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Trend of methicillin-resistant Staphylococcus aureus (MRSA) bacteremia in an institution with a high rate of MRSA after the reinforcement of antibiotic stewardship and hand hygiene

Authors
 Yong Chan Kim ; Min Hyung Kim ; Jun Yong Choi ; June Myung Kim ; Kyungwon Lee ; Young Goo Song ; Dongeun Yong ; Eun Suk Park ; Sang Hoon Han ; Nam Su Ku ; Su Jin Jeong ; Hye-won Kim ; Sun Bean Kim ; Dongsuk Lee ; Oh Mee Kweon ; Dong Hyun Oh ; Jin Young Ahn ; Je Eun Song 
Citation
 American Journal of Infection Control, Vol.41(5) : e39~e43, 2013 
Journal Title
 American Journal of Infection Control 
ISSN
 0196-6553 
Issue Date
2013
Abstract
BACKGROUND: Methicillin-resistant Staphylococcus aureus (MRSA) infections are a concern across the worldwide. METHODS: Antibiotic stewardship and hand hygiene programs were reinforced in a 2,000-bed tertiary hospital in South Korea where the methicillin resistance rate of Staphylococcus aureus is about 65%. The computerized prescription restriction was implemented in August 2008. "Hand hygiene program," consistent with World Health Organization guideline, was reinforced in December 2008. We assessed the effect of the infection control programs on the incidence of MRSA bloodstream infection (BSI) from January 2006 through November 2011. RESULTS: Incidence of MRSA BSI was reduced from 0.171 per 1,000 patient-days in 2009 to 0.116 per 1,000 patient-days in 2011 (P = .009). Monthly mean antibiotic consumption decreased from 690.54 ± 28.33 defined daily dose per 1,000 patients-days in 2008 to 652.47 ± 20.77 (P = .015) in 2011. The rates of performance in hand hygiene increased from 43% in 2008 to 83% in 2011 (P = .043). CONCLUSION: Although we did not implement all components of "MRSA bundle," efforts to reinforce antibiotic stewardship and hand hygiene program for 3 years had beneficial effects on the decrease in MRSA BSI in this institute with high rate of MRSA
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/86781
DOI
10.1016/j.ajic.2012.12.018
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Laboratory Medicine
1. 연구논문 > 1. College of Medicine > Dept. of Internal Medicine
Yonsei Authors
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Link
 http://www.sciencedirect.com/science/article/pii/S0196655313001053
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