Ministry of Health, Singapore.
University of New South Wales, School of Population Health, UNSW Medicine, Australia; Indo-Pacific Centre for Health Security, Department of Foreign Affairs and Trade, Australia.
J Hosp Infect. 2021 Jun;112:87-91. doi: 10.1016/j.jhin.2021.03.025. Epub 2021 Apr 2.
To determine the variation in practices on meticillin-resistant Staphylococcus aureus (MRSA) surveillance and management of MRSA-colonized patients amongst 17 acute healthcare facilities in Singapore, the Ministry of Health convened a sharing session with Infection Prevention and Control Leads. All hospitals practised close to universal MRSA entry swabbing in keeping with national policy. There were, however, major variations in the response to both positive and negative surveillance swabs across facilities including the role of routine antiseptic bathing and MRSA decolonization. Most undertaking decolonization considered its role to be in 'bioburden reduction' rather than longer-term clearance.
为了确定在新加坡 17 家急症医疗机构中，耐甲氧西林金黄色葡萄球菌（MRSA）监测和管理 MRSA 定植患者的实践情况，卫生部召集了一次感染预防和控制负责人的分享会议。所有医院都按照国家政策，对接近普遍的 MRSA 入口拭子进行了检测。然而，各医疗机构对阳性和阴性监测拭子的反应存在重大差异，包括常规抗菌沐浴和 MRSA 去定植的作用。大多数进行去定植的机构认为其作用是降低“生物负荷”，而不是长期清除。
