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Identification and Eradication of Methicillin-Resistant Staphylococcus aureus Colonization in the Neonatal Intensive Care Unit: Results of a National Survey

Published online by Cambridge University Press:  02 January 2015

Aaron M. Milstone ,
Xiaoyan Song ,
Susan Coffin ,
Alexis Elward  and
for the Society for Healthcare Epidemiology of America's Pediatric Special Interest Group
Aaron M. Milstone*
Affiliation:
Department of Pediatrics, Division of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland
Xiaoyan Song
Affiliation:
Department of Pediatrics, Division of Pediatric Infectious Diseases, George Washington University Medical Center, Washington, DC
Susan Coffin
Affiliation:
Department of Pediatrics, Division of Pediatric Infectious Diseases, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania
Alexis Elward
Affiliation:
Department of Pediatrics, Division of Pediatric Infectious Diseases, Washington Universityin St. Louis, Missouri
*
Department of Pediatric Infectious Diseases, Johns Hopkins University School of Medicine, 200 North Wolfe Street, Rubenstein 3141, Baltimore, MD 21287 (amilstol@jhmi.edu)
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Extract

We surveyed members of the Society for Healthcare Epidemiology of America to assess current practice with regard to identifying and eradicating methicillin-resistant Staphylococcus aureus (MRSA) colonization in the neonatal intensive care unit (NICU). Although most respondents (86%) screened patients for MRSA colonization, variation existed in the number of anatomic sites sampled and in the use of culture at NICU admission, empirical institution of isolation precautions, and MRSA decolonization therapy. Evidence-based prevention strategies for MRSA transmission and infection are needed.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 31 , Issue 7 , July 2010 , pp. 766 - 768
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2010

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References

1.Lessa, FC, Edwards, JR, Fridkin, SK, Tenover, FC, Horan, TC, Gorwitz, RJ. Trends in incidence of late-onset methicillin-resistant Staphylococcus aureus infection in neonatal intensive care units: data from the National Nosocomial Infections Surveillance system, 1995-2004. Pediatr Infect Dis J 2009;28(7): 577–581.CrossRefGoogle ScholarPubMed
2.Gorwitz, RJ, Kruszon-Moran, D, McAllister, SK, et al. Changes in the prevalence of nasal colonization with Staphylococcus aureus in the United States, 2001-2004. J Infect Dis 2008;197(9): 1226–1234.CrossRefGoogle ScholarPubMed
3.Klevens, RM, Edwards, JR, Tenover, FC, McDonald, LC, Horan, T, Gaynes, R. Changes in the epidemiology of methicillin-resistant Staphylococcus aureus in intensive care units in US hospitals, 1992-2003. Clin Infect Dis 2006;42(3): 389–391.CrossRefGoogle ScholarPubMed
4.Huang, YC, Chou, YH, Su, LH, Lien, RI, Lin, TY. Methicillin-resistant Staphylococcus aureus colonization and its association with infection among infants hospitalized in neonatal intensive care units. Pediatrics 2006;118(2): 469–474.CrossRefGoogle ScholarPubMed
5.Gerber, SI, Jones, RC, Scott, MV, et al. Management of outbreaks of methicillin-resistant Staphylococcus aureus infection in the neonatal intensive care unit: a consensus statement. Infect Control Hosp Epidemiol 2006;27(2): 139–145.CrossRefGoogle ScholarPubMed
6.Pinter, DM, Mandel, J, Hulten, KG, Minkoff, H, Tosi, MF. Maternal-infant perinatal transmission of methicillin-resistant and methicillin-sensitive Staphylococcus aureus. Am J Perinatol 2009;26(2): 145–151.CrossRefGoogle ScholarPubMed
7.Rohr, U, Mueller, C, Wilhelm, M, Muhr, G, Gatermann, S. Methicillin-resistant Staphylococcus aureus whole-body decolonization among hospitalized patients with variable site colonization by using mupirocin in combination with octenidine dihydrochloride. J Hosp Infect 2003;54(4): 305–309.CrossRefGoogle ScholarPubMed
8.Sandri, AM, Dalarosa, MG, Ruschel de Alcantara, L, da Silva Elias, L, Zavascki, AP. Reduction in incidence of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infection in an intensive care unit: roļe of treatment with mupirocin ointment and Chlorhexidine baths for-nasal carriers of MRSA. Infect Control Hosp Epidemiol 2006;27(2): 185–187.CrossRefGoogle Scholar
9.Milstone, AM, Budd, A, Shepard, JW, et al. Role of decolonization in a comprehensive strategy to reduce'methicillin-resistant Staphylococcus aureus infections in the neonatal intensive care unit: an observational cohort study. Infect Control Hosp Epidemiol 2010;31(5): 558–560.CrossRefGoogle Scholar
10.Ridenour, G, Lampen, R, Federspiel, J, Kritchevsky, S, Wong, E, Climo, M. Selective use of intranasal mupirocin and Chlorhexidine bathing and the incidence of methicillin-resistant Staphylococcus aureus colonization and infection among intensive care unit patients. Infect Control Hosp Epidemiol 2007;28(10): 1155–1161.CrossRefGoogle ScholarPubMed