title: Infection control and management of MRSA: assessing the knowledge of staff in an acute hospital setting.
abstract: 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.
authors.affiliation: Directorate of Change and Innovation, Tayside NHS Board, Dundee, UK. phyllis.easton@nhs.net
authors.forename: P M
authors.initials: PM
authors.lastname: Easton
authors.forename: A
authors.initials: A
authors.lastname: Sarma
authors.forename: F L R
authors.initials: FL
authors.lastname: Williams
authors.forename: C A
authors.initials: CA
authors.lastname: Marwick
authors.forename: G
authors.initials: G
authors.lastname: Phillips
authors.forename: D
authors.initials: D
authors.lastname: Nathwani
mesh_terms: D002983:Clinical Competence; D003428:Cross Infection / Q000517:prevention & control; D019538:Health Care Surveys; D006801:Humans; D017053:Infection Control / Q000379:methods*; D008505:Medical Staff, Hospital / Q000706:statistics & numerical data*; D016106:Methicillin Resistance; D009741:Nursing Staff, Hospital / Q000706:statistics & numerical data*; D012606:Scotland; D013203:Staphylococcal Infections / Q000188:drug therapy*; D013211:Staphylococcus aureus / Q000187:drug effects / Q000472:pathogenicity