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Survey of Long-Term-Care Facilities in Iowa for Policies and Practices Regarding Residents With Methicillin-Resistant Staphylococcus aureus or Vancomycin-Resistant Enterococci

Published online by Cambridge University Press:  21 June 2016

Trisha Kreman ,
Jianfang Hu ,
Jean Pottinger  and
Loreen A. Herwaldt
Trisha Kreman
Affiliation:
Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa
Jianfang Hu
Affiliation:
Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa
Jean Pottinger
Affiliation:
Clinical Outcomes and Resource Management, University of Iowa Hospitals and Clinics, Iowa City, Iowa
Loreen A. Herwaldt*
Affiliation:
Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa Department of Internal Medicine, University of Iowa Carver College of Medicine, Iowa City, Iowa Clinical Outcomes and Resource Management, University of Iowa Hospitals and Clinics, Iowa City, Iowa
*
Department of Internal Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242-1081loreen-herwaldt@uiowa.edu
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Abstract

Objectives:

To identify infection control policies and practices used by long-term-care facilities (LTCFs) in Iowa for residents with methicillin-resistant Staphylococcus aureus (MRSA) or vancomycin-resistant enterococci (VRE), and to estimate the prevalence of residents known to have these organisms.

Design:

Survey.

Setting:

LTCFs in Iowa from December 2002 through March 2003.

Results:

Of the 429 LTCFs in Iowa, 331 (77%) responded to the survey. The estimated prevalence of residents known to have MRSA was 13.4 per 1,000 and that of residents known to have VRE was 2.3 per 1,000. Facilities owned by the government or those with an average of more than 86 occupied beds were more likely to have residents known to have MRSA and VRE (P = .002 and .007, respectively). Of the responding facilities, 7.3% acknowledged that they refused to accept individuals known to have MRSA and 16.9% acknowledged that they refused to accept those known to have VRE. Facilities in large communities (population, > 100,000) were least likely to deny admission to an individual known to have either MRSA or VRE (P = .05). Most facilities reported adhering to the national guidelines, but fewer than half (44.7%) of the respondents had heard of the Iowa Antibiotic Resistance Task Force's guidelines regarding residents with MRSA or VRE.

Conclusions:

Many LTCFs in Iowa care for residents known to have MRSA or VRE, but some refuse to admit these individuals. Infection control personnel and public health officials should work together to educate LTCF staff so that residents receive proper care and resistant organisms do not spread within this setting.

Type
Orginal Articles
Information
Infection Control & Hospital Epidemiology , Volume 26 , Issue 10 , October 2005 , pp. 811 - 815
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2005

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