Reduction of 4sicu hospital acquired methicillin resistant staph aureus
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Reduction of 4SICU Hospital Acquired Methicillin Resistant Staph Aureus. Team Members: Infection Control Department Surgical Intensive Care Unit Staff (4SICU). OPPORTUNITY STATEMENT.

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Reduction of 4SICU Hospital Acquired Methicillin Resistant Staph Aureus

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Reduction of 4SICUHospital Acquired Methicillin Resistant Staph Aureus

Team Members:

Infection Control Department

Surgical Intensive Care Unit Staff (4SICU)


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OPPORTUNITY STATEMENT

Reduce number of hospital acquired MRSA colonizations and/or infections in the 4SICU by implementing a screening procedure based on successful practice at other healthcare organizations.


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SOLUTIONS IMPLEMENTED

  • Screening of high risk patients upon admission to the unit

  • Weekly screening


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Criteria for MRSA screening upon admission

  • Any new admission to the unit who:

    • Transfer from rehab facility

    • Transfer from outside hospital greater than 24 hours after admission

    • Chronic renal failure patients on hemodialysis or on peritoneal dialysis

    • Any patient with 3 or more hospitalizations within the past year

  • NOTE: The patient must be off antibiotics to which MRSA is susceptible i.e. vancomycin, trimethoprim/sulfamethoxazole (Bactrim) or linezolid (Zyvox) for at least 2 days prior to the MRSA screen cultures.


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Criteria for weekly MRSA screening

  • If a patient present on the unit meets any of the following

  • conditions, then a MRSA screen will be performed:

    • Dialysis patient

    • Patient has been on a ventilator for greater than 5 days

    • Patient has been in the hospital for greater than 7 days

  • NOTE: The patient must be off antibiotics to which MRSA is susceptible i.e. vancomycin, trimethoprim/sulfamethoxazole (Bactrim) or linezolid (Zyvox) for at least 2 days prior to the MRSA screen cultures.


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After

Before


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RESULTS

Reduction of hospital acquired MRSA in the 4SICU from 3.7/1000 patient days to

0.7/1000 patient days.

Decrease of 75%


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Next Steps

Expand project in other ICUs

?


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