Hostname: page-component-586b7cd67f-l7hp2 Total loading time: 0 Render date: 2024-11-30T20:11:09.122Z Has data issue: false hasContentIssue false
  • English
  • Français

Development of a Prediction Rule for Methicillin-Resistant Staphylococcus aureus and Vancomycin-Resistant Enterococcus Carriage in a Veterans Affairs Medical Center Population

Published online by Cambridge University Press:  02 January 2015

Stefan Riedel ,
Diana Von Stein ,
Kelly Richardson ,
Joann Page ,
Sara Miller ,
Patricia Winokur  and
Daniel Diekema
Stefan Riedel
Affiliation:
University of Iowa Carver College of Medicine, Iowa City, Iowa Johns Hopkins University School of Medicine, Baltimore, Maryland
Diana Von Stein
Affiliation:
Iowa City Veterans Affairs Medical Center, Iowa City, Iowa University of Iowa Carver College of Medicine, Iowa City, Iowa
Kelly Richardson
Affiliation:
Iowa City Veterans Affairs Medical Center, Iowa City, Iowa University of Iowa Carver College of Medicine, Iowa City, Iowa
Joann Page
Affiliation:
Iowa City Veterans Affairs Medical Center, Iowa City, Iowa
Sara Miller
Affiliation:
Iowa City Veterans Affairs Medical Center, Iowa City, Iowa
Patricia Winokur
Affiliation:
Iowa City Veterans Affairs Medical Center, Iowa City, Iowa University of Iowa Carver College of Medicine, Iowa City, Iowa
Daniel Diekema*
Affiliation:
Iowa City Veterans Affairs Medical Center, Iowa City, Iowa University of Iowa Carver College of Medicine, Iowa City, Iowa
*
University of Iowa Carver College of Medicine, 200 Hawkins Dr., Iowa City, IA 52242 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

A history of hospital admission in the prior year was the most sensitive predictor of methicillin-resistant Staphylococcus aureus or vancomycin-resistant Enterococcus colonization at admission to a Veterans Affairs Medical Center (VAMC) but missed more than one-third of carriers and required screening more than one-half of admitted patients.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 10 , October 2008 , pp. 969 - 971
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

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.Muto, CA, Jernigan, JA, Ostrowsky, BE, et al.SHEA guideline for preventing nosocomial transmission of multidrug-resistant strains of Staphylococcus aureus and enterococcus. Infect Control Hosp Epidemiol 2003;24:362–386.Google Scholar
2.Diekema, DJ, Edmond, MB. Look before you leap: active surveillance for multidrug-resistant organisms. Clin Infect Dis 2007;44:1101–1107.Google Scholar
3.Furuno, JP, Harris, AD, Wright, MO, et al.Prediction rules to identify patients with methicillin-resistant Staphylococcus aureus and vancomycin-resistant enterococci upon hospital admission. Am J Infect Control 2004;32:436–440.CrossRefGoogle ScholarPubMed
4.Tacconelli, E, Karchmer, AW, Yokoe, D, D'Agata, EM. Preventing the influx of vancomycin-resistant enterococci into health care institutions by use of a simple validated prediction rule. Clin Infect Dis 2004;39:964–970.CrossRefGoogle ScholarPubMed
5.Furuno, JP, McGregor, JC, Harris, AD, et al.Identifying groups at high risk for carriage of antibiotic-resistant bacteria. Arch Intern Med 2006;166:580–585.Google Scholar
6.Haley, CC, Mittal, D, Laviolette, A, Jannapureddy, S, Parvez, N, Haley, RW. Methicillin resistant Staphylococcus aureus infection or colonization present at hospital admission: multivariable risk factor screening to increase efficiency of surveillance culturing. J Clin Microbiol 2007;45:3031–3038.Google Scholar
7.Harbarth, S, Sax, H, Fankhauser-Rodriguez, C, Schrenzel, J, Agostinho, A, Pittet, D. Evaluating the probability of previously unknown carriage of methicillin resistant Staphylococcus aureus at hospital admission. Am J Med 2006;119:275.CrossRefGoogle ScholarPubMed
8.Von Stein, D, Diekema, DJ, Richardson, K, et al.“Real-life” performance of real-time PCR for detection of MRSA and VRE. In: Program and abstracts of the 17th Annual Meeting of the Society for Healthcare Epidemiology of America; April 14-April 17, 2007; Baltimore, MD. Abstract 19.Google Scholar
9.Ringberg, H, Cathrine-Petersson, A, Walder, M, Hugo Johansson, PJ. The throat: an important site for methicillin-resistant Staphylococcus aureus colonization. Scand J Infect Dis 2006;38:888–893.CrossRefGoogle Scholar
10.Eveillard, M, de Lassence, A, Lancien, E, et al.. Evaluation of a strategy of screening multiple anatomical sites for methicillin-resistant Staphylococcus aureus at admission to a teaching hospital. Infect Control Hosp Epidemiol 2006;27:181–184.Google Scholar