Changing epidemiology of methicillin-resistant Staphylococcus aureus in Finland

Kerttula, Anne-Marie; Lyytikäinen, Outi; Salmenlinna, Saara; Vuopio‐Varkila, Jaana

doi:10.1016/j.jhin.2004.05.019

Cited by 31 publications

(20 citation statements)

References 24 publications

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“…19 The experience of some countries such as Finland, where two successive MRSA outbreaks in the early 1990s were managed successfully and where MRSA is largely confined to long-term facilities rather than acute hospitals, suggests that it is possible in the non-endemic situation to control the spread of MRSA and also to eradicate it. 20,21 Whether it is possible to eradicate MRSA in hospitals where MRSA is endemic is debatable, but it is possible to control spread and minimize the clinical impact.…”

Section: Why Is Control and Prevention Still Important?mentioning

confidence: 99%

Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities

Coia

Duckworth²,

Edwards³

et al. 2006

Journal of Hospital Infection

461

273

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Section: Why Is Control and Prevention Still Important?mentioning

confidence: 99%

Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities

Coia

Duckworth²,

Edwards³

et al. 2006

Journal of Hospital Infection

461

273

View full text Add to dashboard Cite

“…8 Although a Cochrane review found no strong evidence for using topical antimicrobials to eradicate MRSA, 12 other reports have shown that topical antimicrobials, when combined with other infection-control measures, can control the spread of MRSA in elective settings. 8,[13][14][15][16] Our policy of routine MRSA screening, surveillance, prophylactic treatment and ring-fencing of beds reduced the incidence of MRSA infection by 56% on the trauma wards and 70% on the elective wards.…”

Section: Discussionmentioning

confidence: 99%

Methicillin-resistant Staphylococcus aureus on orthopaedic wards

Nixon

Jackson

Varghese³

et al. 2006

The Journal of Bone and Joint Surgery. British volume

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We examined the rates of infection and colonisation by methicillin-resistant Staphylococcus aureus (MRSA) between January 2003 and May 2004 in order to assess the impact of the introduction of an MRSA policy in October 2003, which required all admissions to be screened. Emergency admissions were treated prophylactically and elective beds ring-fenced. A total of 5,594 admissions were cross-referenced with 22,810 microbiology results. The morbidity, mortality and cost of managing MRSA-carrying patients, with a proximal fracture of the femur were compared, in relation to age, gender, American Society of Anaesthesiologists grade and residential status, with a group of matched controls who were MRSA-negative. In 2004, we screened 1795 of 1,796 elective admissions and MRSA was found in 23 (1.3%). We also screened 1,122 of 1,447 trauma admissions and 43 (3.8%) were carrying MRSA. All ten ward transfers were screened and four (40%) were carriers (all p < 0.001). The incidence of MRSA in trauma patients increased by 2.6% per week of inpatient stay (r = 0.97, p < 0.001). MRSA developed in 2.9% of trauma and 0.2% of elective patients during that admission (p < 0.001). The implementation of the MRSA policy reduced the incidence of MRSA infection by 56% in trauma patients (1.57% in 2003 (17 of 1,084) to 0.69% in 2004 (10 of 1,447), p = 0.035). Infection with MRSA in elective patients was reduced by 70% (0.56% in 2003 (7 of 1,257) to 0.17% in 2004 (3 of 1,806), p = 0.06). The cost of preventing one MRSA infection was 3,200 pounds. Although colonisation by MRSA did not affect the mortality rate, infection by MRSA more than doubled it. Patients with proximal fractures of the femur infected with MRSA remained in hospital for 50 extra days, had 19 more days of vancomycin treatment and 26 more days of vacuum-assisted closure therapy than the matched controls. These additional costs equated to 13,972 pounds per patient. From this experience we have been able to describe the epidemiology of MRSA, assess the impact of infection-control measures on MRSA infection rates and determine the morbidity, mortality and economic cost of MRSA carriage on trauma and elective orthopaedic wards.

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“…8 an emerging problem of MRSa in Finnish LTCFs has already been documented, starting in 2001. [9][10][11] In the Central Finland Healthcare District, the number of new MRSa and eSBL cases in LTCFs has also been on the rise. This prompted the district's infection control team to visit all LTCFs to investigate the characteristics of each unit and to give advice on hand hygiene.…”

Section: Introductionmentioning

confidence: 99%

Sustained increase in the use of alcohol-based hand rubs in Finnish long-term care facilities

Rummukainen

Jakobsson

Matsinen

et al. 2012

Int. j. infect. control

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Long-term care facilities (LTCFs) may serve as a reservoir for multi-resistant bacteria. Hand disinfection with alcohol-based rubs is a simple tool for controlling cross-contamination between patients and preventing healthcare-associated infections. our aim was to promote the use of alcohol-based hand rubs. The multidisciplinary team succeeded in promoting hand hygiene in LTCFs, which was sustained over the three-year follow-up.

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Changing epidemiology of methicillin-resistant Staphylococcus aureus in Finland

Cited by 31 publications

References 24 publications

Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities

Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities

Methicillin-resistant Staphylococcus aureus on orthopaedic wards

Sustained increase in the use of alcohol-based hand rubs in Finnish long-term care facilities

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