The effectiveness of methicillin-resistant Staphylococcus aureus colonisation screening in asymptomatic healthcare workers in an Irish orthopaedic unit.

Hdl Handle:
http://hdl.handle.net/10147/203231
Title:
The effectiveness of methicillin-resistant Staphylococcus aureus colonisation screening in asymptomatic healthcare workers in an Irish orthopaedic unit.
Authors:
Edmundson, S P; Hirpara, K M; Bennett, D
Affiliation:
Department of Trauma and Orthopaedics, Mayo General Hospital, Castlebar, County, Mayo, Ireland. stevenedmundson@yahoo.co.uk
Citation:
Eur J Clin Microbiol Infect Dis. 2011 Sep;30(9):1063-6. Epub 2011 Feb 12.
Journal:
European journal of clinical microbiology & infectious diseases : official, publication of the European Society of Clinical Microbiology
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/203231
DOI:
10.1007/s10096-011-1192-3
PubMed ID:
21311935
Abstract:
Methicillin-resistant Staphylococcus aureus (MRSA) infections are associated with increased mortality, costs and length of stay compared to non-MRSA infections. This observational 4-year study analyses the impact of screening and treating orthopaedic healthcare workers for MRSA colonisation. A total of 1,011 swabs were taken from 566 healthcare workers. Positive healthcare workers were treated with topical mupirocin to both anterior nares. The prevalence of MRSA colonisation on initial testing was 4.77%. The rate of positive MRSA colonisation of those tested on more than one occasion fell from 5.88% to 2.71% (p = 0.055) on subsequent screening. All healthcare workers receiving treatment were successfully cleared of colonisation; however, some required more than one course of treatment. These results show that there could be a role for screening and treating orthopaedic staff for MRSA colonisation as part of a strategy to reduce the prevalence of MRSA infections in orthopaedic units.
Language:
eng
MeSH:
Adolescent; Adult; Anti-Infective Agents, Local/administration & dosage; Bacteriological Techniques/*methods; Carrier State/diagnosis/drug therapy/*epidemiology/microbiology; Female; *Health Personnel; Humans; Ireland/epidemiology; Male; Mass Screening/*methods; Methicillin-Resistant Staphylococcus aureus/*isolation & purification; Middle Aged; Mupirocin/administration & dosage; Prevalence; Staphylococcal Infections/diagnosis/drug therapy/*epidemiology/microbiology; Young Adult
ISSN:
1435-4373 (Electronic); 0934-9723 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorEdmundson, S Pen_GB
dc.contributor.authorHirpara, K Men_GB
dc.contributor.authorBennett, Den_GB
dc.date.accessioned2012-01-31T15:55:24Z-
dc.date.available2012-01-31T15:55:24Z-
dc.date.issued2012-01-31T15:55:24Z-
dc.identifier.citationEur J Clin Microbiol Infect Dis. 2011 Sep;30(9):1063-6. Epub 2011 Feb 12.en_GB
dc.identifier.issn1435-4373 (Electronic)en_GB
dc.identifier.issn0934-9723 (Linking)en_GB
dc.identifier.pmid21311935en_GB
dc.identifier.doi10.1007/s10096-011-1192-3en_GB
dc.identifier.urihttp://hdl.handle.net/10147/203231-
dc.description.abstractMethicillin-resistant Staphylococcus aureus (MRSA) infections are associated with increased mortality, costs and length of stay compared to non-MRSA infections. This observational 4-year study analyses the impact of screening and treating orthopaedic healthcare workers for MRSA colonisation. A total of 1,011 swabs were taken from 566 healthcare workers. Positive healthcare workers were treated with topical mupirocin to both anterior nares. The prevalence of MRSA colonisation on initial testing was 4.77%. The rate of positive MRSA colonisation of those tested on more than one occasion fell from 5.88% to 2.71% (p = 0.055) on subsequent screening. All healthcare workers receiving treatment were successfully cleared of colonisation; however, some required more than one course of treatment. These results show that there could be a role for screening and treating orthopaedic staff for MRSA colonisation as part of a strategy to reduce the prevalence of MRSA infections in orthopaedic units.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshAnti-Infective Agents, Local/administration & dosageen_GB
dc.subject.meshBacteriological Techniques/*methodsen_GB
dc.subject.meshCarrier State/diagnosis/drug therapy/*epidemiology/microbiologyen_GB
dc.subject.meshFemaleen_GB
dc.subject.mesh*Health Personnelen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMass Screening/*methodsen_GB
dc.subject.meshMethicillin-Resistant Staphylococcus aureus/*isolation & purificationen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshMupirocin/administration & dosageen_GB
dc.subject.meshPrevalenceen_GB
dc.subject.meshStaphylococcal Infections/diagnosis/drug therapy/*epidemiology/microbiologyen_GB
dc.subject.meshYoung Adulten_GB
dc.titleThe effectiveness of methicillin-resistant Staphylococcus aureus colonisation screening in asymptomatic healthcare workers in an Irish orthopaedic unit.en_GB
dc.contributor.departmentDepartment of Trauma and Orthopaedics, Mayo General Hospital, Castlebar, County, Mayo, Ireland. stevenedmundson@yahoo.co.uken_GB
dc.identifier.journalEuropean journal of clinical microbiology & infectious diseases : official, publication of the European Society of Clinical Microbiologyen_GB
dc.description.provinceConnacht-
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