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Am J Infect Control. 2013 Apr;41(4):322-6. doi: 10.1016/j.ajic.2012.04.334. Epub 2012 Aug 11.

Engaging patients in the prevention of health care-associated infections: a survey of patients' awareness, knowledge, and perceptions regarding the risks and consequences of infection with methicillin-resistant Staphylococcus aureus and Clostridium difficile.

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  • 1Department of Population Health Sciences, University of Wisconsin, Madison, WI, USA.

Abstract

BACKGROUND AND OBJECTIVE:

Methicillin-resistant Staphylococcus aureus (MRSA) infections and Clostridium difficile infections (CDI) are major health care-associated infections (HAIs). Little is known about patients' knowledge of these HAIs. Therefore, we surveyed patients to determine awareness, knowledge, and perceptions of MRSA infections and CDI.

DESIGN:

An interviewer-administered questionnaire.

SETTING:

A tertiary care academic medical center.

PARTICIPANTS:

Adult patients who met at least one of the following criteria: at risk of CDI or MRSA infection, current CDI or colonization or current MRSA infection or colonization, or history of CDI or MRSA infection.

METHODS:

Two unique surveys were developed and administered to 100 patients in 2011.

RESULTS:

Overall, 76% of patients surveyed were aware of MRSA, whereas 44% were aware of C difficile. The strongest predictor of patients' awareness of these infections was having a history of HAI. Patients with a history of HAI were significantly more likely to have heard of both MRSA (odds ratio, 13.29; 95% confidence interval, 2.84-62.14; P = .001) and C difficile (odds ratio, 9.78; 95% confidence interval, 2.66-35.95; P = .001), than those patients without a history of HAI. There was also a significant positive association between having a history of HAI and greater knowledge of the risk factors, health consequences, and prevention techniques relative to CDI and MRSA infections.

CONCLUSIONS:

There are additional opportunities to engage patients about the risks and consequences of MRSA and CDIs, particularly those without a history of HAI.

Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

PMID:
22884494
[PubMed - indexed for MEDLINE]
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