A survey of methicillin-resistant Staphylococcus aureus control strategies in Italy

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• 作者：A. Pan (1) (2)
  E. Bombana (3)
  G. Tura (4)
  C. Curti (5)
  S. Lorenzotti (1)
  P. Mondello (6)
  A. Patroni (7)
  E. Tacconelli (8)
  V. Rigobello (9)
  L. Signorini (10)
  M. Vizio (11)
  A. Goglio (3)
  
• 关键词：Methicillin ; resistant Staphylococcus aureus ; Control ; Survey ; Italy
• 刊名：Infection
• 出版年：2013
• 出版时间：August 2013
• 年：2013
• 卷：41
• 期：4
• 页码：783-789
• 全文大小：222KB
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• 作者单位：A. Pan (1) (2)
  E. Bombana (3)
  G. Tura (4)
  C. Curti (5)
  S. Lorenzotti (1)
  P. Mondello (6)
  A. Patroni (7)
  E. Tacconelli (8)
  V. Rigobello (9)
  L. Signorini (10)
  M. Vizio (11)
  A. Goglio (3)
  
  1. Divisione di Malattie Infettive e Tropicali, Istituti Ospitalieri di Cremona, Largo Priori, 1, 26100, Cremona, Italy
  2. Agenzia Sanitaria e Sociale Regionale dell’Emilia-Romagna, Bologna, Italy
  3. Ospedali Riuniti di Bergamo, Bergamo, Italy
  4. Ospedale degli Infermi di Rimini, Rimini, Italy
  5. Ospedale San Raffaele, Milan, Italy
  6. Policlinico G. Martino, Messina, Italy
  7. Ospedale di Esine (BS), Brescia, Italy
  8. Università Cattolica del Sacro Cuore, Policlinico A Gemelli, Rome, Italy
  9. Ospedale Cottolengo, Turin, Italy
  10. Spedali Civili, Brescia, Italy
  11. ANIPIO, Rome, Italy
  

文摘

Purpose Data regarding the implementation of state-of-the-art methicillin-resistant Staphylococcus aureus (MRSA) control procedures in Italy are lacking. There is a need to evaluate compliance with MRSA recommendations (CR) in Italian hospitals. Methods A 67-question closed-answer survey was sent to all Italian hospitals, in order to analyze and evaluate program consistency with CR [hand hygiene (HH), contact precautions, screening of high-risk patients, decolonization, feedback on surveillance data, and antimicrobial guidelines and education programs]. Results 205 hospitals, which account for 42?% of national admissions, returned questionnaires. 131 hospitals (64?%) did not have written MRSA control guidelines. Hospitals reported the following levels of compliance with CR: (1) HH: 67 hospitals (33?%); (2) contact precautions: 33 (16?%); (3) MRSA screening: 66 (32?%); (4) MRSA decolonization: 42 (20?%); (5) surveillance data feedback: 87 (43?%); and (6) antimicrobial guidelines and education programs: 41 (20?%). One hospital (0.5?% of responses) had implemented all recommendations and 28 hospitals (14?%) had implemented four or five recommendations. 31?% of hospitals surveyed had implemented none. Multivariate analysis showed that the only factor identified as being associated with the implementation of MRSA control recommendations was the number of meetings/year of the infection control team (ICT) (p?=?0.004). Conclusions Written MRSA control guidelines are available in only one-third of Italian facilities. An organized system, with ? interventions, has been implemented in just 1 out of 7 hospitals. HH programs and ICT activity are related to better MRSA control. In Italy, there is significant opportunity for improvement in MRSA control.