Universal screening for meticillin-resistant Staphylococcus aureus: interim results from the NHS Scotland pathfinder projectstar

Jacqui Reilly, S. Stewart, P. Christie, G. Allardice, A. Smith, R. Masterton, I. M. Gould, C. Williams

Research output: Contribution to journalArticle

Abstract

Following recommendations from a Health Technology Assessment (HTA), a prospective cohort study of meticillin-resistant Staphylococcus aureus (MRSA) screening of all admissions (N = 29 690) to six acute hospitals in three regions in Scotland indicated that 7.5% of patients were colonised on admission to hospital. Factors associated with colonisation included re-admission, specialty of admission (highest in nephrology, care of the elderly, dermatology and vascular surgery), increasing age, and the source of admission (care home or other hospital). Three percent of all those who were identified as colonised developed hospital-associated MRSA infection, compared with only 0.1% of those not colonised. Specialties with a high rate of colonisation on admission also had higher rates of MRSA infection. Very few patients refused screening (11 patients, 0.03%) or had treatment deferred (14 patients, 0.05%).

Original languageEnglish
Pages (from-to)35-41
Number of pages7
JournalJournal of Hospital Infection
Volume74
Issue number1
DOIs
Publication statusPublished - Jan 2010

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Keywords

  • infection control
  • hospital infection
  • MRSA
  • epidemiology

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