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Long-term impact of contact precautions cessation for Methicillin-Resistant Staphylococcus Aureus (MRSA).
- Source :
-
American journal of infection control [Am J Infect Control] 2022 Mar; Vol. 50 (3), pp. 336-341. Date of Electronic Publication: 2021 Nov 15. - Publication Year :
- 2022
-
Abstract
- Background: Methicillin-Resistant Staphylococcus aureus (MRSA) is a major cause of healthcare-associated infections (HAI). Contact isolation has been traditionally implemented to stop transmission but its impact is increasingly questioned.<br />Methods: A single center, retrospective, nonrandomized, observational, quasi-experimental study compared MRSA HAI rates between pre-/postdiscontinuation of MRSA contact isolation in a tertiary university hospital over 68 months. Data on primary outcomes, Central line-associated bloodstream infections and MRSA LabID bacteremia events, were analyzed by interrupted time series design using segmented Poisson regression modeling. As secondary outcomes catheter-associated urinary tract infections , ventilator-associated pneumonia , surgical site infections and hospital-associated pneumonia were compared using Fisher's exact tests. Current savings due to discontinuation were calculated based on gown use.<br />Results: Two hundred and ninty-five patients developed 399 HAIs. Infection rates between pre- and postinterventions were as follows: Central line-associated bloodstream infections: (0.02% vs 0.02%; P-value = .64), MRSA LabID events: (0.01% vs 0.02%; P-value = .32), hospital-associated pneumonia: (0.01% vs 0.01%; P-value = .64), catheter-associated urinary tract infections: (0% vs 0.01%; P-value = .56), ventilator-associated pneumonia: (0.01% vs 0.01%; P-value = .32), surgical site infections (0.55% vs 0.15%; P-value = .03). Savings amount to $139,228 annually.<br />Conclusions: Discontinuing CP did not negatively impact endemic MRSA HAI rates between pre-postdiscontinuation periods and saved costs for isolation materials.<br /> (Copyright © 2021 The Authors. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Humans
Infection Control
Retrospective Studies
Bacteremia epidemiology
Bacteremia prevention & control
Cross Infection epidemiology
Cross Infection prevention & control
Methicillin-Resistant Staphylococcus aureus
Staphylococcal Infections epidemiology
Staphylococcal Infections prevention & control
Subjects
Details
- Language :
- English
- ISSN :
- 1527-3296
- Volume :
- 50
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- American journal of infection control
- Publication Type :
- Academic Journal
- Accession number :
- 34793891
- Full Text :
- https://doi.org/10.1016/j.ajic.2021.10.044