical center and was observed in the ICU. Other healthcare facilities may have different results.

"This study demonstrates that a broad focus on implementation of evidenced-based practices designed to reduce all healthcare-associated infections is effective at reducing infections, and will likely have a more beneficial impact on overall patient outcomes," said Neil Fishman, MD, president of SHEA. These study findings are consistent with guidelines for and control in healthcare settings.

Explore further: Flexibility in disease outbreak management could save lives and money

Provided by Society for Healthcare Epidemiology of America

4 /5 (1 vote)
add to favorites email to friend print save as pdf

Related Stories

Staph infections carry long-term risks

Jul 03, 2008

Patients who harbor the highly contagious bacterium causing staph infections can develop serious and sometimes deadly symptoms a year or longer after initial detection, a UC Irvine infectious disease researcher has found.

Recommended for you

WHO: Ebola vaccine trials in W. Africa in January

1 hour ago

Tens of thousands of doses of experimental Ebola vaccines could be available for "real-world" testing in West Africa as soon as January as long as they are deemed safe, a top World Health Organization official ...

Ebola cases rise sharply in western Sierra Leone

1 hour ago

After emerging months ago in eastern Sierra Leone, Ebola is now hitting the western edges of the country where the capital is located with dozens of people falling sick each day, the government said Tuesday. So many people ...

US orders new screening for Ebola

1 hour ago

Everyone coming to the United States from the three West African countries at the center of the Ebola outbreak will now be screened for the deadly disease at one of five airports, the Homeland Security Department said Tuesday.

User comments : 0