Perceptions of methicillin-resistant Staphylococcus aureus and hand hygiene provider training and patient education: Results of a mixed method study of health care providers in Department of Veterans Affairs spinal cord injury and disorder units

Hill, Jennifer N.; Hogan, Timothy P.; Cameron, Kenzie A.; Guihan, Marylou; Goldstein, Barry; Evans, Martin E.; Evans, Charlesnika T.

doi:10.1016/j.ajic.2014.04.026

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…The MRSA study found that 42.3% of respondents perceived the guidelines to be fully implemented, whereas 36.8% of SCI/D providers were not aware of them. Additional findings from the MRSA study are reported elsewhere (Balbale et al., ; Hill et al., ).…”

Section: Resultssupporting

confidence: 59%

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Use of the PARIHS Framework for Retrospective and Prospective Implementation Evaluations

Hill

Guihan

Hogan

et al. 2017

Worldviews Ev Based Nurs

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Section: Resultssupporting

confidence: 59%

“…Following the survey, from December 2010 to March 2011, semistructured interviews were conducted across nine VA SCI/D centers. Data from the MRSA study are presented, in part, in other publications (Balbale et al., ; Hill et al., ).…”

Section: Methodsmentioning

confidence: 99%

Use of the PARIHS Framework for Retrospective and Prospective Implementation Evaluations

Hill

Guihan

Hogan

et al. 2017

Worldviews Ev Based Nurs

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“…• Assess prevalence and determine risk factors for HAI and MDROS [1][2][3] • Assess adherence to current practices based on CDC guide to infection prevention for outpatient settings (ie, education and training, surveillance process activities, hand hygiene programs, environmental cleaning) environment while supporting patient safety. [7][8][9][10] Our workgroup identified similar issues as a critical part of the research agenda for LTC and SCI populations. For ambulatory care, dialysis, mental health, home-based care, and hospice care settings, the research needs appear to be even more basic given a general dearth of information about current infection prevention and control practices in these areas.…”

Section: Discussion and Recommendationsmentioning

confidence: 97%

“…6 Although this was a nationwide healthcare initiative, the need to implement infection control practices, such as contact precautions, was in line with patient care goals in diverse settings, such as LTC and SCI units. [7][8][9][10] This effort highlighted the need for modified guidelines for implementation of the MRSA program in these units; a key component was sustaining a home-like Limited data describe risk of acquiring HAI/MDRO in these settings and current infection prevention practices in use.…”

Section: Discussion and Recommendationsmentioning

confidence: 99%

Setting a Research Agenda in Prevention of Healthcare-Associated Infections (HAIs) and Multidrug-Resistant Organisms (MDROs) Outside of Acute Care Settings

Evans¹,

Jump

Krein

et al. 2018

Infect. Control Hosp. Epidemiol.

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See introductory commentary by Livorsi et al, pages 186-188.) Infections are among the most common complications of hospital care and a leading cause of death in the United States. 1 Multidrug-resistant organisms (MDROs) cause more than 2 million infections each year, with >1% of those resulting in death. 2 Risk factors for healthcare-associated infections (HAIs) include patient characteristics (eg, cognitive impairment, spinal cord injury, or end-stage renal disease), medical treatments (eg, recent antibiotic exposure, indwelling medical devices, or dialysis), the type of care received (eg, dementia care, wound care, or rehabilitation), and the setting in which the care is delivered (eg, long-term care setting, spinal cord injury unit, or dialysis center). Most knowledge about preventing HAIs due to MDROs comes from acute-care settings. Translating this knowledge to individuals and settings outside of hospital wards presents significant challenges. Specifically, protocols commonly used to reduce the risk of HAI and MDROs may not apply to or may be inadequate for meeting the needs of clinical staff and patient populations outside the general acutecare setting. Consequently, identification of effective practices to provide safe healthcare for patients in other settings is needed. Here, we discuss recommendations for prioritizing the research agenda for special populations and for healthcare services offered in settings beyond typical inpatient hospital units.

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“…Some studies have reported the increasing risk of infection among nursing staff significantly, and it also has been shown that MRSA multiply in the nares of nurses, at least two to three times higher than other healthcare staffs. [ 31 ]…”

Section: Discussionmentioning

confidence: 99%

Clonal lineage diversity, antibiotic resistance, and virulence determinants among methicillin-resistant and methicillin-susceptible Staphylococcus aureus isolated from nurses at a teaching hospital in Ilam, Iran: Successful nares decolonization by mupirocin

Hematian

Monjezi

Abiri

et al. 2018

J Global Infect Dis

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Background:Staphylococcus aureus is known to be responsible for nosocomial infections, and the typing method was useful in managing the reservoir of bacteria. The main aim of this study was to determine the prevalence of S. aureus in the nares and hands of nurses working in Imam Khomeini hospital, Ilam, Iran, as well as to determine the clonal relatedness, antimicrobial susceptibility profiles, different virulence, and resistance determinants among these isolates. The evolution of mupirocin activity in the eradication of methicillin-resistant S. aureus (MRSA) and methicillin-susceptible S. aureus (MSSA) colonization in the nares of the healthcare workers in Ilam, Iran, was also determined in this study.Materials and Methods:In this cross-sectional study, 80 nurses, auxiliary nurses, and service workers from Imam Khomeini Hospital were enrolled. MRSA, antibiotic susceptibility, and virulence determinants were evaluated. Then, the isolates were subjected to pulsed field gel electrophoresis (PFGE) and Staphylococcal cassette chromosome mec typing.Results:Our results demonstrated that 23% of isolates were MRSA. PFGE results demonstrated that pulsotypes A (3 out of 30; 10%) and J (3 out of 30; 10%), pulsotypes E (2 out of 30; 6.7%), M (2 out of 30; 6.7%), P(2 out of 30; 6.7%), and V (2 out of 30; 6.7%) were the most predominant pulsotypes, respectively.Conclusion:We cannot give conclusive suggestions about the correlation between nasal carriage and infections, but we suggest the monitoring of all healthcare workers annually, decontamination of their noses by using mupirocin and other antistaphylococcal agents, and also the washing of their hands at least every 2 h.

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Perceptions of methicillin-resistant Staphylococcus aureus and hand hygiene provider training and patient education: Results of a mixed method study of health care providers in Department of Veterans Affairs spinal cord injury and disorder units

Cited by 5 publications

References 14 publications

Use of the PARIHS Framework for Retrospective and Prospective Implementation Evaluations

Use of the PARIHS Framework for Retrospective and Prospective Implementation Evaluations

Setting a Research Agenda in Prevention of Healthcare-Associated Infections (HAIs) and Multidrug-Resistant Organisms (MDROs) Outside of Acute Care Settings

Clonal lineage diversity, antibiotic resistance, and virulence determinants among methicillin-resistant and methicillin-susceptible Staphylococcus aureus isolated from nurses at a teaching hospital in Ilam, Iran: Successful nares decolonization by mupirocin

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