Control of Nosocomial Methicillin-Resistant Staphylococcus aureus Where Shall We Send Our Hospital Director Next Time?

Tackling contamination of the hospital environment by methicillin-resistant Staphylococcus aureus (MRSA): a comparison between conventional terminal cleaning and hydrogen peroxide vapour decontamination

“…1 In the UK, the proportion of blood isolates of S. aureus that are resistant to methicillin has risen from just a few percent in the late 1980s to over 30%, with rates of over 40% seen in tertiary referral hospitals. 2 -4 Similar prevalence rates are reported from other European countries 4 and the US.…”

The role of healthcare personnel in the maintenance and spread of methicillin-resistant Staphylococcus aureus

“…It may be that the evolution of conflict between the infection control services and health care personnel could become unhelpful in managing an outbreak [113]; a perception can arise whereby the control 'cure' is worse than the (MRSA) infection [153]. The lack of absolutely definitive evidence from clinical randomized trials may be argued by others as a negative in applying such tools as staff screening [219]. There are many, however, who favour a 'culture' of altruism and of maintaining the integrity of infection control practice to be near sacred.…”

“…There are many, however, who favour a 'culture' of altruism and of maintaining the integrity of infection control practice to be near sacred. Perhaps MRSA containment may be treated as a key quality indicator, and one might also propose that there is no level for which MRSA control interventions are not warranted [219]. Perhaps the problems with implementing staff screening techniques, even when epidemiologically warranted, are administrative in nature and require but ''teeth and money'' [219].…”

“…Perhaps MRSA containment may be treated as a key quality indicator, and one might also propose that there is no level for which MRSA control interventions are not warranted [219]. Perhaps the problems with implementing staff screening techniques, even when epidemiologically warranted, are administrative in nature and require but ''teeth and money'' [219]. Perhaps many staff are quite willing to participate in prevention beyond the expectations of their managers [147].…”

MRSA incidence as an indicator of infection control practices: do the results reflect the reality?

“…When it has been implemented in all French hospitals, nosocomial acquisition rates of MRSA will become a key indicator of quality for hospital benchmarking. 5 …”