Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-15T03:56:37.018Z Has data issue: false hasContentIssue false

Association Between Hand Hygiene Compliance and Methicillin-Resistant Staphylococcus aureus Prevalence in a French Rehabilitation Hospital

Published online by Cambridge University Press:  21 June 2016

Emmanuelle Girou*
Affiliation:
Unité de Contrôle, Epidémiologic et Prévention de l'lnfection, Créteil, France CHU Chenevier-Mondor, AP-HP, and Faculté de Médecine, Université Paris 12, Créteil, France CeRBEP-INSERM U657, Institut Pasteur, Paris, France
Patrick Legrand
Affiliation:
Laboratoire de Bactériologie, Créteil, France
Sophan Soing-Altrach
Affiliation:
Unité de Contrôle, Epidémiologic et Prévention de l'lnfection, Créteil, France
Astrid Lemire
Affiliation:
Unité de Contrôle, Epidémiologic et Prévention de l'lnfection, Créteil, France Laboratoire de Bactériologie, Créteil, France
Céline Poulain
Affiliation:
Unité de Contrôle, Epidémiologic et Prévention de l'lnfection, Créteil, France
Alexandra Allaire
Affiliation:
Unité de Contrôle, Epidémiologic et Prévention de l'lnfection, Créteil, France
Latifa Tkoub-Scheirlinck
Affiliation:
Unité de Contrôle, Epidémiologic et Prévention de l'lnfection, Créteil, France
Steeve Ho Tam Chai
Affiliation:
Unité de Contrôle, Epidémiologic et Prévention de l'lnfection, Créteil, France Laboratoire de Bactériologie, Créteil, France
Catherine Dupeyron
Affiliation:
Laboratoire de Bactériologie, Créteil, France
Catherine-Marie Loche
Affiliation:
Service de Médecine Physique Réadaptation, Créteil, France
*
Unité de Contrôle, Epidémiologic et Prévention de l'lnfection, CHU Chenevier-Mondor, 51 av du Mai de Lattre de Tassigny, 94000 Créteil, France, (emmanuelle.girou@hmn.aphp.fr)

Extract

We simultaneously investigated the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) and compliance with hand hygiene in the clinical wards of a French rehabilitation hospital. We found that the rate of hand hygiene compliance observed at the patient's bedside was a strong predictor of MRSA prevalence.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Nijssen, S, Bonten, MJ, Weinstein, RA. Are active microbiological surveillance and subsequent isolation needed to prevent the spread of methicillin-resistant Staphylococcus aureus? Clin Infect Dis 2005; 40:405409.Google Scholar
2. Yap, FH, Gomersall, CD, Fung, KS, et al. Increase in methicillin-resistant Staphylococcus aureus acquisition rate and change in pathogen pattern associated with an outbreak of severe acute respiratory syndrome. Clin Infect Dis 2004; 39:511516.CrossRefGoogle ScholarPubMed
3. MRSA: how politicians are missing the point. Lancet 2005; 365:1203.Google Scholar
4. Bradley, SF. Methicillin-resistant Staphylococcus aureus: long-term care concerns. Am J Med 1999; 106:2S.Google Scholar
5. Williams, RL. A note on robust variance estimation for cluster-correlated data. Biometrics 2000; 56:645646.Google Scholar
6. Pittet, D, Hugonnet, S, Harbarth, S, et al. Effectiveness of a hospital-wide programme to improve compliance with hand hygiene: Infection Control Programme. Lancet 2000; 356:13071312.CrossRefGoogle ScholarPubMed
7. Pittet, D, Mourouga, P, Perneger, TV. Compliance with handwashing in a teaching hospital: Infection Control Program. Ann Intern Med 1999; 130:126130.CrossRefGoogle Scholar
8. Pike, JH, McLean, D. Ethical concerns in isolating patients with methicillin-resistant Staphylococcus aureus on the rehabilitation ward: a case report. Arch Phys Med Rehabil 2002; 83:1028.CrossRefGoogle ScholarPubMed
9. Lawrence, C, Ohana, S, Ronco, E, et al. Routine screening of antibiotic-resistant bacteria in acute rehabilitation units. Pathol Biol (Paris) 2004; 52:602606.Google Scholar
10. Manian, FA, Senkel, D, Zack, J, Meyer, L. Routine screening for methicillin-resistant Staphylococcus aureus among patients newly admitted to an acute rehabilitation unit. Infect Control Hosp Epidemiol 2002; 23:516519.Google Scholar
11. Talon, DR, Bertrand, X. Methicillin-resistant Staphylococcus aureus in geriatric patients: usefulness of screening in a chronic-care setting. Infect Control Hosp Epidemiol 2001; 22:505509.Google Scholar