title: Occurrence of nosocomial methicillin-resistant Staphylococcus aureus as a marker for transmission in a surgical intensive care unit in China.
abstract: In 2008, an intensive care unit (ICU) in a large Chinese hospital was moved from a 6-bed old ward to a 20-bed new ward. After the move, the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) in patients and environmental sites decreased significantly, but the number of ICU-acquired cases per imported MRSA case increased from 1.4 to 4.1. This study suggests that the nurse cohorting level and hand hygiene compliance are strong predicators of MRSA transmission in ICUs.
authors.affiliation: Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Chen
authors.affiliation: Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Zhao
authors.affiliation: Department of Surgical Intensive Care Unit, Chinese PLA General Hospital, Beijing, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Liu
authors.affiliation: Department of Surgical Intensive Care Unit, Chinese PLA General Hospital, Beijing, China.
authors.forename: Qing
authors.initials: Q
authors.lastname: Song
authors.affiliation: Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China.
authors.forename: Jingya
authors.initials: J
authors.lastname: Zhao
authors.affiliation: Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China.
authors.forename: Dongyu
authors.initials: D
authors.lastname: Zheng
authors.affiliation: Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China.
authors.forename: Xuelin
authors.initials: X
authors.lastname: Han
authors.affiliation: Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China.
authors.forename: Xiaohua
authors.initials: X
authors.lastname: Hu
authors.affiliation: Department of Medical Microbiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.
authors.forename: Hajo
authors.initials: H
authors.lastname: Grundmann
authors.affiliation: Center for Hospital Infection Control, Chinese PLA Institute for Disease Control and Prevention, Academy of Military Medical Sciences, Beijing, China. Electronic address: hanli@bmi.ac.cn.
authors.forename: Li
authors.initials: L
authors.lastname: Han
mesh_terms: D002681:China / Q000453:epidemiology; D003422:Critical Care; D003428:Cross Infection / Q000453:epidemiology / Q000382:microbiology* / Q000635:transmission*; D006801:Humans; D015994:Incidence; D007362:Intensive Care Units; D055624:Methicillin-Resistant Staphylococcus aureus / Q000302:isolation & purification*; D013203:Staphylococcal Infections / Q000453:epidemiology / Q000382:microbiology* / Q000635:transmission*
keywords: Environmental contamination; Epidemiology; Hand hygiene compliance; Infection control; MRSA; Ward expansion