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Evaluation of Methicillin-Resistant Staphylococcus aureus Skin and Soft-Tissue Infection Prevention Strategies at a Military Training Center

Published online by Cambridge University Press:  02 January 2015

Stephanie M. Morrison ,
Carl R. Blaesing ,
Eugene V. Millar ,
Uzo Chukwuma ,
Carey D. Schlett ,
Kenneth J. Wilkins ,
David R. Tribble  and
Michael W. Ellis
Stephanie M. Morrison*
Affiliation:
Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Carl R. Blaesing
Affiliation:
Preventive Medicine Training Program, Naval Medicine Training Support Center, Medical Education and Training Campus, Fort Sam Houston, Texas
Eugene V. Millar
Affiliation:
Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Uzo Chukwuma
Affiliation:
Navy Marine Corps Public Health Center, Epidemiological Data Center, Norfolk, Virginia
Carey D. Schlett
Affiliation:
Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Kenneth J. Wilkins
Affiliation:
Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland
David R. Tribble
Affiliation:
Infectious Disease Clinical Research Program, Department of Preventive Medicine and Biometrics, Uniformed Services University of the Health Sciences, Bethesda, Maryland
Michael W. Ellis
Affiliation:
Department of Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland
*
7500 Brasilia Place, Dulles, VA 20189-7500 ([email protected])
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Abstract

Military trainees are at high risk for skin and soft-tissue infections (SSTIs), especially those caused by methicillin-resistant Staphylococcus aureus (MRSA). A multicomponent hygiene-based SSTI prevention strategy was implemented at a military training center. After implementation, we observed 30% and 64% reductions in overall and MRSA-associated SSTI rates, respectively.

Type
Concise Communication
Information
Infection Control & Hospital Epidemiology , Volume 34 , Issue 8 , August 2013 , pp. 841 - 843
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2013

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References

1.Miller, LG, Kaplan, SL. Staphylococcus aureus: a community pathogen. Infect Dis Clin North Am 2009;23(1):35–52.Google Scholar
2.Aiello, AE, Lowy, FD, Wright, LN, Larson, EL. Meticillin-resistant Staphylococcus aureus among US prisoners and military personnel: review and recommendations for future studies. Lancet Infect Dis 2006;6(6):335–341.Google Scholar
3.Ellis, MW, Griffith, ME, Dooley, DP, et al.Targeted intranasal mupirocin to prevent colonization and infection by community-associated methicillin-resistant Staphylococcus aureus strains in soldiers: a cluster randomized controlled trial. Antimicrob Agents Chemother 2007;51(10):3591–3598.Google Scholar
4.Whitman, TJ, Herlihy, RK, Schlett, CD, et al.Chlorhexidine-impregnated cloths to prevent skin and soft-tissue infection in Marine recruits: a cluster-randomized, double-blind, controlled effectiveness trial. Infect Control Hosp Epidemiol 2010;31(12): 1207–1215.Google Scholar
5.Wendt, C, Schinke, S, Württemberger, M, Oberdorfer, K, Bock-Hensley, O, von Baum, H. Value of whole-body washing with Chlorhexidine for the eradication of methicillin-resistant Staphylococcus aureus: a randomized, placebo-controlled, double-blind clinical trial. Infect Control Hosp Epidemiol 2007;28(9): 1036–1043.Google Scholar
6.Fritz, SA, Hogan, PG, Hayek, G, et al.Household versus individual approaches to eradication of community-associated Staphylococcus aureus in children: a randomized trial. Clin Infect Dis 2012;54(6):743–751.Google Scholar
7.Navy Environmental Health Center. Guidelines for the Management of Community-Acquired Methicillin-Resistant Staphylococcus aureus (CA-MRSA) Infections in the US Navy and Marine Corps: August 2006. http://www.med.navy.mil/sites/nmcphc/Documents/program-and-policy-support/MRSA_Guideline_AUG06.pdf. Published August 2006. Accessed March 20,2013.Google Scholar
8.Bode, LGM, Kluytmans, JA, Wertheim, HF, et al.Preventing surgical-site infections in nasal carriers of Staphylococcus aureus. N Engl J Med 2010;363(1):9–17.CrossRefGoogle Scholar
9.Ryan, MA, Christian, RS, Wohlrabe, J. Handwashing and respiratory illness among young adults in military training. Am J Prev Med 2001;21(2):79–83.Google Scholar
10.Landrum, ML, Neumann, C, Cook, C, et al.Epidemiology of Staphylococcus aureus blood and skin and soft tissue infections in the US military health system, 2005-2010. JAMA 2012;308(1): 50–59.Google Scholar