Management of outbreaks of methicillin-resistant Staphylococcus aureus infection in the neonatal intensive care unit:: A consensus statement
Management of outbreaks of methicillin-resistant Staphylococcus aureus infection in the neonatal intensive care unit:: A consensus statement
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DOI：
10.1086/501216
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发表时间：
2006-02-01
影响因子：
4.5
通讯作者：
Noskin, Gary A.
中科院分区：
文献类型：
--
作者：
Gerber, Susan I.;Jones, Roderick C.;Noskin, Gary A.
OBJECTIVE. 2002年，芝加哥公共卫生部（CDPH;芝加哥，伊利诺伊州）召集了芝加哥地区新生儿MRSA工作组（CANMWG），讨论和比较旨在控制新生儿重症监护病房（NICU）中耐甲氧西林金黄色葡萄球菌（MRSA）的方法。为了更好地了解这些问题在区域一级，CDPH和埃文斯顿卫生和人类服务部（EDHHS;埃文斯顿，伊利诺伊州）开始调查。调查收集MRSA感染个体病例和群体的人口统计学、临床、微生物学和流行病学数据;另一项调查收集感染控制实践的数据。芝加哥地区医院的三级NICU。与III级NICU相关的新生儿和医护人员。从2001年6月至2002年9月，参与的医院向CDPH和EDHHS报告了各自三级NICU中的所有MRSA感染集群。在III级NICU中检测到13个MRSA感染集群，并报告了149例MRSA阳性婴儿。感染控制调查显示医院采取不同的方法来控制NICU的MRSA定植和感染。CANMWG制定了预防和控制新生儿重症监护病房MRSA定植和感染的建议，并同意建议应扩大到包括进一步研究产生的未来数据。医院感染控制人员和公共卫生专业人员之间的持续伙伴关系将是至关重要的，在磨练适当的指导方针，有效的方法来管理和控制MRSA的殖民和感染在NICU。
OBJECTIVE. In 2002, the Chicago Department of Public Health (CDPH; Chicago, Illinois) convened the Chicago-Area Neonatal MRSA Working Group (CANMWG) to discuss and compare approaches aimed at control of methicillin-resistant Staphylococcus aureus ( MRSA) in neonatal intensive care units (NICUs). To better understand these issues on a regional level, the CDPH and the Evanston Department of Health and Human Services (EDHHS; Evanston, Illinois) began an investigation.DESIGN. Survey to collect demographic, clinical, microbiologic, and epidemiologic data on individual cases and clusters of MRSA infection; an additional survey collected data on infection control practices.SETTING. Level III NICUs at Chicago-area hospitals.PARTICIPANTS. Neonates and healthcare workers associated with the level III NICUs.METHODS. From June 2001 through September 2002, the participating hospitals reported all clusters of MRSA infection in their respective level III NICUs to the CDPH and the EDHHS.RESULTS. Thirteen clusters of MRSA infection were detected in level III NICUs, and 149 MRSA-positive infants were reported. Infection control surveys showed that hospitals took different approaches for controlling MRSA colonization and infection in NICUs.CONCLUSION. The CANMWG developed recommendations for the prevention and control of MRSA colonization and infection in the NICU and agreed that recommendations should expand to include future data generated by further studies. Continuing partnerships between hospital infection control personnel and public health professionals will be crucial in honing appropriate guidelines for effective approaches to the management and control of MRSA colonization and infection in NICUs.