https://scholars.lib.ntu.edu.tw/handle/123456789/536165
標題: | Impact of Active Surveillance and Contact Isolation on Transmission of Methicillin-resistant Staphylococcus aureus in Intensive Care Units in an Area With High Prevalence | 作者: | JANN-TAY WANG Lauderdale T.-L. Lee W.-S. Huang J.-H. Wang T.-H. SHAN-CHWEN CHANG |
公開日期: | 2010 | 卷: | 109 | 期: | 4 | 起(迄)頁: | 258-268 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Background/Purpose: Previous research has suggested that active surveillance and early initiation of contact isolation (ASI) can control the nosocomial spread of methicillin-resistant Staphylococcus aureus (MRSA), especially among intensive care unit (ICU) patients. However, these interventions have never been implemented in Taiwan. Methods: This study was conducted from September 2005 to October 2006 to evaluate the effect of ASI on the spread of MRSA in two medical centers in Taiwan with a high prevalence of MRSA. One ICU from each hospital was selected as a study site. In phase I (the first 6 months), only active surveillance was introduced. In phase II (the final 6 months), ASI for patients who had positive MRSA cultures was implemented. Results: The incidence of acquiring MRSA during ICU stay did not differ significantly during phases I and II in hospital A (p = 0.940) and hospital B (p = 0.810). The independent risk factors for acquiring MRSA in the ICU were length of stay and presence of respiratory tract diseases. Conclusion: This study demonstrated that, given the current resource limitations, ASI alone could not reduce MRSA transmission in two ICUs in Taiwan, where the MRSA prevalence was high. ? 2010 Formosan Medical Association & Elsevier. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-77952315131&doi=10.1016%2fS0929-6646%2810%2960051-4&partnerID=40&md5=8d827e8152d4fa45bd5d050a956a4925 https://scholars.lib.ntu.edu.tw/handle/123456789/536165 |
ISSN: | 0929-6646 | DOI: | 10.1016/S0929-6646(10)60051-4 | SDG/關鍵字: | antibiotic agent; adult; antibiotic sensitivity; article; bacterial transmission; bacterium isolate; bacterium isolation; chronic kidney failure; diabetes mellitus; female; health survey; hospital infection; human; infection control; intensive care unit; length of stay; major clinical study; male; methicillin resistant Staphylococcus aureus; methicillin resistant Staphylococcus aureus infection; prevalence; respiratory tract disease; sputum culture; throat culture; urogenital tract disease; Adult; Aged; Cross Infection; Female; Humans; Infection Control; Intensive Care Units; Male; Methicillin-Resistant Staphylococcus aureus; Middle Aged; Population Surveillance; Prevalence; Program Evaluation; Risk Factors; Staphylococcal Infections; Taiwan; Time Factors |
顯示於: | 醫學系 |
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