The effect of increased bed numbers on MRSA transmission in acute medical wards

Kibbler, C; Quick, Armand J.; O'Neill, A-M

doi:10.1016/s0195-6701(98)90260-2

Cited by 71 publications

(40 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This was related, at least in part, to the use of extra beds during busiest periods thereby reducing bed spacing. This supports previous studies where adding beds in low and medium dependency bays significantly increased the risk of MRSA acquisition despite extra nursing staff being employed [5]. This suggests that irrespective of staffing level, increased workload and bed proximity may be prime determinants in MRSA transmission.…”

supporting

confidence: 89%

Bed occupancy and incidence of Methicillin‐resistant Staphylococcus aureus infection in an intensive care unit

Howie

Ridley

2008

Anaesthesia

View full text Add to dashboard Cite

SummaryMethicillin-resistant Staphylococcus aureus (MRSA) incidence and workload as reflected by daily bed occupancy were assessed retrospectively over a 12-month period in a mixed adult ICU. All MRSA positive results were retrieved from the Microbiology Department; patients with MRSA were divided into those whose admission swabs were positive and those whose specimens subsequently became positive. There were 619 admissions, 48 of which had MRSA on admission (7.8% incidence) and 16 new MRSA infections in ICU (total incidence 10.3%). The frequency of MRSA acquisition was significantly higher on days when more than seven beds were occupied (0.0090 vs 0.0059 new acquisitions per patient per day, respectively, p = 0.015).

show abstract

supporting

confidence: 89%

Bed occupancy and incidence of Methicillin‐resistant Staphylococcus aureus infection in an intensive care unit

Howie

Ridley

2008

Anaesthesia

View full text Add to dashboard Cite

show abstract

“…Recommended bed spacing in multi-bed environments is often cited as being based on droplet transmission risk [21], and studies have recognised the relevance for pathogens such as Staphylococcus aureus as well as respiratory diseases [22]. Tracer gas and simulation studies have shown that ventilation design [13,23] and the presence of partitions between beds [23] influences airborne crossinfection risk between two patients.…”

Section: Introductionmentioning

confidence: 99%

Bioaerosol deposition in single and two-bed hospital rooms: A numerical and experimental study

King

Noakes

Sleigh

et al. 2013

Building and Environment

View full text Add to dashboard Cite

Abstract:Aerial dispersion of pathogenic microorganisms and subsequent contamination of surfaces is well recognised as a potential transmission route for hospital acquired infection. Simulation approaches such as computational fluid dynamics (CFD) are increasingly used to model Results for all layouts demonstrate that small particle bioaerosols are deposited throughout a room with no clear correlation between relative surface concentration and distance from the source. However, a physical partition separating patients is shown to be effective at reducing cross-contamination of neighbouring patient zones.

show abstract

“…; Kibbler et al 1998). This study found an association between weekly bed occupancy rates and higher levels of microbial contamination from hand-touch sites.…”

mentioning

confidence: 99%