Implementing a patient education intervention about Methicillin-resistantStaphylococcus aureusprevention and effect on knowledge and behavior in veterans with spinal cord injuries and disorders: A pilot randomized controlled trial

Abstract

Objectives: To assess the feasibility and effect of a nurse-administered patient educational intervention about Methicillin-resistant Staphylococcus aureus (MRSA) prevention on knowledge and behavior of Veterans with spinal cord injuries and disorders (SCI/D). Design: Blinded, block-randomized controlled pilot trial. Setting: Two Department of Veterans Affairs (VA) SCI Centers. Participants: Veterans were recruited March-September 2010 through referral by a healthcare provider from inpatient, outpatient, and residential care settings. Intervention: Thirty participants were randomized to the nurse-administered intervention and 31 to the usual care group. The intervention included a brochure and tools to assist nurses in conducting the education. Outcome measures: Pre-and post-intervention measurement of knowledge and behaviors related to MRSA and prevention strategies and feasibility measures related to implementation. Results: Participants were primarily male (95.1%), white (63.9%), with tetraplegia (63.9%) and mean age and duration of injury of 64.3 and 20.5 years, respectively. The intervention groups mean knowledge score significantly increased between pre-and post-test (mean change score = 1.70, 95% confidence interval, CI 0.25-3.15) while the usual care groups score did not significantly change (mean change score = 1.45, 95% CI −0.08-2.98). However, the mean knowledge change between intervention and usual care groups was not

A Targeted Infection Prevention Intervention in Nursing Home Residents With Indwelling Devices

“…That program reduced clinically defined urinary tract infections from 256 in 515 residents in year 1 to 66 in 527 residents in year 6. In a more recent study, Evans et al 25 introduced an MRSA bundle of universal nasal surveillance on admission, transfer, or discharge, as well as contact precautions for MRSA infection or colonization, hand hygiene promotion, and institutional culture change. Their program resulted in a trend toward reducing MRSA CAUTIs in Veterans Affairs spinal cord injury units.…”

“…18,19 Studies conducted at single NHs have generally focused on 1 of the following 4 types of interventions: hand hygiene, 17,20,21 gown use and contact precautions, 22 decolonization regimens, 23 or infection prevention education. 24,25 Although these studies show a trend toward reduced MDRO colonization and infections, the reduction in MDROs has not been statistically significant in most cases. Therefore, we conducted a multicenter randomized clinical trial to test whether a multimodal practical evidence-based targeted infection program (TIP) would reduce the prevalence density of MDRO colonization and the incidence of new device-related infections in high-risk NH residents.…”

Nosocomial infection of COVID‑19: A new challenge for healthcare professionals (Review)

“…Patients in community or hospital isolation should strictly comply with medical guidance and wash their hands with water or soap for at least 20 sec or with an alcohol-based hand sanitizer, avoid touching their eyes, cover their nose and mouth with tissues when coughing or sneezing, and disinfect objects and surfaces that are always touched ( 84 ). Patient education will increase awareness for hand hygiene ( 85 ). Based on a survey performed on a Chinese population, 98% of the participants would wear masks when they went outdoors; additionally, participants with a high socioeconomic status, especially females, were more educated about COVID-19 and complied better to PPE usage and hand hygiene guidance ( 86 ).…”

MicroRNA‑381/Hes1 is a potential therapeutic target for spinal cord injury

“…The average annual morbidity is 420 million cases, and the number of patients is increasing at a speed of 10, 000 individuals each year (2). In the field of sports injury, domestic and overseas scholars have made unremitting efforts and actively investigated the novel therapeutic strategies for SCI, in spite of the tremendous difficulties in post-SCI repair (3,4).…”