Methicillin resistant Staphylococcus aureus; the role of antisepsis in the control of an outbreak

Tuffnell, Derek; Croton, R.; Hemingway, David; Hartley, Mark; Wake, P. N.; Garvey, Ronan J P

doi:10.1016/0195-6701(87)90006-5

Cited by 56 publications

(19 citation statements)

References 12 publications

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“…Triclosan is being used in an increasing range of products and its use as a whole-body wash has played a valuable role in the control of MRSA outbreaks, 13 either alone or in conjunction with the application of mupirocin to the anterior nares of nasal carriers of MRSA. the MIC of some of the strains tested; this could result in a failure of triclosan baths to eradicate MRSA from the colonized patient.…”

Section: Discussionmentioning

confidence: 99%

The socio-economic burden of influenza

Szucs¹

1999

Journal of Antimicrobial Chemotherapy

132

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Influenza epidemics and pandemics have a huge impact on society and individuals. The weight and scope of the burden of influenza varies with the age and underlying health of the patient. The disease imposes a significant burden on all individuals, but hospitalization and treatment occur more frequently in high-risk patients (the elderly and those with certain underlying medical conditions); patient populations that are increasing in size. Escalating medical costs have increased the need to quantify the burden of influenza. The first step in any such analysis is to determine the incidence of the disease; with influenza, this is often under-reported, since the illness may be confused with other viral illnesses. In addition to the direct costs of medical care, the indirect costs of influenza are substantial and stem largely from absenteeism and loss of work productivity. Estimates of the cost of influenza in the USA, France and Germany have shown that indirect costs can be five– to 10–fold higher than direct costs. Other intangible costs associated with influenza include impaired performance, which can reduce reaction times, and adverse effects on the quality of life of patients and their families. The costs of interventions should, therefore, be considered in this context. The main approach to the control of influenza and its associated costs is the administration of vaccines. Although vaccines are widely effective, the greatest potential benefits are observed within high-risk groups; vaccination is therefore recommended in many countries for high-risk patients, their carers and healthcare workers. However, the shortcomings of present vaccines, which include manufacturing limitations that prevent guaranteed adequate supply of vaccine, the difficulty in matching vaccines to circulating strains and the need for administration by injection, highlight the need for complementary treatment.

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Section: Discussionmentioning

confidence: 99%

The socio-economic burden of influenza

Szucs¹

1999

Journal of Antimicrobial Chemotherapy

132

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“…It has been proposed, however, that such resistance was capable of occurring, albeit rare under a lack of (a) Screening sites which have been used to establish culture-positive status. Nares only [21,22,[26][27]31,35,37,39,[43][44][45]50,59, Hands only [12,100], nares/hands [11,[101][102][103][104][105][106][107], nares/perineum [32,74,108] Nares/throat [39,[109][110][111][112][113][114][115], nares/hands/throat [29,116], nares/lesions [42,117] Nares/wrists/hands [118], nares/axilla/perineum [119], nares/wrists/hands/groin [120] Nares/throat/axilla/perineum [121,122], five sites [123,124], nares/subungual [125] Nares/throat/hands/perineum [60] (b) Anatom...…”

Section: Seek and Ye Shall Findmentioning

confidence: 99%

“…In a general sense, the carrier is more likely to disperse staphylococci when the quantitation, especially for nasal carriage, in the reservoir is high [19,20]. Increased numbers of patient colonizations or infections are soon followed and paralleled by staff carriage [21,22]. That is, the healthcare worker in implicated most often as an innocent bystander.…”

Section: Staff Have a Role In Mrsa Carriage And Transmissionmentioning

confidence: 99%

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

Cimolai

2008

Journal of Infection and Public Health

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Healthcare workers may acquire methicillin-resistant Staphylococcus aureus (MRSA) from patients, both hospital and home environments, other healthcare workers, family and public acquaintances, and pets. There is a consensus of case reports and series which now strongly support the role for MRSA-carrying healthcare personnel to serve as a reservoir and as a vehicle of spread within healthcare settings. Carriage may occur at a number of body sites and for short, intermediate, and long terms. A number of approaches have been taken to interrupt the linkage of staff-patient spread, but most emphasis has been placed on handwashing and the treatment of staff MRSA carriers. The importance of healthcare workers in transmission has been viewed with varying degrees of interest, and several logistical problems have arisen when healthcare worker screening is brought to the forefront. There is now considerable support for the screening and treatment of healthcare workers, but it is suggested that the intensity of any such approach must consider available resources, the nature of the outbreak, and the strength of epidemiological associations. The task of assessing healthcare personnel carriage in any context should be shaped with due regard to national and international guidelines, should be honed and practiced according to local needs and experience, and must be patient-oriented.

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“…Preoperative shaving of the surgical site the night before an operation is associated with a significantly higher SSI risk than either the use of depilatory agents or no hair removal [16,[33][34][35][36][37][38][39][40][41][42][43][44]. In one study, SSI rates were 5.6% in patients who had hair removed by razor shave compared to a 0.6% rate among those who had hair removed by depilatory or who had no hair removed [45].…”

Section: Preoperative Hair Removalmentioning

confidence: 99%

Surgical Site Infections in Relation to the Timing of Shaving among the Gastrointestinal Emergency Patients through the Midline Incisions- A Randomized Controlled Clinical Trial

Hossain¹

2012

J Med Microb Diagn

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Methicillin resistant Staphylococcus aureus; the role of antisepsis in the control of an outbreak

Cited by 56 publications

References 12 publications

The socio-economic burden of influenza

The socio-economic burden of influenza

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

Surgical Site Infections in Relation to the Timing of Shaving among the Gastrointestinal Emergency Patients through the Midline Incisions- A Randomized Controlled Clinical Trial

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