Methicillin-resistant Staphylococcus aureus: a four-year experience in a spinal cord injury unit in Spain

Spinal Cord
M Olona-CabasesL García-Fernández

Abstract

Methicillin-Resistant Staphylococcus aureus (MRSA) infection poses a problem for both acute and long-term-care facilities, Spinal Cord Injury units included. This paper describes the 4-year evolution of MRSA outbreaks in a SCI unit in a university hospital where control measures were implemented from the first case detected. The protocol procedure was as follows: contact isolation, washing with antiseptic soap both those infected and those sharing the same room, contacts study and monitoring of MRSA patients up to the time when three consecutive negative cultures (sampled at time lapses of over 48 h) were obtained, antiseptic soap for the health-care personnel to wash their hands, and cultures of the nares done on the personnel in the event of an outbreak. Twenty-one (3.4%) MRSA positive cases were detected out of 550 admissions registered during the study period (November 1990 through October 1994). The evolution occurred in three outbreaks and six isolated MRSA positive patients without secondary cases. 71.5% of the cases were nosocomial. Seven (33%) were colonizated and 14 (67%) infected. The 14 patients infected presented 15 infections: nine with urinary tract infections, three surgical wound infections, two tracheostomy wo...Continue Reading

References

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Citations

Apr 29, 2011·Epidemiology and Infection·A ManzurUNKNOWN Spanish Network for Research in Infectious Diseases
Nov 15, 2012·American Journal of Infection Control·Martin E EvansRajiv Jain
Aug 10, 2010·The Journal of Hospital Infection·A ManzurUNKNOWN Spanish Network for Research in Infectious Diseases
Aug 7, 2007·Archives of Physical Medicine and Rehabilitation·Mary-Claire RoghmannJudith A Johnson
Aug 19, 2014·The Journal of Spinal Cord Medicine·Ali N Dana, William A Bauman
Apr 3, 2004·Clinical Microbiology and Infection : the Official Publication of the European Society of Clinical Microbiology and Infectious Diseases·E Ruiz de GopeguiJ L Pérez
Mar 10, 2001·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·J M MylotteS Goodnough
May 13, 2008·The Lancet Infectious Diseases·Werner C Albrich, Stephan Harbarth

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