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Challenges of Implementing National Guidelines for the Control and Prevention of Methicillin-Resistant Staphylococcus aureus Colonization or Infection in Acute Care Hospitals in the Republic of Ireland

Published online by Cambridge University Press:  02 January 2015

Fidelma Fitzpatrick*
Affiliation:
Health Protection Surveillance Centre, Dublin, Ireland Department of Microbiology, Beaumont Hospital, Dublin, Ireland
Fiona Roche
Affiliation:
Health Protection Surveillance Centre, Dublin, Ireland
Robert Cunney
Affiliation:
Health Protection Surveillance Centre, Dublin, Ireland Department of Clinical Microbiology, Children's University Hospital Temple Street, Dublin, Ireland
Hilary Humphreys
Affiliation:
Department of Microbiology, Beaumont Hospital, Dublin, Ireland Department of Clinical Microbiology, Royal College of Surgeons in Ireland, Dublin, Ireland
*
Health Protection Surveillance Centre, 25-27 Middle Gardiner Street, Dublin 1, Ireland(fidelma.fitzpatrick@hse.ie)

Abstract

Of the 49 acute care hospitals in Ireland that responded to the survey questionnaire drafted by the Infection Control Subcommittee of the Health Protection Surveillance Centre's Strategy for the Control of Antimicrobial Resistance in Ireland, 43 reported barriers to the full implementation of national guidelines for the control and prevention of methicillin-resistant Staphylococcus aureus infection; these barriers included poor infrastructure (42 hospitals), inadequate laboratory resources (40 hospitals), inadequate staffing (39 hospitals), and inadequate numbers of isolation rooms and beds (40 hospitals). Four of the hospitals did not have an educational program on hand hygiene, and only 17 had an antibiotic stewardship program.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2009

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