title: 5 Million Lives Campaign. Case study: an MRSA intervention at Evanston Northwestern Healthcare.
abstract: PCR-based testing offers superiority to culture in reduction of unisolated days. The ICU-based surveillance intervention had little impact after one year with surveillance compliance at 67%. However, once compliance improved, surveillance was expanded to the entire hospital and decolonization was implemented, MRSA BSIs were significantly reduced. Our experience parallels that of the European countries and other United States facilities that have implemented aggressive MRSA control measures. All successful programs have included active surveillance testing and barrier precautions. Finally, according to the Centers for Disease Control and Prevention's just-released report on invasive MRSA, since most MRSA infections are associated with health care contact, strategies to prevent and control MRSA among inpatients still may have a positive impact on infection, as demonstrated by our intervention.
authors.affiliation: Northwestern University, Feinberg School of Medicine, Department of Medicine and Pathology, Evanston, Illinois, USA. lancer@northwestern.edu
authors.forename: Lance R
authors.initials: LR
authors.lastname: Peterson
authors.forename: Donna M
authors.initials: DM
authors.lastname: Hacek
authors.forename: Ari
authors.initials: A
authors.lastname: Robicsek
mesh_terms: D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D006801:Humans; D007087:Illinois; D017053:Infection Control / Q000379:methods / Q000458:organization & administration*; D016106:Methicillin Resistance; D009096:Multi-Institutional Systems / Q000458:organization & administration* / Q000592:standards; D019982:Organizational Case Studies; D018571:Sentinel Surveillance; D013203:Staphylococcal Infections / Q000517:prevention & control*; D013211:Staphylococcus aureus / Q000187:drug effects*