國家衛生研究院 NHRI:Item 3990099045/4805
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    Please use this identifier to cite or link to this item: http://ir.nhri.org.tw/handle/3990099045/4805


    Title: Impact of active surveillance and contact Isolation on transmission of methicillin-resistant staphylococcus aureus in Intensive care units in an area with high prevalence
    Authors: Wang, JT;Lauderdale, TL;Lee, WS;Huang, JH;Wang, TH;Chang, SC
    Contributors: Division of Infectious Diseases
    Abstract: Background/Purpose: Previous research has suggested that active surveillance and early initiation of contact isolation (ASI) can control the nosocomial spread of methicillin-resistant Staphylococcus aureus (MRSA), especially among intensive care unit (ICU) patients. However, these interventions have never been implemented in Taiwan. Methods: This study was conducted from September 2005 to October 2006 to evaluate the effect of ASI on the spread of MRSA in two medical centers in Taiwan with a high prevalence of MRSA. One ICU from each hospital was selected as a study site. In phase I (the first 6 months), only active surveillance was introduced. In phase II (the final 6 months), ASI for patients who had positive MRSA cultures was implemented. Results: The incidence of acquiring MRSA during ICU stay did not differ significantly during phases I and II in hospital A (p = 0.940) and hospital B (p = 0.810). The independent risk factors for acquiring MRSA in the ICU were length of stay and presence of respiratory tract diseases. Conclusion: This study demonstrated that, given the current resource limitations, ASI alone could not reduce MRSA transmission in two ICUs in Taiwan, where the MRSA prevalence was high.
    Date: 2010-04
    Relation: Journal of the Formosan Medical Association. 2010 Apr;109(4):258-268.
    Link to: http://dx.doi.org/10.1016/S0929-6646(10)60051-4
    JIF/Ranking 2023: http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=NHRI&SrcApp=NHRI_IR&KeyISSN=0929-6646&DestApp=IC2JCR
    Cited Times(WOS): https://www.webofscience.com/wos/woscc/full-record/WOS:000277348900003
    Cited Times(Scopus): http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=77952315131
    Appears in Collections:[Tsai-Ling Yang Lauderdale] Periodical Articles

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