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Impact of screening for MRSA carriers at hospital admission on risk-adjusted indicators according to the imported MRSA colonization pressure
We evaluated the impact of the different components of a screening programme of methicillin-resistant Staphylococcus aureus (MRSA) carriers at hospital admission on the value of two risk-adjusted rates: the proportion of imported MRSA and an indicator of the MRSA colonization pressure (ICP), and the...
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| Published in: | The Journal of hospital infection 2005-03, Vol.59 (3), p.254-258 |
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| Main Authors: | , , , , , , |
| Format: | Article |
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| cites | cdi_FETCH-LOGICAL-c415t-aa7b8e9ecf4348df10362a726aebba9eeaeb42fb28e067de78db9f4e626865f93 |
| container_end_page | 258 |
| container_issue | 3 |
| container_start_page | 254 |
| container_title | The Journal of hospital infection |
| container_volume | 59 |
| creator | Eveillard, M. Lancien, E. Barnaud, G. Hidri, N. Gaba, S. Benlolo, J.A. Joly-Guillou, M.-L. |
| description | We evaluated the impact of the different components of a screening programme of methicillin-resistant
Staphylococcus aureus (MRSA) carriers at hospital admission on the value of two risk-adjusted rates: the proportion of imported MRSA and an indicator of the MRSA colonization pressure (ICP), and the incidence of MRSA acquired and detected in our hospital. Indicators were calculated: (1) with no screening programme; (2) with a programme limited to the intensive care unit (ICU); (3) with a programme extended to patients with risk factors for MRSA carriage hospitalized in non-ICU wards. The programme included an automatic alert. Systematic sampling of patients with risk factors hospitalized in non-ICU settings detected nearly 50% of carriers at admission. The proportion of MRSA imported into our hospital varied from 35.4% without any screening programme to 71.8% when all components of our screening programme were considered (
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| doi_str_mv | 10.1016/j.jhin.2004.09.028 |
| format | article |
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Staphylococcus aureus (MRSA) carriers at hospital admission on the value of two risk-adjusted rates: the proportion of imported MRSA and an indicator of the MRSA colonization pressure (ICP), and the incidence of MRSA acquired and detected in our hospital. Indicators were calculated: (1) with no screening programme; (2) with a programme limited to the intensive care unit (ICU); (3) with a programme extended to patients with risk factors for MRSA carriage hospitalized in non-ICU wards. The programme included an automatic alert. Systematic sampling of patients with risk factors hospitalized in non-ICU settings detected nearly 50% of carriers at admission. The proportion of MRSA imported into our hospital varied from 35.4% without any screening programme to 71.8% when all components of our screening programme were considered (
P<10
−4). The ICP varied from 3.1% (31/985) with the complete programme to 10.4% (31/297) without any screening programme (
P<10
−6). Screening patients with risk factors for MRSA carriage hospitalized in non-ICU wards resulted in a 51% increase of the calculated proportion of imported strains and a 58% decrease of the ICP. The two studied indicators were strongly dependent on the screening strategy for MRSA carriers implemented at admission. The screening strategy for patients admitted to non-ICU wards who have risk factors for MRSA carriage seems to be the determinant for the interpretation of certain risk-adjusted indicators of MRSA cross-transmission. Comparisons of these indicators must consider the setting in which the screening programmes are implemented.