Sustained Reduction in the Clinical Incidence of Methicillin-Resistant Staphylococcus aureus Colonization or Infection Associated with a Multifaceted Infection Control Intervention

Abstract

Sustained decreases in hospital-wide clinical incidence of MRSA colonization or infection, incidence of MRSA bloodstream infection, and proportion of S. aureus isolates resistant to methicillin followed implementation of a multifaceted prevention program at one Veterans Affairs hospital. Findings suggest that interventions designed to prevent transmission can impact endemic antimicrobial resistance problems.

The Screening of Methicillin-Resistant <b><i>Staphylococcus aureus</i></b> in Vascular Surgery Patients: A Comparison of Molecular Testing and Broth-Enriched Culture

“…To reduce contact-based bacterial transmission all HCWs should apply basic infection control practices and comply with isolation measures for identified MRSA carriers [21,22]. …”

Improving journal clubs through the use of positive deviance: A mixed-methods study

“…The principle of positive deviance has been successfully implemented in other areas of medicine. At a Pittsburgh veteran's hospital (USA), increased hand sanitization rates and decreased methicillin-resistant Staphylococcus aureus wound infection rates were achieved using positive deviance (14). Instead of dictating how change should happen, they said, "We're here because of [this problem], and want to know what you know about how to solve it (13)".…”

Value co-creation in healthcare through positive deviance

“…25 It has been used to identify and spread solutions within the healthcare community and within the patient community on issues ranging from hospital-acquired infections, diabetes management, maternal and child health, iron deficiency anemia, acute myocardial infraction, hypertension, immunizations, and cystic fibrosis. [25][26][27][28][29][30][31][32][33][34] Elements that allow PD to be so successful include its premise that solutions to complex problems already exist within each community and that certain members possess wisdom that can be spread to improve the performance of other members. Since the solution comes from within the community, the wisdom is being derived from within the context of the complex dynamics and local resources that exist there.…”