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Preemptive Isolation Precautions of Patients at High Risk for Methicillin-Resistant Staphylococcus aureus in Combination With Ultrarapid Polymerase Chain Reaction Screening as an Effective Tool for Infection Control

  • Ghias Hallak (a1), Bruno Neuner (a2), Joerg C. Schefold (a3) (a4), Kerstin Gorzelniak (a5), Brigitte Rapsch (a5), Roland Pfüller (a6), Dirk Stengel (a7), Jürgen Wellmann (a8), Axel Ekkernkamp (a1) and Michael Walter (a9)...
Abstract

This sequential nonrandomized intervention study investigated the role of preemptive isolation precautions plus ultrarapid polymerase chain reaction screening for methicillin-resistant Staphylococcus aureus (MRSA). Compared with no prophylactic isolation plus conventional microbiology MRSA screening, nosocomial MRSA colonization and total MRSA incidence per 10,000 patient days significantly decreased.

Infect Control Hosp Epidemiol 2016;1489–1491

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Corresponding author
Address correspondence to Michael Walter, MD, Institute of Laboratory Medicine, Clinical Chemistry and Pathobiochemistry, Charité-Universitaetsmedizin Berlin and Labor Berlin, Berlin, Germany (m.walter@charite.de).
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G.H. and B.N. contributed equally to this article.

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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

3. S Harbarth , C Masuet-Aumatell , J Schrenzel , et al. Evaluation of rapid screening and preemptive contact isolation for detecting and controlling methicillin-resistant Staphylococcus aureus in critical care: an interventional cohort study. Crit Care 2006;10:R25.

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6. LP Derde , BS Cooper , H Goossens , et al. Interventions to reduce colonisation and transmission of antimicrobial-resistant bacteria in intensive care units: an interrupted time series study and cluster randomised trial. Lancet Infect Dis 2014;14:3139.

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8. J Polisena , S Chen , K Cimon , S McGill , K Forward , M Gardam . Clinical effectiveness of rapid tests for methicillin resistant Staphylococcus aureus (MRSA) in hospitalized patients: a systematic review. BMC Infect Dis 2011;11:336.

9. B Schweickert , C Geffers , T Farragher , et al. The MRSA-import in ICUs is an important predictor for the occurrence of nosocomial MRSA cases. Clin Microbiol Infect 2011;17:901906.

10. LD Croft , M Liquori , J Ladd , et al. The effect of contact precautions on frequency of hospital adverse events. Infect Control Hosp Epidemiol 2015;36:12681274.

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Infection Control & Hospital Epidemiology
  • ISSN: 0899-823X
  • EISSN: 1559-6834
  • URL: /core/journals/infection-control-and-hospital-epidemiology
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