Easton P M, Sarma A, Williams F L R, Marwick C A, Phillips G, Nathwani D
Directorate of Change and Innovation, Tayside NHS Board, Dundee, UK.
J Hosp Infect. 2007 May;66(1):29-33. doi: 10.1016/j.jhin.2006.12.016. Epub 2007 Feb 20.
Much of the recent work in tackling meticillin-resistant Staphylococcus aureus (MRSA) has focused on hygiene in hospitals, but it is unclear how much hospital staff know about the treatment and management of patients who are colonized or infected with MRSA. The aim of this study was to assess the knowledge and perceived practice of staff regarding MRSA and its management in an acute hospital setting. A further aim was to determine what staff felt was needed in terms of information or education on the risks, management and treatment of MRSA. A questionnaire survey was carried out through group administration during a study day and by face-to-face interviews. Subjects included in the questionnaire were infection and colonization, treatment, and the availability of local support and advice. There were 174 responses, divided equally between doctors and nurses. Knowledge on many aspects of MRSA and its management was deficient, although the majority of participants who felt that they required additional information about MRSA acknowledged this. The survey confirmed that assumptions should not be made about adequate knowledge and expertise of staff in relation to MRSA. Gaps in awareness of aspects of care and management were highlighted and information and educational needs identified.
近期应对耐甲氧西林金黄色葡萄球菌（MRSA）的许多工作都集中在医院卫生方面，但尚不清楚医院工作人员对定植或感染MRSA患者的治疗和管理了解多少。本研究的目的是评估急性医院环境中工作人员对MRSA及其管理的知识和认知实践。另一个目的是确定工作人员认为在MRSA的风险、管理和治疗方面需要哪些信息或教育。在一个研究日通过分组管理以及面对面访谈的方式进行了问卷调查。问卷中的主题包括感染与定植、治疗以及当地支持和建议的可获得性。共收到174份回复，医生和护士各占一半。尽管大多数认为自己需要更多MRSA相关信息的参与者承认这一点，但他们对MRSA及其管理许多方面的知识仍有欠缺。该调查证实，不应假定工作人员具备与MRSA相关的足够知识和专业技能。护理和管理方面的认知差距得到了凸显，同时确定了信息和教育需求。
