Multiclonal methicillin-resistant Staphylococcus aureus (MRSA) outbreak and its control after use of the Veterans Affairs (VA) MRSA bundle in a VA long-term care facility, 2004-2014

Highlights • Ongoing methicillin-resistant Staphylococcus aureus infections for 46 months occurred in this community living center. • Multiple interventions were attempted without consistent success. • Strain typing indicated ongoing transmission and new strains introduced. • Implementation of the m...

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Bibliographic Details
Published in:American journal of infection control 2016-06, Vol.44 (6), p.727-729
Main Authors: Webb, Risa M., MD, DTMH, FIDSA, Denton, Carmelita, RN, MSN, Spruill, Emily, RN, BSN, Henson, Gay, PhD, Bruce, Lisa, RN, MSN, Woods, Gail L., MD, Swiatlo, Andrea, MS, MT (ASCP), Walker, Erica D., MD, Peel, Chere, MD, Sullivan, Donna, PhD
Format: Article
Language:English
Subjects:
Cross Infection - epidemiology
Cross Infection - microbiology
Cross Infection - prevention & control
Disease control
Disease Outbreaks
Disease Transmission, Infectious - prevention & control
Epidemics
Genetic Variation
Humans
Infection Control
Infection Control - methods
Infectious Disease
Long term health care
Long-Term Care
long-term care facility
Methicillin-resistant Staphylococcus aureus
Methicillin-Resistant Staphylococcus aureus - classification
Methicillin-Resistant Staphylococcus aureus - genetics
Methicillin-Resistant Staphylococcus aureus - isolation & purification
MRSA bundle
MRSA strain identification
Polymerase chain reaction
Staphylococcal Infections - epidemiology
Staphylococcal Infections - microbiology
Staphylococcal Infections - prevention & control
Staphylococcus infections
Veterans
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Summary:Highlights • Ongoing methicillin-resistant Staphylococcus aureus infections for 46 months occurred in this community living center. • Multiple interventions were attempted without consistent success. • Strain typing indicated ongoing transmission and new strains introduced. • Implementation of the methicillin-resistant Staphylococcus aureus bundle led to a 62% decrease in infections ( P  
ISSN:0196-6553
1527-3296
DOI:10.1016/j.ajic.2015.12.041