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    The infection control management of MRSA in acute care

    Access Status
    Fulltext not available
    Authors
    Halcomb, E
    Fernandez, R.
    Griffiths, R.
    Newton, Phillip
    Hickman, L.
    Date
    2008
    Type
    Journal Article
    
    Metadata
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    Citation
    Halcomb, E and Fernandez, Ritin and Griffiths, Rhonda and Newton, Phillip and Hickman, Louise. 2008. The infection control management of MRSA in acute care. International Journal of Evidence Based Healthcare 6(4): pp. 440-467.
    Source Title
    International Journal of Evidence Based Healthcare
    DOI
    10.1111/j.1744-1609.2008.00115.x
    ISSN
    17441595
    Faculty
    School of Nursing and Midwifery
    Faculty of Health Sciences
    Remarks

    Copyright © 2008 John Wiley & Sons, ltd.

    URI
    http://hdl.handle.net/20.500.11937/9897
    Collection
    • Curtin Research Publications
    Abstract

    Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Mangement strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002.Fourteen papers met the inclusion criteria for this review. Of these, 11 papers achieved a quality schore above the threshold and were included in the review. Of the included papers, five describe MRSA outbreaks, while the remaining six describe endemic MRSA. All included studies used either exploratory descriptive or comparative designs. The varying combination of interventions described in the included studies make it impossible to differentiate the efficacy of individual or even groups of interventions. The fact that most studies reported positive findings may reflect the bias towards publication of effective interventions.This review provides evidence that the use of multifaceted strategies can reduce nosocomial MRSA transmission in both outbreaks of MRSA and settings where MRSA is endemic. The heterogeneous nature of the topic, combinations of interventions implemented and methodological weaknesses of the studies impairs the ability to aggregate data and develop specific recommendations for practice

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