</description><identifier>ISSN: 0195-6701</identifier><identifier>EISSN: 1532-2939</identifier><identifier>DOI: 10.1016/j.jhin.2004.09.028</identifier><identifier>PMID: 15694984</identifier><language>eng</language><publisher>Kent: Elsevier Ltd</publisher><subject>Bacterial diseases ; Biological and medical sciences ; Carrier State ; Cross Infection - epidemiology ; Cross Infection - microbiology ; Cross Infection - prevention & control ; France - epidemiology ; Hospital admission ; Hospital Units - statistics & numerical data ; Hospitals, Teaching ; Human bacterial diseases ; Humans ; Infection Control - methods ; Infectious diseases ; Intensive Care Units ; Interpretation ; Mass Screening ; Medical sciences ; Methicillin Resistance ; MRSA ; Outcome Assessment (Health Care) ; Patient Admission ; Prospective Studies ; Risk Assessment ; Risk Factors ; Risk-adjusted rates ; Screening ; Sentinel Surveillance ; Staphylococcal Infections - epidemiology ; Staphylococcal Infections - microbiology ; Staphylococcal Infections - prevention & control ; Staphylococcal infections, streptococcal infections, pneumococcal infections ; Staphylococcus aureus ; Staphylococcus aureus - isolation & purification</subject><ispartof>The Journal of hospital infection, 2005-03, Vol.59 (3), p.254-258</ispartof><rights>2004 The Hospital Infection Society</rights><rights>2005 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c415t-aa7b8e9ecf4348df10362a726aebba9eeaeb42fb28e067de78db9f4e626865f93</citedby><cites>FETCH-LOGICAL-c415t-aa7b8e9ecf4348df10362a726aebba9eeaeb42fb28e067de78db9f4e626865f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16525908$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15694984$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eveillard, M.</creatorcontrib><creatorcontrib>Lancien, E.</creatorcontrib><creatorcontrib>Barnaud, G.</creatorcontrib><creatorcontrib>Hidri, N.</creatorcontrib><creatorcontrib>Gaba, S.</creatorcontrib><creatorcontrib>Benlolo, J.A.</creatorcontrib><creatorcontrib>Joly-Guillou, M.-L.</creatorcontrib><title>Impact of screening for MRSA carriers at hospital admission on risk-adjusted indicators according to the imported MRSA colonization pressure</title><title>The Journal of hospital infection</title><addtitle>J Hosp Infect</addtitle><description>We evaluated the impact of the different components of a screening programme of methicillin-resistant
Staphylococcus aureus (MRSA) carriers at hospital admission on the value of two risk-adjusted rates: the proportion of imported MRSA and an indicator of the MRSA colonization pressure (ICP), and the incidence of MRSA acquired and detected in our hospital. Indicators were calculated: (1) with no screening programme; (2) with a programme limited to the intensive care unit (ICU); (3) with a programme extended to patients with risk factors for MRSA carriage hospitalized in non-ICU wards. The programme included an automatic alert. Systematic sampling of patients with risk factors hospitalized in non-ICU settings detected nearly 50% of carriers at admission. The proportion of MRSA imported into our hospital varied from 35.4% without any screening programme to 71.8% when all components of our screening programme were considered (
P<10
−4). The ICP varied from 3.1% (31/985) with the complete programme to 10.4% (31/297) without any screening programme (
P<10
−6). Screening patients with risk factors for MRSA carriage hospitalized in non-ICU wards resulted in a 51% increase of the calculated proportion of imported strains and a 58% decrease of the ICP. The two studied indicators were strongly dependent on the screening strategy for MRSA carriers implemented at admission. The screening strategy for patients admitted to non-ICU wards who have risk factors for MRSA carriage seems to be the determinant for the interpretation of certain risk-adjusted indicators of MRSA cross-transmission. Comparisons of these indicators must consider the setting in which the screening programmes are implemented.