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Evaluation of a Strategy of Screening Multiple Anatomical Sites for Methicillin-Resistant Staphylococcus aureus at Admission to a Teaching Hospital

Published online by Cambridge University Press:  21 June 2016

Matthieu Eveillard ,
Arnaud de Lassence ,
Evelyne Lancien ,
Guilène Barnaud ,
Jean-Damien Ricard  and
Marie-Laure Joly-Guillou
Matthieu Eveillard*
Affiliation:
Service de Microbiologie et Hygiène, Hôpital Louis Mourier, AP-HP, Colombes, France Comitè de Lutte contre les Infections Nosocomiales, Hôpital Louis Mourier, AP-HP, Colombes, France
Arnaud de Lassence
Affiliation:
Service de Réanimation Médico-Chirurgicale, Hôpital Louis Mourier, AP-HP, Colombes, France Comitè de Lutte contre les Infections Nosocomiales, Hôpital Louis Mourier, AP-HP, Colombes, France
Evelyne Lancien
Affiliation:
Service de Microbiologie et Hygiène, Hôpital Louis Mourier, AP-HP, Colombes, France
Guilène Barnaud
Affiliation:
Service de Microbiologie et Hygiène, Hôpital Louis Mourier, AP-HP, Colombes, France
Jean-Damien Ricard
Affiliation:
Service de Réanimation Médico-Chirurgicale, Hôpital Louis Mourier, AP-HP, Colombes, France
Marie-Laure Joly-Guillou
Affiliation:
Service de Microbiologie et Hygiène, Hôpital Louis Mourier, AP-HP, Colombes, France Comitè de Lutte contre les Infections Nosocomiales, Hôpital Louis Mourier, AP-HP, Colombes, France
*
Service de Microbiologie et d'Hygiène, Hôpital Louis Mourier, 178 rue des Renouillers, F92700 Colombes Cedex, France (mathieu.eveillard@lmr.ap-hop-paris.fr)
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Abstract

We compared the sensitivity of screening with nasal culture alone with that of a multiple-site screening method for the identification of carriers of methicillin-resistant Staphylococcus aureus at hospital admission. If nasal cultures alone had been used during the 1-year study, 27.0% of carriers of methicillin-resistant S. aureus would have been missed, which corresponds to 560 theoretical isolation days. If rectal screening had not been used, 431 theoretical isolation days would have been missed, and, if axillary screening had not been used, 99 theoretical isolation days would have been missed.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 2 , February 2006 , pp. 181 - 184
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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References

