A quarter of hospital MRSA bacteraemia occurs in new arrivals
Main Category: MRSA / Drug ResistanceArticle Date: 10 Sep 2005 - 2:00 PDT
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One in four cases of MRSA blood stream infection in hospital occur in patients who have just arrived from the community. These patients tend to be older and have been in hospital before.
These results, published on bmj.com today, should help to refine infection control policies in UK hospitals.
In the past 10 years, MRSA infection has increased in the United Kingdom. The bacterium can infect many sites; one serious form of infection is that in which blood-stream infection occurs (bacteraemia). A national surveillance scheme counts MRSA bacteraemia by hospital trust, but it has not yet addressed whether cases of MRSA bacteraemia are arriving in hospitals from the community.
Researchers at the University of Oxford analysed methicillin resistant Staphylococcus aureus (MRSA) and methicillin sensitive Staphylococcus aureus (MSSA) bacteraemia in patients on arrival in two Oxfordshire hospitals over a seven year period (1997 to 2003).
At one hospital, patients admitted from the community accounted for 49% of total MSSA cases and 25% of total MRSA cases. The proportion of methicillin resistance among patients admitted with Staphylococcus aureus bacteraemia, rose from 14% in 1997 and 1998 to 26% in 2003.
Most patients (at least 91%) admitted with MRSA bacteraemia had previously been in hospital, half had never had MRSA detected before, and 70% were admitted to emergency medical and surgical services. A similar pattern was observed in the other hospital.
Despite some study limitations, the authors conclude that, of the cases of MRSA bacteraemia detected in hospital, a quarter occurs in patients who have just arrived from the community, and that this proportion is increasing. They call for additional research to be undertaken into the best way to recognise these patients.
MRSA bacteraemia in patients on arrival in hospital: a cohort study BMJ Online First
Emma Dickinson
edickinson@bmj.com
44-20-7383-6529
BMJ-British Medical Journal
http://www.bmj.com
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MLA
15 Feb. 2012. <http://www.medicalnewstoday.com/releases/30443.php>
APA
http://www.medicalnewstoday.com/releases/30443.php.
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Visitor Opinions In Chronological Order (1)
Do Not Quite Agree - My daughter's appendix operation
posted by mary gerada on 21 May 2009 at 11:49 amMy only daughter, Karen, age 16,who fell victim to MRSA in a hospital in Malta had never been hospitalised before. She was a strong and healthy girl, the joy of my life; entered hospital for an appendicitis op yet they found a cyst in her ovaries though she had been for an ultrasound and blood test about 7 months before curious enough.
Coming down from the theatre the vertical laparotamy wound was not covered properly and on the morrow was washed by a yawning nurse with ordinary soap and water in a well used basin. Appalled I protested I thought nurses had better common sense and training. On running a high fever some days later the doctor on round decided on augmentin though I suggested Zinnat as she was allergic to penecillin, but he said that only penicillin could beat that type of infection sending her to ITU all swollen and in septic shock.
The last two months I spent with my daughter were seeing her pinned down in Intensive Therapy, not being able to talk to me she was being aided to breathe though conscious and not being able to stay (taking turns) me and her father all the time with her. This is what we live with each day and it seems things are not getting better. Though God is merciful, people are certainly not careful when caring for other's lives ironically enough they ought to be professionals. This is my heartbreaking experience I only hope it will be an eye opener perhaps it might make people realize what responsibility they have! May no one pass through what we went and go through daily since those terrible days!
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