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Selected Category: Healthcare-associated infections

Preventing MRSA in healthcare – Is there a silver bullet? (Part 2 of 3)

Categories: Antimicrobial Resistance, Healthcare-associated infections, MRSA

Martin Evans, MD

Martin Evans, MD

Author: Martin Evans, MD
Director of the VHA MRSA/MDRO Program

MRSA hospital-acquired infections (HAIs) cause increased suffering, the need for increased procedures, treatments, and time in the hospital, and sometimes an increased risk of death among patients. Beginning in 2002, staff working at the VA Pittsburgh Healthcare system successfully brought down MRSA HAIs using a “bundle” of infection control strategies. In 2007, VA leadership in Central Office, Washington, D.C. decided to have all 153 medical centers nationwide implement the bundle.

The “MRSA bundle” consisted of gently swabbing the nose of all patients admitted or transferred within the hospital to detect those carrying MRSA (known as universal active surveillance); preventing spread of the organism by placing those with MRSA in their own room away from those not carrying the organism; insisting that healthcare workers do hand hygiene and wear gloves and gowns when caring for the patient, and striving for a culture change where infection prevention and control becomes everyone’s responsibility.

Preventing MRSA in healthcare – Is there a silver bullet? (Part 3 of 3)

Categories: Antimicrobial Resistance, Healthcare-associated infections, MRSA

Charles W. Huskins, MD

Charles W. Huskins, MD

Author: Charles W. Huskins, MD
Consultant in Pediatric Infectious Diseases and
Assistant Professor of Pediatrics in the College of Medicine, Mayo Clinic

In today’s issue of the New England Journal of Medicine, my co-authors and I report the results of a study (Intervention to Reduce Transmission of Resistant Bacteria in Intensive Care) examining an intervention to reduce the spread of methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin resistant enterococcus (VRE) in adult intensive care units (ICUs). The intervention included culture-based screening of patients admitted to ICUs for MRSA or VRE carriage—called “active surveillance”—and expanded use of barrier precautions (gloves and gowns) by health care providers during the care of patients colonized or infected with these bacteria.

The study—a cluster- (ICU-) randomized trial conducted in 18 ICUs around the US—was scientifically rigorous. The results showed no difference in the incidence of MRSA or VRE colonization or infection events in 10 ICUs implementing the intervention vs. 8 ICUs that followed their existing practices. Notably, some ICUs showed substantial decreases while others showed dramatic increases.

World Health Day 2011 Spotlights Growing Threat of Antimicrobial Resistance

Categories: Antimicrobial Resistance, Healthcare-associated infections, Medication Safety

Author – Jean B. Patel, PhD, D(ABMM)
Deputy Director for CDC’s Office of Antimicrobial Resistance
CDC’s Division of Healthcare Quality Promotion

Each year, millions of Americans take antimicrobial drugs, including antibiotics. People have come to trust and rely on antibiotics to always be there to fight their worst infections. However, new drug-resistant pathogens continue to emerge, finding ways around our most powerful treatments. As the threat of untreatable infections grows, preventing the spread of antimicrobial resistant pathogens remains important.

World Health Day 2011: Help fight antimicrobial resistance

World Health Day 2011: Help fight antimicrobial resistance

CDC joins the World Health Organization and other health partners in recognizing today as World Health Day, which this year spotlights the growing global problem of antimicrobial resistance – when germs change in a way that reduces or eliminates the effectiveness of drugs to treat them. Today’s resistant infections are often more severe, leading to longer hospital stays and increased costs for treatment.

SHEA Scientific Meeting Featured Cutting Edge Research on Prevention and Treatment of HAIs

Categories: Antibiotic use, Hand Hygiene, Healthcare-associated infections

Steven M. Gordon, MD, FACP

Steven M. Gordon, MD, FACP

Guest Author – Steven M. Gordon, MD, FACP
President of SHEA

The Society for Healthcare Epidemiology of America’s 21st Annual Meeting provided a forum for discussing the latest research, evidence and advances in healthcare epidemiology, with the goal of bringing this knowledge one step closer to bedside implementation and the elimination of healthcare-associated infections. More than 1,600 academicians, researchers, frontline providers, infection preventionists and public health officials attended the four-day event in Dallas. 

Two studies that highlight the breadth of the work presented at this year’s meeting are highlighted below. The first, from researchers with the Salt Lake City VA Healthcare System, demonstrates the rising use of broad-spectrum antibiotics over a five-year period. This increased use may be impacting the efficacy of our most powerful antibiotics. 

In an era of multi-drug resistant organisms, clinicians are placed in a difficult situation. Because treatment outcomes of many bacterial infections are influenced by the timing of appropriate therapy, the increasing presence of resistant organisms triggers greater use of these powerful antibiotics for proven or suspected infections in hospitalized patients. Studies like this are critical to our understanding of antibiotic resistance. 

New guidelines to prevent catheter-related infections

Categories: BSIs, CLABSI, Healthcare-associated infections, HICPAC

Naomi O’Grady, MD

Naomi O’Grady, MD

Guest Author – Naomi O’Grady, MD
National Institutes of Health
Medical Director, Clinical Center’s Vascular Access and Conscious Sedation Services.

Recently, hospital-acquired infections have become an important benchmark of hospital quality and patient safety. Many hospitals are now being required to report patient safety data, and some of this data includes infection rates.

I am proud to announce the release of the updated Guideline to Prevent Intravascular Catheter Related Infections. Clinicians and infection control personnel now have the most recent published information on how to best eliminate these types of infections.

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