title: Reductions in workload and reporting time by use of methicillin-resistant Staphylococcus aureus screening with MRSASelect medium compared to mannitol-salt medium supplemented with oxacillin.
abstract: Methicillin-resistant Staphylococcus aureus (MRSA) is a significant pathogen in both nosocomial and community settings, and screening for carriers is an important infection control practice in many hospitals. In this retrospective study, we demonstrate that the implementation of an MRSA screening protocol using a selective chromogenic medium (MRSASelect) reduced the workload for this screening test by 63.7% overall and by 12.6% per specimen and reduced the turnaround time for reporting by an average of 1.33 days for all MRSA screening specimens, 1.97 days for MRSA-positive specimens, and 1.3 days for MRSA-negative specimens compared to standard mannitol-salt agar supplemented with 6 mg of oxacillin/liter.
authors.affiliation: Clinical Microbiology, Saint-Boniface General Hospital, Winnipeg, Manitoba R2H 2A6, Canada. plagacewiens@hotmail.com
authors.forename: Philippe R S
authors.initials: PR
authors.lastname: Lagacé-Wiens
authors.forename: Michelle J
authors.initials: MJ
authors.lastname: Alfa
authors.forename: Kanchana
authors.initials: K
authors.lastname: Manickam
authors.forename: Godfrey K M
authors.initials: GK
authors.lastname: Harding
mesh_terms: D000900:Anti-Bacterial Agents / Q000494:pharmacology; D001431:Bacteriological Techniques; D002863:Chromogenic Compounds / Q000378:metabolism; D003470:Culture Media; D006801:Humans; D008353:Mannitol / Q000378:metabolism; D008403:Mass Screening / Q000379:methods; D016106:Methicillin Resistance; D010068:Oxacillin / Q000494:pharmacology; D013211:Staphylococcus aureus / Q000145:classification / Q000187:drug effects / Q000302:isolation & purification*; D017748:Time Management; D016526:Workload
chemical_list: D000900:Anti-Bacterial Agents; D002863:Chromogenic Compounds; D003470:Culture Media; D008353:Mannitol; D010068:Oxacillin