耐甲氧西林定植的减少：筛查与去定植计划的影响
Reduction in methicillin-resistant colonisation: impact of a screening and decolonisation programme.
作者信息
Garvey Mark I, Winfield Jodie, Wiley Carolyn, Reid Matthew, Cooper Mike
机构信息
University Hospitals Birmingham NHS Foundation Trust, Queen Elizabeth Hospital Birmingham, Edgbaston, Birmingham, UK.
Infection Prevention Team, The Royal Wolverhampton NHS Trust, New Cross Hospital, Wolverhampton, UK.
出版信息
J Infect Prev. 2016 Nov;17(6):294-297. doi: 10.1177/1757177416661406. Epub 2016 Aug 4.
Patients in care homes are often at 'high risk' of being methicillin-resistant (MRSA) colonised. Here we report the prevalence of MRSA, the effect of MRSA screening and decolonisation in Wolverhampton care-home residents. Eighty-two care homes (1665 residents) were screened for MRSA, three times at 6-monthly intervals (referred to as phases one, two and three). Screening and decolonisation of MRSA-colonised residents led to a reduction in the prevalence of MRSA from 8.7% in phase one, 6.3% in phase 2 and 4.7% in phase three. Overall, the study suggests that care-home facilities in Wolverhampton are a significant reservoir for MRSA; screening and decolonisation has reduced the risk to residents going for procedures and has indirectly impacted on MRSA rates in the acute Trust.
养老院中的患者往往处于耐甲氧西林金黄色葡萄球菌（MRSA）定植的“高风险”状态。在此，我们报告了伍尔弗汉普顿养老院居民中MRSA的流行情况、MRSA筛查和去定植的效果。对82家养老院（1665名居民）进行了MRSA筛查，每隔6个月进行3次（分别称为第一阶段、第二阶段和第三阶段）。对MRSA定植居民进行筛查和去定植后，MRSA的流行率从第一阶段的8.7%、第二阶段的6.3%降至第三阶段的4.7%。总体而言，该研究表明，伍尔弗汉普顿的养老院设施是MRSA的一个重要储存库；筛查和去定植降低了接受手术的居民的风险，并间接影响了急性信托机构中的MRSA感染率。
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