[Surveillance and control of methicillin-resistant Staphylococcus aureus in Spanish hospitals. A GEIH-SEIMC and SEMPSPH consensus document].
Methicillin-resistant Staphylococcus aureus (MRSA) is an important pathogen, both in-hospital and in the community. Although there are several guidelines with recommendations for the control of this microorganism, the measures proposed are not uniformly implemented in Spanish hospitals. The objective of this document is to provide evidence-based recommendations that are applicable to Spanish hospitals, with the aim of reducing transmission of MRSA in our health care centers. The recommendations are divided into the following groups: surveillance, active detection of colonization in patients and health care workers, control measures for colonized or infected patients, decolonization therapy, environmental cleaning and disinfection, antimicrobial consumption, measures for non-hospitalized patients, and others. The main measures recommended include appropriate surveillance, hand hygiene, and implementation of active surveillance, contact precautions, and environmental cleaning.
Rodríguez-Baño
Jesús
J
Unidad Clínica de Enfermedades Infecciosas, Hospital Universitario Virgen Macarena, Sevilla, España. jrb@nacom.es
Bischofberger
Cornelia
C
Alvarez-Lerma
Francisco
F
Asensio
Angel
A
Delgado
Teresa
T
García-Arcal
Dolores
D
García-Ortega
Lola
L
Hernández
M Jesús
MJ
Molina-Cabrillana
Jesús
J
Pérez-Canosa
Carmen
C
Pujol
Miquel
M
D003428:Cross Infection / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D006761:Hospitals; D006801:Humans; D016106:Methicillin Resistance; D011159:Population Surveillance; D013030:Spain; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control*; D013211:Staphylococcus aureus / Q000187:drug effects*