Eradication Of Endemic Methicillin-Resistant Staphylococcus Aureus Infections From A Neonatal Intensive Care Unit
作者： R. W. Haley , N. B. Cushion , F. C. Tenover , T. L. Bannerman , D. Dryer
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摘要: To control infections with endemic methicillin-resistant Staphylococcus aureus (MRSA) in a neonatal intensive care unit (NICU), triple dye was applied to the umbilical cords of infants intermediate-care but not intensive-care area. The rate MRSA infection, adjusted for time and intensity care, decreased area (rate ratio, 0.35; 95% confidence interval [CI], 0.14-0.87; P < .01) 0.92; CI, 0.41-2.24; = .48). After 22 months, increased both areas (Mantel-Haenszel 1.7; 1.0-2.8; .05) after overcrowding understaffing increased. temporary reduction understaffing, extension use dedication an infection nurse NICU, colonization rates near zero (infection ratios, 0.09 0.11, respectively; .005). strain, identified by pulsed-field gel electrophoresis, eradicated.
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jstor.org 参考文章(40)
Igor M. Gladstone, Laura Clapper, James W. Thorp, Dennis I. Wright, Randomized Study of Six Umbilical Cord Care Regimens Clinical Pediatrics. ,vol. 27, pp. 127- 129 ,(1988) , 10.1177/000992288802700302
Fred F. Barrett, Edward O. Mason, Darrell Fleming, The effect of three cord-care regimens on bacterialcolonization of normal newborn infants The Journal of Pediatrics. ,vol. 94, pp. 796- 800 ,(1979) , 10.1016/S0022-3476(79)80159-6
Robert W. Haley, Methicillin-Resistant Staphylococcus aureus: Do We Just Have To Live with It? Annals of Internal Medicine. ,vol. 114, pp. 162- 164 ,(1991) , 10.7326/0003-4819-114-2-162
Lisa I. Iezzoni, Severity of illness measures. Comments and caveats. Medical Care. ,vol. 28, pp. 757- 761 ,(1990) , 10.1097/00005650-199009000-00001
Robert W. Haley, Nosocomial infections in surgical patients: developing valid measures of intrinsic patient risk. The American Journal of Medicine. ,vol. 91, ,(1991) , 10.1016/0002-9343(91)90360-A
E.A. Davies, A.M. Emmerson, G.M. Hogg, M.F. Patterson, M.D. Shields, An outbreak of infection with a methicillin-resistant Staphylococcus aureus in a special care baby unit: value of topical mupirocin and of traditional methods of infection control Journal of Hospital Infection. ,vol. 10, pp. 120- 128 ,(1987) , 10.1016/0195-6701(87)90137-X
Angella M Goetz, Robert R Muder, The problem of methicillin-resistant Staphylococcus aureus: A critical appraisal of the efficacy of infection control procedures with a suggested approach for infection control programs American Journal of Infection Control. ,vol. 20, pp. 80- 84 ,(1992) , 10.1016/S0196-6553(05)80006-9
C. G. Mayhall, V. A. Lamb, W. E. Gayle, B. W. Haynes, Enterobacter cloacae septicemia in a burn center: epidemiology and control of an outbreak. The Journal of Infectious Diseases. ,vol. 139, pp. 166- 171 ,(1979) , 10.1093/INFDIS/139.2.166
Maury E. Mulligan, Robert D. Arbeit, Epidemiologic and clinical utility of typing systems for differentiating among strains of methicillin-resistant Staphylococcus aureus. Infection Control and Hospital Epidemiology. ,vol. 12, pp. 20- 28 ,(1991) , 10.1086/646234
F C Tenover, R Arbeit, G Archer, J Biddle, S Byrne, R Goering, G Hancock, G A Hébert, B Hill, R Hollis, Comparison of traditional and molecular methods of typing isolates of Staphylococcus aureus. Journal of Clinical Microbiology. ,vol. 32, pp. 407- 415 ,(1994) , 10.1128/JCM.32.2.407-415.1994