title: [Survey of methicillin-resistant Staphylococcus aureus control measures in hospitals participating in the VINCat program].
abstract: BACKGROUND
  VINCat is a nosocomial infection surveillance program in hospitals in Catalonia. The aim of the study was to determine the surveillance and control measures of methicillin-resistant Staphylococcus aureus (MRSA) in these centres.
  
  
  METHODS
  An e-mail survey was carried out from January to March 2013 with questions related to the characteristics of the hospitals and their control measures for MRSA.
  
  
  RESULTS
  A response was received from 53 hospitals (>500 beds: 7; 200-500 beds: 14;<200 beds: 32; had ICU: 29). Computer alert of readmissions was available in 63%. There was active surveillance of patients admitted from another hospital (46.2%) or a long-term-care centre (55.8%), both being significantly more common measures in hospitals with a rate of MRSA≤22% (global median). Compliance with hand hygiene was observed in 77.4% of the centres, and was greater than 50% in 69.7% of them. All hospitals had contact precautions, although 62.3% did not have exclusive frequently used clinical material in bedrooms. The room cleaning was performed more frequently in 54.7% of hospitals, and 67.9% of them had programs for the appropriate use of antibiotics.
  
  
  CONCLUSIONS
  This study provides information on the implementation of measures to prevent MRSA in hospitals participating in the VINCat program. Most of the centres have an MRSA protocol, however compliance with it should be improved, especially in areas such as active detection on admission in patients at risk, hand hygiene adherence, cleaning frequency and optimising the use of antibiotics.
authors.affiliation: Control de Infección Nosocomial, Hospital Germans Trias i Pujol, Badalona, Barcelona, España. Electronic address: nsopena.germanstrias@gencat.cat.
authors.forename: Nieves
authors.initials: N
authors.lastname: Sopena-Galindo
authors.affiliation: Control de Infección Nosocomial, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Anna
authors.initials: A
authors.lastname: Hornero-Lopez
authors.affiliation: Control de Infección, Hospital Universitari Mútua Terrassa, Terrassa, Barcelona, España.
authors.forename: Núria
authors.initials: N
authors.lastname: Freixas-Sala
authors.affiliation: Servicio de Medicina Interna, Consorci Sanitari de Terrassa, Terrassa, Barcelona, España.
authors.forename: Feliu
authors.initials: F
authors.lastname: Bella-Cueto
authors.affiliation: Microbiología, CatLab, Parc Logístic de Salut, Viladecavalls, Barcelona, España.
authors.forename: Josefa
authors.initials: J
authors.lastname: Pérez-Jové
authors.affiliation: Centro Coordinador Programa VINCat, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Enric
authors.initials: E
authors.lastname: Limon-Cáceres
authors.affiliation: Servicio de Enfermedades Infecciosas, Hospital Universitario de Bellvitge, L'Hospitalet de Llobregat, Barcelona, España.
authors.forename: Francesc
authors.initials: F
authors.lastname: Gudiol-Munté
mesh_terms: D003428:Cross Infection / Q000382:microbiology / Q000517:prevention & control*; D006761:Hospitals; D006801:Humans; D017053:Infection Control / Q000379:methods*; D008712:Methicillin; D016106:Methicillin Resistance; D055624:Methicillin-Resistant Staphylococcus aureus; D013203:Staphylococcal Infections / Q000382:microbiology / Q000517:prevention & control*; D011795:Surveys and Questionnaires
chemical_list: D008712:Methicillin
keywords: Control de infección; Encuesta sobre cuidados sanitarios; Health care survey; Infección nosocomial; Infection control; Methicillin-resistance; Nosocomial infections; Resistencia a la meticilina; Staphylococcus aureus