Elimination of methicillin-resistant Staphylococcus aureus from a neonatal intensive care unit after hand washing with triclosan

摘要: Evaluating hand wash products in terms of user acceptability and effectiveness against methicillin-resistant Staphylococcus aureus (MRSA) has been part a long-term strategy to eliminate endemic MRSA from the neonatal intensive care unit at Royal Women's Hospital (Brisbane). Following introduction new disinfectant (triclosan 1% wt/vol), cases colonization were monitored for 12 months. In addition, use antibiotics, incidence multi-resistant Gram-negative cultures infections noted. No changes made any procedures or protocols during trial. All babies colonized with had discharged nursery within 7 months triclosan subsequent 9 no isolates reported. Reduction vancomycin resulted cost saving approximately $A17,000. The total number not increased, although Pseudomonas aeruginosa is now reported more often. Compared previous months, fewer antibiotics prescribed nosocomial recorded (P < 0.05).