title: An effective active surveillance method for controlling nosocomial MRSA transmission in a Japanese hospital.
abstract: Hospital-wide active surveillance for methicillin-resistant Staphylococcus aureus (MRSA) targeted to adult patients with a history of MRSA carriage within the past 5 years was performed in Juntendo University Hospital (JUH) over a 2-year period. In the first year, MRSA screening culture was ordered by physicians in charge. In the second year, infection-control practitioners (ICPs) took samples for active surveillance culture. The average monthly transmission rate of MRSA in JUH was 0.35 per 1,000 bed-days in the first year and decreased significantly to 0.26 per 1,000 bed-days in the second year (P < 0.05). In the second year, more active commitment of ICPs to MRSA screening was effective in improving the performance rate of screening, shortening turn-around time of screening results, and decreasing transmission rate. Increasing compliance with active MRSA surveillance by involvement of ICPs, targeting patients with a previous history of MRSA carriage in the previous 5 years, was effective to control nosocomial MRSA transmission.
authors.affiliation: Department of Infection Control Science, Juntendo University Faculty of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan, dookusi@juntendo.ac.jp.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Ohkushi
authors.forename: Yuki
authors.initials: Y
authors.lastname: Uehara
authors.forename: Akira
authors.initials: A
authors.lastname: Iwamoto
authors.forename: Shigeki
authors.initials: S
authors.lastname: Misawa
authors.forename: Shigemi
authors.initials: S
authors.lastname: Kondo
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Shimizu
authors.forename: Satoshi
authors.initials: S
authors.lastname: Hori
authors.forename: Keiichi
authors.initials: K
authors.lastname: Hiramatsu
mesh_terms: D002353:Carrier State / Q000453:epidemiology; D003428:Cross Infection / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D007564:Japan / Q000453:epidemiology; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D062486:Public Health Surveillance / Q000379:methods*; D013203:Staphylococcal Infections / Q000453:epidemiology* / Q000517:prevention & control / Q000635:transmission
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