Journal article
Value of performing active surveillance cultures on intensive care unit discharge for detection of methicillin-resistant Staphylococcus aureus
Infection control and hospital epidemiology, Vol.28(6), pp.666-670
06/2007
DOI: 10.1086/518348
PMID: 17520538
Abstract
To quantify the value of performing active surveillance cultures for detection of methicillin-resistant Staphylococcus aureus (MRSA) on intensive care unit (ICU) discharge. Prospective cohort study. Medical ICU (MICU) and surgical ICU (SICU) of a tertiary care hospital. We analyzed data on adult patients who were admitted to the MICU or SICU between January 17, 2001, and December 31, 2004. All participants had a length of ICU stay of at least 48 hours and had surveillance cultures of anterior nares specimens performed on ICU admission and discharge. Patients who had MRSA-positive clinical cultures in the ICU were excluded. Of 2,918 eligible patients, 178 (6%) were colonized with MRSA on ICU admission, and 65 (2%) acquired MRSA in the ICU and were identified by results of discharge surveillance cultures. Patients with MRSA colonization confirmed by results of discharge cultures spent 853 days in non-ICU wards after ICU discharge, which represented 27% of the total number of MRSA colonization-days during hospitalization in non-ICU wards for patients discharged from the ICU. Surveillance cultures of nares specimens collected at ICU discharge identified a large percentage of MRSA-colonized patients who would not have been identified on the basis of results of clinical cultures or admission surveillance cultures alone. Furthermore, these patients were responsible for a large percentage of the total number of MRSA colonization-days during hospitalization in non-ICU wards for patients discharged from the ICU.
Details
- Title: Subtitle
- Value of performing active surveillance cultures on intensive care unit discharge for detection of methicillin-resistant Staphylococcus aureus
- Creators
- Jon P Furuno - Department of Epidemiology and Preventive Medicine, University of Maryland School of Medicine, Baltimore, MD 21201, USA. jfuruno@epi.umaryland.eduAnthony D HarrisMarc-Oliver WrightDavid M HartleyJessina C McGregorHolly D GaffJoan N HebdenHarold C StandifordEli N Perencevich
- Resource Type
- Journal article
- Publication Details
- Infection control and hospital epidemiology, Vol.28(6), pp.666-670
- Publisher
- United States
- DOI
- 10.1086/518348
- PMID
- 17520538
- ISSN
- 0899-823X
- eISSN
- 1559-6834
- Grant note
- R01 AI60859-01A1 / NIAID NIH HHS K23 AI01752-01A1 / NIAID NIH HHS K25 AI058956-02 / NIAID NIH HHS
- Language
- English
- Date published
- 06/2007
- Academic Unit
- Epidemiology; Internal Medicine
- Record Identifier
- 9983779494702771
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