Throat and rectal swabs may have an important role in MRSA screening of critically ill patients

Intensive Care Medicine

Volumn 34, Issue 9, 2008, Pages 1703-1706

  Batra, Rahul ^a   Eziefula, Alice C ^a   Wyncoll, Duncan ^a   Edgeworth, Jonathan ^a  

^a GUY'S AND ST THOMAS' NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

Carrier state; Decolonisation; Gastrointestinal carriage; Intensive care unit; Methicillin resistant Staphylococcus aureus; Surveillance cultures

Indexed keywords

ADULT; ARTICLE; AXILLA; CRITICAL ILLNESS; DIGESTIVE SYSTEM EXAMINATION; DISEASE CARRIER; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS; NOSE; PERINEUM; RECTUM SWAB; SCREENING; SENSITIVITY AND SPECIFICITY; SKIN CULTURE; THROAT CULTURE;

CARRIER STATE; HUMANS; INTENSIVE CARE UNITS; MASS SCREENING; METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS; PHARYNX; PROSPECTIVE STUDIES; RECTUM; SKIN; WOUNDS AND INJURIES;

EID: 49749108565     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-008-1153-1     Document Type: Article

References (20)

1. M Clancy A Graepler M Wilson I Douglas J Johnson CS Price 2006 Active screening in high-risk units is an effective and cost-avoidant method to reduce the rate of methicillin-resistant Staphylococcus aureus infection in the hospital Infect Control Hosp Epidemiol 27 1009 1017
2. Siegel JD, Rhinehart E, Jackson M, Chiarello L (2006) Management of multidrug-resistant organisms in healthcare settings. The Healthcare Infection Control Practices Advisory Committee. http://www.cdc.gov/ncidod/dhqp/pdf/ar/ mdroGuideline2006.pdf
3. SS Huang DS Yokoe VL Hinrichsen LS Spurchise R Datta I Miroshnik R Platt 2006 Impact of routine intensive care unit surveillance cultures and resultant barrier precautions on hospital-wide methicillin-resistant Staphylococcus aureus bacteremia Clin Infect Dis 43 971 978
4. CA Muto JA Jernigan BE Ostrowsky HM Richet WR Jarvis JM Boyce BM Farr 2003 SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and Enterococcus Infect Control Hosp Epidemiol 24 362 386
5. O Meurman M Routamaa R Peltonen 2005 Screening for methicillin-resistant Staphylococcus aureus: which anatomical sites to culture? J Hosp Infect 61 351 353
6. JM Boyce NL Havill B Maria 2005 Frequency and possible infection control implications of gastrointestinal colonization with methicillin-resistant Staphylococcus aureus J Clin Microbiol 43 5992 5995
7. M Klotz S Zimmermann S Opper K Heeg R Mutters 2005 Possible risk for re-colonization with methicillin-resistant Staphylococcus aureus (MRSA) by faecal transmission Int J Hyg Environ Health 208 401 405
8. B Maraha J van Halteren JM Verzijl RG Wintermans AG Buiting 2002 Decolonization of methicillin-resistant Staphylococcus aureus using oral vancomycin and topical mupirocin Clin Microbiol Infect 8 671 675
9. JD Edgeworth G Yadegarfar S Pathak R Batra JD Cockfield D Wyncoll R Beale JA Lindsay 2007 An outbreak in an intensive care unit of a strain of methicillin-resistant Staphylococcus aureus sequence type 239 associated with an increased rate of vascular access device-related bacteremia Clin Infect Dis 44 493 501
10. Screening for methicillin-resistant Staphylococcus aureus (MRSA) colonisation: a strategy for NHS trusts - a summary of best practice. Department of Health, November 2006
11. C Gurran MG Holliday JD Perry M Ford S Morgan KE Orr 2002 A novel selective medium for the detection of methicillin-resistant Staphylococcus aureus result reporting in under 24 h J Hosp Infect 52 148 151
12. S Kelly R Hardwick J Wong GG Rao 2004 Laboratory evaluation of selective mannitol broth for MRSA screening J Hosp Infect 58 239 240
13. Jeyaratnam D, Gottlieb A, Ajoku U, French GL (2008) Validation of the IDI-MRSA™ system for use on pooled nose, axilla, and groin swabs and single swabs from other screening sites. Diagn Microbiol Infect Dis, 2008 Jan 15 (Epub ahead of print)
14. C Marshall S Wesselingh M McDonald D Spelman 2004 Control of endemic MRSA-what is the evidence? a personal view J Hosp Infect 56 253 268
15. HF Wertheim DC Melles MC Vos W van Leeuwen A van Belkum HA Verbrugh JL Nouwen 2005 The role of nasal carriage in Staphylococcus aureus infections Lancet Infect Dis 5 751 762
16. JM Boyce NL Havill JA Otter NM Adams 2007 Widespread environmental contamination associated with patients with diarrhea and methicillin-resistant Staphylococcus aureus colonization of the gastrointestinal tract Infect Control Hosp Epidemiol 28 1142 1147
17. S Harbarth J Schrenzel G Renzi C Akakpo B Ricou 2007 Is throat screening necessary to detect methicillin-resistant Staphylococcus aureus colonization in patients upon admission to an intensive care unit? J Clin Microbiol 45 1072 1073
18. Coia JE, Duckworth GJ, Edwards DI, Farrington M, Fry C, Humphreys H, Mallaghan C, Tucker DR; Joint Working Party of the British Society of Antimicrobial Chemotherapy; Hospital Infection Society; Infection Control Nurses Association (2006) Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities. J Hosp Infect 63:S1-44
19. MA de la Cal E Cerdá HK van Saene P García-Hierro E Negro ML Parra S Arias D Ballesteros 2004 Effectiveness and safety of enteral vancomycin to control endemicity of methicillin-resistant Staphylococcus aureus in a medical/surgical intensive care unit J Hosp Infect 56 175 183
20. M Viviani HK van Saene R Dezzoni L Silvestri R Di Lenarda G Berlot A Gullo 2005 Control of imported and acquired methicillin-resistant Staphylococcus aureus (MRSA) in mechanically ventilated patients: a dose-response study of enteral vancomycin to reduce absolute carriage and infection Anaesth Intensive Care 33 361 672