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Updated: Aug 23, 2026

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
Published on: June 7, 2017
[The effect of handwashing improving program and MRSA carrier screening program on the MRSA infection rates in an
Young-Hae Kim1, Seong-Sook Jeon, Ihn-Sook Jeong
1Department of Nursing, College of Medicine, Pusan National University, Korea. ungaekim@pusan.ac.kr
Purpose:
To assess the effect of handwashing improving program and MRSA carrier detection program on MRSA(methicillin resistant Staphylococcus aureus) infection rate in a intensive care unit.
Method:
The intervention was Nosocomial Infection(NI) control program consisted of hand washing improving program and identification and treatment of MRSA carrier. Data on the NI and MRSA infections were collected by an infection control nurse based on the definition of CDC. MRSA infection rates were calculated by the number of MRSA infection per 100 admissions or 1,000 patients-days. The difference of MRSA infection rates between pre and post intervention was tested by Chi-square at =.05.
Result:
MRSA infection rates 3.0% or 3.2 per 1,000 patient-days at the pre, 4.6% or 3.7 per 1,000 patient-days at the post, and the differences were not statistically significant (p=.411, p=.769 respectively).
Conclusion:
The handwashing improving program and MRSA carrier detection program was not effective in reducing the Nosocomial Infection(NI) or MRSA infection rates. It is recommended further studies with a longer intervention and follow-up period.
Insights
A handwashing and methicillin-resistant Staphylococcus aureus (MRSA) carrier detection program did not significantly reduce MRSA infection rates in an intensive care unit. Further studies with longer intervention periods are recommended.
Area of Science:
- Infectious Disease Epidemiology
- Healthcare-Associated Infections
- Microbiology
Context:
- Intensive care units (ICUs) are high-risk environments for healthcare-associated infections.
- Methicillin-resistant Staphylococcus aureus (MRSA) is a significant pathogen contributing to ICU morbidity and mortality.
- Effective infection control strategies are crucial for reducing MRSA transmission in ICUs.
Purpose:
- To evaluate the impact of a combined hand hygiene improvement and MRSA carrier detection program on MRSA infection rates within an ICU.
- To determine the statistical significance of changes in MRSA infection rates before and after the intervention.
Summary:
- An intervention combining hand hygiene promotion and MRSA carrier screening was implemented in an ICU.
- MRSA infection rates were monitored pre- and post-intervention.
- No statistically significant reduction in MRSA infection rates was observed following the intervention (p=.411 for percentage, p=.769 for per 1,000 patient-days).
Impact:
- The implemented program did not effectively decrease Nosocomial Infection (NI) or MRSA infection rates in the ICU setting.
- Findings suggest that current intervention duration or protocols may be insufficient.
- Further research with extended intervention and follow-up periods is warranted to ascertain the long-term efficacy of such programs.
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