</description><subject>Bacterial diseases</subject><subject>Biological and medical sciences</subject><subject>Carrier State</subject><subject>Cross Infection - epidemiology</subject><subject>Cross Infection - microbiology</subject><subject>Cross Infection - prevention & control</subject><subject>France - epidemiology</subject><subject>Hospital admission</subject><subject>Hospital Units - statistics & numerical data</subject><subject>Hospitals, Teaching</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Infection Control - methods</subject><subject>Infectious diseases</subject><subject>Intensive Care Units</subject><subject>Interpretation</subject><subject>Mass Screening</subject><subject>Medical sciences</subject><subject>Methicillin Resistance</subject><subject>MRSA</subject><subject>Outcome Assessment (Health Care)</subject><subject>Patient Admission</subject><subject>Prospective Studies</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Risk-adjusted rates</subject><subject>Screening</subject><subject>Sentinel Surveillance</subject><subject>Staphylococcal Infections - epidemiology</subject><subject>Staphylococcal Infections - microbiology</subject><subject>Staphylococcal Infections - prevention & control</subject><subject>Staphylococcal infections, streptococcal infections, pneumococcal infections</subject><subject>Staphylococcus aureus</subject><subject>Staphylococcus aureus - isolation & purification</subject><issn>0195-6701</issn><issn>1532-2939</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><recordid>eNqFkU2L1TAUhoMoznX0D7iQbHTXmqRJ2oCbYRh1YETwYx3S5NSb2jY1SQX9Df5oU-6F2SkEDoTnfUnOg9BzSmpKqHw91uPRLzUjhNdE1YR1D9CBioZVTDXqIToQqkQlW0Iv0JOURkJIuReP0QUVUnHV8QP6czuvxmYcBpxsBFj88g0PIeIPnz5fYWti9BATNhkfQ1p9NhM2bvYp-bDgcqJP3yvjxi1lcNgvzluTw56wNkS3t-WA8xGwn9cQd-jUHKaw-N8m7z1rhJS2CE_Ro8FMCZ6d5yX6-vbmy_X76u7ju9vrq7vKcipyZUzbd6DADrzhnRsoaSQzLZMG-t4ogDI5G3rWAZGtg7ZzvRo4SCY7KQbVXKJXp941hh8bpKzLjyxMk1kgbEnLlpcF8_-DtO2EaKgsIDuBNoaUIgx6jX428ZemRO-y9Kh3WXqXpYnSRVYJvTi3b_0M7j5ytlOAl2fAJGumIZrF-nTPScGEInvRmxMHZWk_izCdrIfFgvMRbNYu-H-94y-j9LY5</recordid><startdate>20050301</startdate><enddate>20050301</enddate><creator>Eveillard, M.</creator><creator>Lancien, E.</creator><creator>Barnaud, G.</creator><creator>Hidri, N.</creator><creator>Gaba, S.</creator><creator>Benlolo, J.A.</creator><creator>Joly-Guillou, M.-L.</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>20050301</creationdate><title>Impact of screening for MRSA carriers at hospital admission on risk-adjusted indicators according to the imported MRSA colonization pressure</title><author>Eveillard, M. ; Lancien, E. ; Barnaud, G. ; Hidri, N. ; Gaba, S. ; Benlolo, J.A. ; Joly-Guillou, M.-L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c415t-aa7b8e9ecf4348df10362a726aebba9eeaeb42fb28e067de78db9f4e626865f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Bacterial diseases</topic><topic>Biological and medical sciences</topic><topic>Carrier State</topic><topic>Cross Infection - epidemiology</topic><topic>Cross Infection - microbiology</topic><topic>Cross Infection - prevention & control</topic><topic>France - epidemiology</topic><topic>Hospital admission</topic><topic>Hospital Units - statistics & numerical data</topic><topic>Hospitals, Teaching</topic><topic>Human bacterial diseases</topic><topic>Humans</topic><topic>Infection Control - methods</topic><topic>Infectious diseases</topic><topic>Intensive Care Units</topic><topic>Interpretation</topic><topic>Mass Screening</topic><topic>Medical sciences</topic><topic>Methicillin Resistance</topic><topic>MRSA</topic><topic>Outcome Assessment (Health Care)</topic><topic>Patient Admission</topic><topic>Prospective Studies</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Risk-adjusted rates</topic><topic>Screening</topic><topic>Sentinel Surveillance</topic><topic>Staphylococcal Infections - epidemiology</topic><topic>Staphylococcal Infections - microbiology</topic><topic>Staphylococcal Infections - prevention & control</topic><topic>Staphylococcal infections, streptococcal infections, pneumococcal infections</topic><topic>Staphylococcus aureus</topic><topic>Staphylococcus aureus - isolation & purification</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eveillard, M.</creatorcontrib><creatorcontrib>Lancien, E.</creatorcontrib><creatorcontrib>Barnaud, G.</creatorcontrib><creatorcontrib>Hidri, N.</creatorcontrib><creatorcontrib>Gaba, S.