The infection control management of MRSA within the acute care hospital

Halcomb, E; Fernandez, RS; Griffiths, R; Newton, PJ; Hickman, L

The infection control management of MRSA within the acute care hospital

Halcomb, E Fernandez, RS Griffiths, R Newton, PJ

Hickman, L

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Publisher:: Wiley-Blackwell Publishing Asia
Publication Type:: Journal Article
Citation:: International Journal of Evidence-Based Healthcare, 2008, 6 (4), pp. 440 - 467
Issue Date:: 2008-01

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Field	Value	Language
dc.contributor.author	Halcomb, E	en_US
dc.contributor.author	Fernandez, RS	en_US
dc.contributor.author	Griffiths, R	en_US
dc.contributor.author	Newton, PJ https://orcid.org/0000-0002-5006-2037	en_US
dc.contributor.author	Hickman, L https://orcid.org/0000-0002-5116-6559	en_US
dc.date.issued	2008-01	en_US
dc.identifier.citation	International Journal of Evidence-Based Healthcare, 2008, 6 (4), pp. 440 - 467	en_US
dc.identifier.issn	1744-1595	en_US
dc.identifier.uri	http://hdl.handle.net/10453/16979
dc.description.abstract	Background Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurrence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Management strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. Objectives This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002. Search strategy A systematic search for relevant published or unpublished English language literature was undertaken using electronic databases, the reference lists of retrieved papers and the Internet. This extended the search of the original review. Databases searched included: Medline, CINAHL, EMBASE, Cochrane Library and Joanna Briggs Institute Evidence Library. Selection criteria All research reports published between 1990 and August 2005 in the English language that focused upon the infection control strategies that were implemented in response to either a nosocomial outbreak of MRSA or endemic MRSA within an acute clinical setting were included. Only studies that reported interventions which were implemented following the collection of baseline data were included. Data collection and analysis Two reviewers assessed each paper against the inclusion criteria and a validated quality scale. Data extraction was undertaken using a purposely designed tool. Given the heterogeneity of the interventions and outcomes measures, statistical comparisons of findings were not possible, therefore, the findings of this review are presented in a narrative format.	en_US
dc.publisher	Wiley-Blackwell Publishing Asia	en_US
dc.relation.ispartof	International Journal of Evidence-Based Healthcare	en_US
dc.relation.isbasedon	10.1016/S1473-3099(14)70876-X	en_US
dc.title	The infection control management of MRSA within the acute care hospital	en_US
dc.type	Journal Article
utslib.citation.volume	4	en_US
utslib.citation.volume	6	en_US
utslib.for	1110 Nursing	en_US
utslib.for	1103 Clinical Sciences	en_US
utslib.for	1117 Public Health and Health Services	en_US
dc.location.activity	Hong Kong
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	closed_access
pubs.consider-herdc	false	en_US
pubs.issue	4	en_US
pubs.publication-status	Published	en_US
pubs.volume	6	en_US

Abstract:

Background Many acute care facilities report endemic methicillin-resistant Staphylococcus aureus (MRSA), while others describe the occurrence of sporadic disease outbreaks. The timely implementation of effective infection control measures is essential to minimise the incidence of MRSA cases and the magnitude of disease outbreaks. Management strategies for the containment and control of MRSA currently vary between facilities and demonstrate varying levels of effectiveness. Objectives This review sought to systematically review the best available research regarding the efficacy of infection control practices in controlling endemic MRSA or MRSA outbreaks in the acute hospital setting. It updates an original review published in 2002. Search strategy A systematic search for relevant published or unpublished English language literature was undertaken using electronic databases, the reference lists of retrieved papers and the Internet. This extended the search of the original review. Databases searched included: Medline, CINAHL, EMBASE, Cochrane Library and Joanna Briggs Institute Evidence Library. Selection criteria All research reports published between 1990 and August 2005 in the English language that focused upon the infection control strategies that were implemented in response to either a nosocomial outbreak of MRSA or endemic MRSA within an acute clinical setting were included. Only studies that reported interventions which were implemented following the collection of baseline data were included. Data collection and analysis Two reviewers assessed each paper against the inclusion criteria and a validated quality scale. Data extraction was undertaken using a purposely designed tool. Given the heterogeneity of the interventions and outcomes measures, statistical comparisons of findings were not possible, therefore, the findings of this review are presented in a narrative format.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/16979