Simmons Sarah
Baptist Medical Center, San Antonio, Texas 78205, USA.
Crit Care Nurs Q. 2011 Jan-Mar;34(1):18-24. doi: 10.1097/CNQ.0b013e31820480bf.
Determine if implementing a methicillin-resistant Staphylococcus aureus (MRSA) active surveillance program in the intensive care unit (ICU) only would affect hospitalwide transmission of MRSA.
Hospital-acquired MRSA rates were collected from January 2007 to December 2009. In July 2008, an active surveillance program was implemented in all ICU areas. The hospital-acquired MRSA rates were compared before and after the implementation of the screening program.
The ICU rate of hospital-acquired MRSA reduced from 3.19/1000 patient-days to 1.66/1000 patient-days (P .005). The facility's hospital-acquired MRSA rate was reduced from 0.80/1000 patient-days to 0.38/1000 patient-days (P .0003).
Implementing an ICU-only active surveillance program is an effective method of controlling MRSA transmission on a hospitalwide level. Additional high-risk areas to consider include long-term acute care facilities, rehabilitation units, and patients with long-term indwelling medical devices.
确定仅在重症监护病房（ICU）实施耐甲氧西林金黄色葡萄球菌（MRSA）主动监测计划是否会影响全院范围内MRSA的传播。
收集2007年1月至2009年12月期间医院获得性MRSA的发生率。2008年7月，在所有ICU区域实施了主动监测计划。比较了筛查计划实施前后医院获得性MRSA的发生率。
ICU医院获得性MRSA的发生率从3.19/1000患者日降至1.66/1000患者日（P<0.005）。该机构医院获得性MRSA的发生率从0.80/1000患者日降至0.38/1000患者日（P<0.0003）。
仅在ICU实施主动监测计划是在全院范围内控制MRSA传播的有效方法。其他需要考虑的高风险区域包括长期急性护理设施、康复病房以及长期留置医疗设备的患者。
