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Methicillin-resistant Staphylococcus aureus in Minnesota nursing homes.
J R Thurn1, E A Belongia, K Crossley
1Department of Medicine, St. Paul-Ramsey Medical Center, MN.
Journal of the American Geriatrics Society
|November 1, 1991
Summary
Methicillin-resistant Staphylococcus aureus (MRSA) is a widespread, underrecognized issue in Minnesota nursing homes. Uniform control policies are needed to address this growing threat in long-term-care facilities.
Area of Science:
- Infectious Diseases
- Healthcare Management
- Epidemiology
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant challenge in healthcare settings.
- Long-term-care facilities (LTCFs) are vulnerable to the spread of antibiotic-resistant organisms like MRSA.
Purpose of the Study:
- To evaluate the prevalence of MRSA in Minnesota nursing homes.
- To assess current MRSA control policies and practices in these facilities.
Main Methods:
- A survey was distributed to Directors of Nursing in all Minnesota LTCFs.
- Response rates were high (88%), with follow-up mailings and telephone calls to non-responders.
- The survey included 12 questions focusing on MRSA presence, perceived problems, and control strategies.
Main Results:
- 12% of facilities reported residents with MRSA, though only 8% considered it a significant problem.
- Few facilities (7%) routinely screened for MRSA; admission and care policies were inconsistent.
- Many facilities (69%) sought external consultation for MRSA control, indicating a need for standardized guidance.
Conclusions:
- MRSA appears to be a prevalent and underestimated problem in Minnesota nursing homes.
- There is a critical need for the development and implementation of uniform MRSA control policies tailored to LTCFs.
- Standardized approaches are essential for effective MRSA management in long-term care settings.