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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  ;  Je Eun Song  ;  Jin Young Ahn  ;  Dong Hyun Oh  ;  Oh Mee Kweon  ;  Dongsuk Lee  ;  Sun Bean Kim  ;  Hye-won Kim  ;  Su Jin Jeong  ;  Nam Su Ku  ;  Sang Hoon Han  ;  Eun Suk Park  ;  Dongeun Yong  ;  Young Goo Song  ;  Kyungwon Lee  ;  June Myung Kim  ;  Jun Yong Choi 
Citation
 American Journal of Infection Control, Vol.41(5) : 39-43, 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
https://ir.ymlib.yonsei.ac.kr/handle/22282913/86781
DOI
10.1016/j.ajic.2012.12.018
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실)
Yonsei Authors
구남수(Ku, Nam Su) ; 김민형(Kim, Min Hyung) ; 김선빈(Kim, Sun Bean) ; 김용찬(Kim, Yong Chan) ; 김준명(Kim, June Myung) ; 김혜원(Kim, Hye Won) ; 송영구(Song, Young Goo) ; 송제은(Song, Je Eun) ; 안진영(Ahn, Jin Young) ; 오동현(Oh, Dong Hyun) ; 용동은(Yong, Dong Eun) ; 이경원(Lee, Kyungwon) ; 정수진(Jeong, Su Jin) ; 최준용(Choi, Jun Yong) ; 한상훈(Han, Sang Hoon)
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Full Text
http://www.sciencedirect.com/science/article/pii/S0196655313001053
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