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Am J Surg. 2009 Nov;198(5):607-10. doi: 10.1016/j.amjsurg.2009.07.010.

Implementation of a methicillin-resistant Staphylococcus aureus (MRSA) prevention bundle results in decreased MRSA surgical site infections.

Author information

1
Michael E DeBakey Department of Surgery, Baylor College of Medicine, and Michael E DeBakey Veterans Affairs Hospital, Houston, TX, USA. sawad@bcm.tmc.edu

Abstract

BACKGROUND:

Methicillin-resistant Staphylococcus aureus (MRSA) surgical site infections (SSIs) increase morbidity and mortality. We examined the impact of the MRSA bundle on SSIs.

METHODS:

Data regarding the implementation of the MRSA bundle from 2007 to 2008 were obtained, including admission and discharge MRSA screenings, overall MRSA infections, and cardiac and orthopedic SSIs. Chi-square was used for all comparisons.

RESULTS:

A significant decrease in MRSA transmission from a 5.8 to 3.0 per 1,000 bed-days (P < .05) was found after implementation of the MRSA bundle. Overall MRSA nosocomial infections decreased from 2.0 to 1.0 per 1,000 bed-days (P = .016). There was a statistically significant decrease in overall SSIs (P < .05), with a 65% decrease in orthopaedic MRSA SSIs and 1% decrease in cardiac MRSA SSIs.

CONCLUSION:

Our data demonstrate that successful implementation of the MRSA bundle significantly decreases MRSA transmission between patients, the overall number of nosocomial MRSA infections, and MRSA SSIs.

PMID:
19887186
DOI:
10.1016/j.amjsurg.2009.07.010
[Indexed for MEDLINE]

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