</creatorcontrib><creatorcontrib>Benlolo, J.A.</creatorcontrib><creatorcontrib>Joly-Guillou, M.-L.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hospital infection</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eveillard, M.</au><au>Lancien, E.</au><au>Barnaud, G.</au><au>Hidri, N.</au><au>Gaba, S.</au><au>Benlolo, J.A.</au><au>Joly-Guillou, M.-L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of screening for MRSA carriers at hospital admission on risk-adjusted indicators according to the imported MRSA colonization pressure</atitle><jtitle>The Journal of hospital infection</jtitle><addtitle>J Hosp Infect</addtitle><date>2005-03-01</date><risdate>2005</risdate><volume>59</volume><issue>3</issue><spage>254</spage><epage>258</epage><pages>254-258</pages><issn>0195-6701</issn><eissn>1532-2939</eissn><abstract>We evaluated the impact of the different components of a screening programme of methicillin-resistant
Staphylococcus aureus (MRSA) carriers at hospital admission on the value of two risk-adjusted rates: the proportion of imported MRSA and an indicator of the MRSA colonization pressure (ICP), and the incidence of MRSA acquired and detected in our hospital. Indicators were calculated: (1) with no screening programme; (2) with a programme limited to the intensive care unit (ICU); (3) with a programme extended to patients with risk factors for MRSA carriage hospitalized in non-ICU wards. The programme included an automatic alert. Systematic sampling of patients with risk factors hospitalized in non-ICU settings detected nearly 50% of carriers at admission. The proportion of MRSA imported into our hospital varied from 35.4% without any screening programme to 71.8% when all components of our screening programme were considered (
P<10
−4). The ICP varied from 3.1% (31/985) with the complete programme to 10.4% (31/297) without any screening programme (
P<10
−6). Screening patients with risk factors for MRSA carriage hospitalized in non-ICU wards resulted in a 51% increase of the calculated proportion of imported strains and a 58% decrease of the ICP. The two studied indicators were strongly dependent on the screening strategy for MRSA carriers implemented at admission. The screening strategy for patients admitted to non-ICU wards who have risk factors for MRSA carriage seems to be the determinant for the interpretation of certain risk-adjusted indicators of MRSA cross-transmission. Comparisons of these indicators must consider the setting in which the screening programmes are implemented.</abstract><cop>Kent</cop><pub>Elsevier Ltd</pub><pmid>15694984</pmid><doi>10.1016/j.jhin.2004.09.028</doi><tpages>5</tpages></addata></record> |
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| ispartof | The Journal of hospital infection, 2005-03, Vol.59 (3), p.254-258 |
| issn | 0195-6701 1532-2939 |
| language | eng |
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| source | Elsevier:Jisc Collections:Elsevier Read and Publish Agreement 2022-2024:Freedom Collection (Reading list) |
| subjects | Bacterial diseases Biological and medical sciences Carrier State Cross Infection - epidemiology Cross Infection - microbiology Cross Infection - prevention & control France - epidemiology Hospital admission Hospital Units - statistics & numerical data Hospitals, Teaching Human bacterial diseases Humans Infection Control - methods Infectious diseases Intensive Care Units Interpretation Mass Screening Medical sciences Methicillin Resistance MRSA Outcome Assessment (Health Care) Patient Admission Prospective Studies Risk Assessment Risk Factors Risk-adjusted rates Screening Sentinel Surveillance Staphylococcal Infections - epidemiology Staphylococcal Infections - microbiology Staphylococcal Infections - prevention & control Staphylococcal infections, streptococcal infections, pneumococcal infections Staphylococcus aureus Staphylococcus aureus - isolation & purification |
| title | Impact of screening for MRSA carriers at hospital admission on risk-adjusted indicators according to the imported MRSA colonization pressure |
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