Surveillance swabbing for MRSA on neonatal intensive care units - is weekly nasal swabbing the best option?
Surveillance swabbing for MRSA on neonatal intensive care units - is weekly nasal swabbing the best option?
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DOI：
10.1177/1757177412448945
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发表时间：
2012-01-01
影响因子：
1.2
通讯作者：
Kennea, N.
中科院分区：
文献类型：
--
作者：
Duffy, D.;Garbash, M.;Kennea, N.
大多数儿科耐甲氧西林金黄色葡萄球菌（MRSA）感染发生在新生儿病房，但缺乏持续监测MRSA的证据，实践也各不相同。本研究的目的是根据拭子部位、胎龄和出生体重确定新生儿MRSA筛查的最佳策略。在8年以上的所有第三新生儿病房住院患者中，对同时每周鼻腔和腹股沟监测拭子和疑似感染部位进行MRSA检测。检查了21,736例监测标本（入院3,784例）。与未定植的婴儿相比，感染MRSA的婴儿体型更小，胎龄更低(p
Most paediatric meticillin resistant Staphylococcus aureus (MRSA) infections occur in neonatal units, but evidence for ongoing MRSA surveillance is lacking and practice varies. The aim of this study was to determine the optimal strategy for neonatal MRSA screening according to swab site, gestational age and birth weight. MRSA detection on simultaneous weekly nasal and groin surveillance swabs and suspected infected sites was determined for all admissions to a tertiary neonatal unit over eight years. Twenty one thousand, seven hundred and thirty six surveillance specimens were examined (3,784 admissions). Infants colonised with MRSA were smaller and of lower gestational age compared with uncolonised infants (p