1.Troillet, N, Carmeli, Y, Samore, MH, et al. Carriage of methicillin-resistant Staphylococcus aureus at hospital admission. Infect Control Hosp Epidemiol 1998; 19:181–185.CrossRefGoogle ScholarPubMed
2.Girou, E, Pujade, G, Legrand, P, Cizeau, F, Brun-Buisson, C. Selective screening of carriers for control of methicillin-resistant Staphylococcus aureus (MRSA) in high-risk hospital areas with a high level of endemic MRSA. Clin Infect Dis 1998; 27:543–550.CrossRefGoogle ScholarPubMed
3.Jernigan, JA, Titus, MG, Gröschel, DHM, Getchell-White, SI, Farr, BM. Effectiveness of contact isolation during a hospital outbreak of methicillin-resistant Staphylococcus aureus. Am J Epidemiol 1996; 143:496–504.CrossRefGoogle ScholarPubMed
4.Vriens, MR, Fluit, AC, Troelstra, A, Verhoef, J, van der Werken, C. Is methicillin-resistant Staphylococcus aureus more contagious than methicillin-susceptible Staphylococcus aureus in a surgical intensive care unit? Infect Control Hosp Epidemiol 2002; 23:491–494.Google Scholar
5.Girou, E, Azar, J, Wolkenstein, P, Cizeau, F, Brun-Buisson, C, Roujeau, JC. Comparison of systematic versus selective screening for methicillin-resistant Staphylococcus aureus carriage in a high-risk dermatology ward. Infect Control Hosp Epidemiol 2000; 21:583–587.Google Scholar
6.Gorak, EL, Yamanda, SM, Brown, JD. Community-acquired methicillin-resistant Staphylococcus aureus in hospitalized adults and children without known risk factors. Clin Infect Dis 1999; 29:797–800.Google Scholar
7.Bukharie, HA, Abdelhadi, MS, Saeed, IA, Rubaish, AM, Larbi, EB. Emergence of methicillin-resistant Staphylococcus aureus as a community pathogen. Diagn Microbiol Infect Dis 2001; 40:1–4.Google Scholar
8.Centers for Disease Control and Prevention. Information about MRSA for healthcare personnel. Atlanta: Centers for Disease Control and Prevention; 2004. Available at: http://www.cdc.gov/ncidod/dhqp/ar_mrsa_ healthcareFS.html. Accessed January 19, 2006.Google Scholar
9.Comité de l'Antibiogramme de la Société Française de Microbiologie. Communiqué 2000-2001. Pathol Biol 2000; 48:832–871.Google Scholar
10.Felten, A, Grandry, B, Lagrange, PH, Casin, I. Evaluation of three techniques for detection of low-level methicillin-resistant Staphylococcus aureus (MRSA): a disk-diffusion method with cefoxitin and moxalactam, the Vitek 2 system, and the MRSA-screen latex agglutination test. J Clin Microbiol 2002; 40:2766–2771.Google Scholar
11.Eveillard, M, Lancien, E, Hidri, N, et al. Estimation of methicillin-resistant Staphylococcus aureus transmission by considering colonization pressure at the time of hospital admission. J Hosp Infect 2005; 60:27–31.Google Scholar
12.Lucet, JC, Chevret, S, Durand-Zaleski, I, Chastang, C, Régnier, B. Prevalence and risk factors for carriage of methicillin-resistant Staphylococcus aureus at admission to the intensive care unit. Arch Intern Med 2003; 163:181–188.CrossRefGoogle ScholarPubMed
13.Coello, R, Jiménez, J, Garcia, M, et al. Prospective study of infection, colonization and carriage of methicillin-resistant Staphylococcus aureus in an outbreak affecting 990 patients. Eur J Clin Microbiol Infect Dis 1994; 13:74–81.CrossRefGoogle Scholar
14.Cox, RA, Conquest, C, Mallaghan, C, Marples, RR. A major outbreak of methicillin-resistant Staphylococcus aureus caused by a new phage-type (EMRSA-16). J Hosp Infect 1995; 29:87–106.Google Scholar
15.Sanford, MD, Widmer, AF, Bale, MJ, Jones, RN, Wenzel, RP. Efficient detection and long-term persistence of the carriage of methicillin-resistant Staphylococcus aureus. Clin Infect Dis 1994; 19:1123–1128.Google Scholar
16.Manian, FA, Senkel, D, Zack, J, Meyer, L. Routine screening for methicillin-resistant Staphylococcus aureus among patients newly admitted to an acute rehabilitation unit. Infect Control Hosp Epidemiol 2002; 23:516–519.Google Scholar
17.Eveillard, M, Mortier, E, Lancien, E, et al. Consideration of age at admission for selective screening to identify methicillin-resistant Staphylococcus aureus carriers to control dissemination in a medical ward. Am J Infect Control (in press).Google Scholar
18.Hsu, CCS, Macaluso, CP, Special, S, Hubble, RH. High rate of methicillin-resistant Staphylococcus aureus isolated from hospitalized nursing home patients. Arch Intern Med 1988; 148:569–570.Google Scholar
19.Eveillard, M, Ernst, C, Cuviller, S, et al. Prevalence of methicillin-resistant Staphylococcus aureus carriage at the time of admission in two acute geriatric wards. J Hosp Infect 2002; 50:122–126.CrossRefGoogle ScholarPubMed