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MRSA infections in smaller hospitals, Victoria, Australia. | LitMetric

MRSA infections in smaller hospitals, Victoria, Australia.

Am J Infect Control

Victorian Hospital Acquired Infection Surveillance System (VICNISS) Coordinating Centre, The University of Melbourne, Melbourne, Victoria, Australia.

Published: December 2007

AI Article Synopsis

  • MRSA infections lead to significant health issues and costs, particularly in smaller hospitals.
  • Data collected by trained infection control nurses over 20 months showed an overall MRSA infection rate of 1.5 per 10,000 occupied bed days, with most infections occurring after 48 hours of hospitalization.
  • The findings indicate that serious MRSA infections are rare in these hospitals and are more likely to originate from the community or other healthcare settings rather than being acquired during hospital stays.

Article Abstract

Background: Infections caused by methicillin-resistant Staphylococcus aureus (MRSA) cause significant morbidity, mortality, and associated costs.

Methods: Trained infection control (IC) nurses in 84 smaller (<100 acute beds) hospitals during a 20-month period collected data on MRSA infections.

Results: The aggregate rate for all MRSA infections confirmed by the Victorian Hospital Acquired Infection Surveillance System Coordinating Centre IC nurse was 1.5 per 10,000 acute care occupied bed days (OBDs) (95% CI: 1.2-1.8). MRSA infections of 0.5 per 10,000 OBDs were detected >48 hours after admission (95% CI: 0.3-0.7). The aggregate rate for MRSA infections in sterile sites was 0.2 per 10,000 OBDs (95% CI: 0.0-0.4) and in nonsterile sites was 1.3 per 10,000 OBDs (95% CI: 1.0-1.6).

Conclusion: The results suggested that serious MRSA infections in Victoria's smaller hospitals are an infrequent event. Most are "inherited" either from the community or other health care facilities.

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Source
http://dx.doi.org/10.1016/j.ajic.2006.12.011DOI Listing

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