Journal article
The Effectiveness of Contact Precautions on Methicillin-Resistant Staphylococcus aureus in Long-term Care Across the United States
Clinical infectious diseases, Vol.71(7), pp.1676-1683
10/23/2020
DOI: 10.1093/cid/ciz1045
PMID: 31637429
Abstract
Methicillin-resistant Staphylococcus aureus (MRSA) is a common cause of health care-associated infections in long-term care facilities (LTCFs). The Centers for Disease Control and Prevention recommends contact precautions for the prevention of MRSA within acute care facilities, which are being used within the United States Department of Veterans Affairs (VA) for LTCFs in a modified fashion. The impact of contact precautions in long-term care is unknown.
To evaluate whether contact precautions decreased MRSA acquisition in LTCFs, compared to standard precautions, we performed a retrospective effectiveness study (pre-post, with concurrent controls) using data from the VA health-care system from 1 January 2011 until 31 December 2015, 2 years before and after a 2013 policy recommending a more aggressive form of contact precautions.
Across 75 414 patient admissions from 74 long-term care facilities in the United States, the overall unadjusted rate of MRSA acquisition was 2.6/1000 patient days. Patients were no more likely to acquire MRSA if they were cared for using standard precautions versus contact precautions in a multivariable, discrete time survival analysis, controlling for patient demographics, risk factors, and year of admission (odds ratio, 0.97; 95% confidence interval, .85-1.12; P = .71).
MRSA acquisition and infections were not impacted by the use of active surveillance and contact precautions in LTCFs in the VA.
Details
- Title: Subtitle
- The Effectiveness of Contact Precautions on Methicillin-Resistant Staphylococcus aureus in Long-term Care Across the United States
- Creators
- Daniel J Morgan - VA Maryland Health Care SystemMin Zhan - VA Maryland Health Care SystemMichihiko Goto - Iowa City VA Health Care SystemCarrie Franciscus - Iowa City VA Health Care SystemBruce Alexander - Iowa City VA Health Care SystemMary Vaughan-Sarrazin - University of IowaMary-Claire Roghmann - VA Maryland Health Care SystemLisa Pineles - VA Maryland Health Care System
- Resource Type
- Journal article
- Publication Details
- Clinical infectious diseases, Vol.71(7), pp.1676-1683
- DOI
- 10.1093/cid/ciz1045
- PMID
- 31637429
- ISSN
- 1058-4838
- eISSN
- 1537-6591
- Grant note
- I01 HX001128 / HSRD VA
- Language
- English
- Date published
- 10/23/2020
- Academic Unit
- Pharmacy; Psychiatry; Infectious Diseases; Health Management and Policy; General Internal Medicine; Internal Medicine
- Record Identifier
- 9984359936802771
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