Control of methicillin-resistant S. aureus by active surveillance

Kola, A. and Chaberny, I. F. and Mattner, F. and Reischl, Udo and Vonberg, R. -P. and Weist, K. and Wendt, C. and Witte, W. and Ziesing, S. and Suerbaum, S. and Gastmeier, P. (2006) Control of methicillin-resistant S. aureus by active surveillance. ANAESTHESIST, 55 (7). pp. 778-783. ISSN 0003-2417,

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Abstract

In Germany, methicillin-resistant S. aureus (MRSA) is increasing continuously. To control the spread of MRSA, active surveillance and admission screening are recommended. In most cases, screening cultures of patients at risk for MRSA will be sufficient. Screening of all patients admitted to an ICU is cost-effective when the incidence of MRSA and nosocomial MRSA infections is high (> 2 cases/100 patients and 0.3 MRSA infections/100 patients, respectively): Under these circumstances, a decrease in the incidence of nosocomial MRSA infections of 50% leads to cost-effectiveness at costs of 16 Euro/sample (including subsequent costs). If the incidence of nosocomial MRSA infections decreases by 75%, costs of 24 Euro/sample (including subsequent costs) are cost-effective. If the incidence of MRSA is high, screening by PCR may be cost-effective for patients at high risk for MRSA, especially if they are isolated prophylactically. Recently, PCR methods have been developed which allow the specific identification of MRSA even from nasal swabs.

Item Type: Article
Uncontrolled Keywords: SELECTIVE SCREENING-PROGRAM; INTENSIVE-CARE UNITS; STAPHYLOCOCCUS-AUREUS; MRSA CARRIERS; INFECTIONS; PCR; IDENTIFICATION; STRATEGY; STRAINS; SYSTEM; S. aureus; methicillin-resistance; MRSA; active surveillance; prevention measures
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Medizinische Mikrobiologie und Hygiene
Depositing User: Dr. Gernot Deinzer
Date Deposited: 10 Feb 2021 07:54
Last Modified: 10 Feb 2021 07:54
URI: https://pred.uni-regensburg.de/id/eprint/34316

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