Screening for MRSA: a flawed hospital infection control intervention

Infect Control Hosp Epidemiol. 2008 Nov;29(11):1012-8. doi: 10.1086/593120.

Abstract

Focusing hospital resources on a single antibiotic-resistant pathogen as a sole approach to infection control is inherently flawed. We applied attributable mortality principles to a basic model of bloodstream infections to outline the argument. Screening for methicillin-resistant Staphylococcus aureus alone made sense in the 1980s, but the ongoing emergence of vancomycin-resistant enterococci and antibiotic-resistant strains of gram-negative rods and Candida species, as well as the recognition of the value of team-based infection control programs, support a population-based approach.

MeSH terms

  • Cross Infection / drug therapy
  • Cross Infection / mortality
  • Cross Infection / prevention & control*
  • Hospitals*
  • Humans
  • Infection Control / economics
  • Infection Control / methods*
  • Infection Control / standards*
  • Methicillin Resistance
  • Methicillin-Resistant Staphylococcus aureus*
  • Staphylococcal Infections / drug therapy
  • Staphylococcal Infections / mortality
  • Staphylococcal Infections / prevention & control*
  • United States
  • Vancomycin Resistance*