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Antimicrobial drug use and infection control practices associated with the prevalence of methicillin-resistant Staphylococcus aureus in European hospitals
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MacKenzie, F.M., Bruce, J. (Julie), Struelens, M.J., Goossens, H., Mollison, J. and Gould, I.M. (2007) Antimicrobial drug use and infection control practices associated with the prevalence of methicillin-resistant Staphylococcus aureus in European hospitals. Clinical Microbiology and Infection, 13 (3). pp. 269-276. doi:10.1111/j.1469-0691.2006.01592.x
An open access version can be found in:
Official URL: http://dx.doi.org/10.1111/j.1469-0691.2006.01592.x
Abstract
Major regional variations in the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) are observed across Europe. This study investigated hospital MRSA prevalence in relation to patterns of antimicrobial use and infection control policies in an observational, cross-sectional study that used retrospective data from 2001 and linear regression to model relationships. MRSA prevalence (median 20.8%, n =173 hospitals) and antimicrobial consumption (median 55.2 defined daily doses/100 bed-days, n =140 hospitals) both varied significantly according to geographical region (p < 0.001). MRSA prevalence and antimicrobial consumption data were provided by 128 hospitals, and showed a strong statistical relationship between macrolide use and MRSA prevalence. Use of (i) third-generation cephalosporins, (ii) all antimicrobial agents, and (iii) all antimicrobial agents except glycopeptides was also associated with MRSA prevalence. Up to 146 hospitals provided data on MRSA prevalence and key infection control parameters. Adjusted linear regression modelling provided strong evidence that infection control policy recommendations associated with lower MRSA prevalence rates were (i) use of alcohol-based solutions for hand hygiene (mean difference 10.3%, 99%, CI1.2-10.3), and (ii) placement of MRSA patients in single rooms (mean difference 11.2%, 99% CI1.4-20.9). Hospitals with problems in implementing isolation policies had higher resistance levels (mean difference 12%, 99% CI3.8-20.1). Additional recommendations showed less evidence of association with a low MRSA prevalence. Overall, this study highlighted significant associations between MRSA prevalence, antimicrobial use and various key infection control parameters, all of which showed significant individual variations according to geographical region. © 2007 European Society of Clinical Microbiology and Infectious Diseases.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Subjects: | R Medicine > R Medicine (General) | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Clinical Trials Unit | ||||||
| Journal or Publication Title: | Clinical Microbiology and Infection | ||||||
| Publisher: | Elsevier | ||||||
| ISSN: | 1198743X | ||||||
| Official Date: | March 2007 | ||||||
| Dates: |
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| Volume: | 13 | ||||||
| Number: | 3 | ||||||
| Page Range: | pp. 269-276 | ||||||
| DOI: | 10.1111/j.1469-0691.2006.01592.x | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Grant number: | QLK2-CT-2001-00915 | ||||||
| Open Access Version: |
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