Journal article
Methicillin-resistant Staphylococcus aureus prevention practices in hospitals throughout a rural state
AJIC: American Journal of Infection Control, Vol.42(8), pp.868-873
08/2014
DOI: 10.1016/j.ajic.2014.05.004
PMID: 25087139
Abstract
The Institute for Healthcare Improvement (IHI) created an evidence-based bundle to help reduce methicillin-resistant Staphylococcus aureus (MRSA) health care–associated infections. The study aim was to identify which components of the IHI’s MRSA bundle that rural hospitals have implemented and to identify barriers that hindered implementation of bundle components. Four surveys about the IHI’s MRSA bundle were administered at the Iowa Statewide Infection Prevention Seminar between 2007 and 2011. Surveys were mailed to infection preventionists (IPs) who did not attend the meetings. The percentage of IPs reporting that their hospital implemented a hand hygiene program (range by year, 87%-94%) and used contact precautions for patients infected (range by year, 97%-100%) or colonized (range by year, 77%-92%) with MRSA did not change significantly. The number of hospitals that monitored the effectiveness of environmental cleaning significantly increased from 23%-71% (P < .01). Few hospitals assessed daily if central lines were necessary (range by year, 22%-26%). IPs perceived lack of support to be a major barrier to implementing bundle components. Most IPs reported that their hospitals had implemented most components of the MRSA bundle. Support within the health care system is essential for implementing each component of an evidence-based bundle.
Details
- Title: Subtitle
- Methicillin-resistant Staphylococcus aureus prevention practices in hospitals throughout a rural state
- Creators
- Jennifer S McDanel - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IAMelissa A Ward - Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IALaurie Leder - Department of Quality, Safety, and Regulatory, Mercy Hospital, Coon Rapids, MNMarin L Schweizer - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IAJeffrey D Dawson - Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IADaniel J Diekema - Department of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IATara C Smith - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IAElizabeth A Chrischilles - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IAEli N Perencevich - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IALoreen A Herwaldt - Department of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA
- Resource Type
- Journal article
- Publication Details
- AJIC: American Journal of Infection Control, Vol.42(8), pp.868-873
- DOI
- 10.1016/j.ajic.2014.05.004
- PMID
- 25087139
- NLM abbreviation
- Am J Infect Control
- ISSN
- 0196-6553
- eISSN
- 1527-3296
- Publisher
- Elsevier Inc
- Grant note
- T2 Biosystems Pfizer bioMérieux PurThread Technologies Innovative Biosensors Cerexa
- Language
- English
- Date published
- 08/2014
- Academic Unit
- Pharmacy; Public Health Administration; Infectious Diseases; Epidemiology; Pathology; Biostatistics; Internal Medicine
- Record Identifier
- 9983779297002771
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