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Meticillin-resistant Staphylococcus aureus (MRSA) in hospitals and the community: model predictions based on the UK situation
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Robotham, J. V., Scarff, Charlotte A., Jenkins, D. R. and Medley, Graham (2007) Meticillin-resistant Staphylococcus aureus (MRSA) in hospitals and the community: model predictions based on the UK situation. In: 6th International Conference of the Hospital-Infection-Society, Amsterdam, Netherlands, October 15-18, 2006. Published in: Journal of Hospital Infection, Vol.65 (Suppl.2). pp. 93-99. ISSN 0195-6701. doi:10.1016/S0195-6701(07)60023-1
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Official URL: http://dx.doi.org/10.1016/S0195-6701(07)60023-1
Abstract
Theoretical modelling has shown that patient movements in and out of hospitals are likely to affect nosocomial transmission dynamics considerably. The community acts as a "reservoir" and readmission of individuals colonised during previous admissions can result in sporadic transmission episodes within hospitals. We investigated patient movement patterns and frequency of readmissions using seven years of complete data from the University Hospitals of Leicester NHS Trust. Sufficient information is held on individual patients to study the heterogeneity in readmission. Overall, we found that an infected person has a 44.2% chance of being readmitted to the Trust white still infected. This value is far higher than previous estimates (3.7% [Cooper et al., Health Technol Assess 2003;7(39)]), highlighting the potential importance of transmission driven by hospital admissions. For this reason we believe consideration of readmissions from the community population to be critical to the success of hospital acquired infection control. (C) 2007 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.
| Item Type: | Conference Item (UNSPECIFIED) | ||||
|---|---|---|---|---|---|
| Subjects: | Q Science > QR Microbiology > QR355 Virology | ||||
| Divisions: | Faculty of Science > Life Sciences (2010- ) > Biological Sciences ( -2010) | ||||
| Journal or Publication Title: | Journal of Hospital Infection | ||||
| Publisher: | W B Saunders Co Ltd. | ||||
| ISSN: | 0195-6701 | ||||
| Official Date: | June 2007 | ||||
| Dates: |
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| Volume: | Vol.65 | ||||
| Number: | Suppl.2 | ||||
| Number of Pages: | 7 | ||||
| Page Range: | pp. 93-99 | ||||
| DOI: | 10.1016/S0195-6701(07)60023-1 | ||||
| Status: | Not Peer Reviewed | ||||
| Publication Status: | Published | ||||
| Access rights to Published version: | Restricted or Subscription Access | ||||
| Title of Event: | 6th International Conference of the Hospital-Infection-Society | ||||
| Type of Event: | Conference | ||||
| Location of Event: | Amsterdam, Netherlands | ||||
| Date(s) of Event: | October 15-18, 2006 |
Data sourced from Thomson Reuters' Web of Knowledge
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