Control of methicillin-resistant Staphylococcus aureus in the hospital setting

摘要: Methicillin-resistant Staphylococcus aureus (MRSA) is a common cause of nosocomial infections. Healthcare professionals in the United States should develop programs to prevent transmission this organism within their institutions. Aggressive control efforts are justified for several reasons: (1) incidence MRSA reflects general effectiveness infection practice; (2) do not replace susceptible strains but instead increase overall rate S. infections; (3) infections substantial morbidity and mortality; (4) serious must be treated with vancomycin. Thus, hospitals high rates MRSA, use antimicrobial agent increases, which turn may risk selecting vancomycin-resistant enterococci. Hospitals have used numerous different approaches spread MRSA. Staff choose method based on prevalence institution referring facilities, hospital, factors present patient population, reservoirs modes specific resources. Any plan stress adherence basic measures, such as hand washing contact isolation precautions. In addition, decolonization patients staff, use, surveillance cultures, molecular typing helpful adjuncts.