Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-26T19:27:09.668Z Has data issue: false hasContentIssue false
  • English
  • Français

Discontinuation of Contact Precautions for Patients No Longer Colonized with Methicillin-Resistant Staphylococcus aureus

Published online by Cambridge University Press:  02 January 2015

Holenarasipur R. Vikram ,
Diane G. Dumigan ,
Cynthia Kohan ,
Nancy L. Havill ,
Allison Tauman  and
John M. Boyce
Holenarasipur R. Vikram
Affiliation:
Division of Infectious Diseases, Mayo Clinic, Phoenix-Scottsdale, Arizona
Diane G. Dumigan
Affiliation:
Section of Infectious Diseases, Infection Control Program, Hospital of Saint Raphael, New Haven, Connecticut
Cynthia Kohan
Affiliation:
Section of Infectious Diseases, Infection Control Program, Hospital of Saint Raphael, New Haven, Connecticut
Nancy L. Havill
Affiliation:
Section of Infectious Diseases, Infection Control Program, Hospital of Saint Raphael, New Haven, Connecticut
Allison Tauman
Affiliation:
Veterans Health Administration Performance Services, New Haven, Connecticut
John M. Boyce*
Affiliation:
Section of Infectious Diseases, Infection Control Program, Hospital of Saint Raphael, New Haven, Connecticut Yale University School of Medicine, New Haven, Connecticut
*
Section of Infectious Diseases, Hospital of Saint Raphael, 1450 Chapel St, New Haven, CT 06511, (JBoyce@srhs.org)
Get access Rights & Permissions [Opens in a new window]

Abstract

To reduce the number of patients with known methicillin-resistant Staphylococcus aureus (MRSA) colonization who are repeatedly placed in isolation on hospital readmission, we screened patients who had no positive results for MRSA culture in the previous 6 months. Twenty-one (21%) of 98 patients were no longer colonized and were removed from contact precautions.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 5 , May 2010 , pp. 541 - 543
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Sanford, MD, Widmer, AF, Bale M, J, Jones, RN, Wenzel, RP. Efficient detection and long-term persistence of the carriage of methicillin-resistant Staphylococcus aureus. Clin Infect Dis 1994;19:1123–1128.CrossRefGoogle ScholarPubMed
2.Vriens, MR, Blok, HE, Gigengack-Baars, AC, et al.Methicillin-resistant Staphylococcus aureus carriage among patients after hospital discharge. Infect Control Hosp Epidemiol 2005;26:629–633.Google Scholar
3.MacKinnon, MM, Allen, KD. Long-term MRSA carriage in hospital patients. J Hosp Infect 2000;46:216–221.Google Scholar
4.Robicsek, A, Beaumont, JL, Peterson, AR. Duration of colonization with methicillin-resistant Staphylococcus aureus. Clin Infect Dis 2009;48:910–913.CrossRefGoogle ScholarPubMed
5.Yu, VL, Goetz, A, Wagener, M, et al.Staphylococcus aureus nasal carriage and infection in patients on hemodialysis. Efficacy of antibiotic prophylaxis. N Engi J Med 1986;315:91–96.CrossRefGoogle ScholarPubMed
6.Cheng, VC, Li, IW, Wu, AK, et al.Effect of antibiotics on the bacterial load of methicillin-resistant Staphylococcus aureus colonisation in anterior nares. J Hosp Infect 2008;70:27–34.Google Scholar
7.Beaujean, DJ, Blok, HE, Weersink, AJ, Verhoef, J. Long-term methicillin-resistant Staphylococcus aureus (MRSA) carriage and tagging of patient records: in Utrecht you're not MRSA positive for life.J Hosp Infect 1997;37:338–339.Google Scholar
8.Rodier, L, de Wit, D. MRSA colonization rates of readmitted patients previously colonized or infected with MRSA. J Hosp Infect 1997;35:161–163.CrossRefGoogle ScholarPubMed
9.Marshall, C, Spelman, D. Re: is throat screening necessary to detect methicillin-resistant Staphylococcus aureus colonization in patients upon admission to an intensive care unit? J Clin Microbiol 2007;45:3855.Google Scholar
10.Flayhart, D, Hindler, JF, Bruckner, DA, et al.Multicenter evaluation of BBL CHROMagar MRSA medium for direct detection of methicillin-resistant Staphylococcus aureus from surveillance cultures of the anterior nares. J Clin Microbiol 2005;43:5536–5540.Google Scholar
11.Paule, SM, Hacek, D, Kufner, B, et al.Performance of the BD GeneOhm methicillin-resistant Staphylococcus aureus test before and during high-volume clinical use. J Clin Microbiol 2007;45:2993–2998.CrossRefGoogle ScholarPubMed