MRSA infections in smaller hospitals, Victoria, Australia

Noleen J Bennett1, Ann L Bull, David R Dunt

  • 1Victorian Hospital Acquired Infection Surveillance System (VICNISS) Coordinating Centre, The University of Melbourne, Melbourne, Victoria, Australia. Noleen.Bennett@mh.org.au

Abstract

Insights

Methicillin-resistant Staphylococcus aureus (MRSA) infections are infrequent in smaller Victorian hospitals. Most cases originate from the community or other healthcare facilities, indicating a need for broader infection control strategies.

Area of Science:

  • Infectious Diseases
  • Hospital Epidemiology
  • Public Health

Background:

  • Methicillin-resistant Staphylococcus aureus (MRSA) infections present significant challenges in healthcare settings, leading to increased morbidity, mortality, and costs.
  • Effective surveillance and control of MRSA are crucial for patient safety and resource management.

Purpose of the Study:

  • To determine the incidence of MRSA infections in smaller hospitals (<100 acute beds) in Victoria.
  • To characterize the sources and locations of MRSA infections within these facilities.

Main Methods:

  • Data on MRSA infections were collected by trained infection control (IC) nurses over 20 months in 84 smaller hospitals.
  • Infections were confirmed by the Victorian Hospital Acquired Infection Surveillance System Coordinating Centre.

Main Results:

  • The overall MRSA infection rate was 1.5 per 10,000 occupied bed days (OBDs).
  • Infections acquired >48 hours after admission occurred at a rate of 0.5 per 10,000 OBDs.
  • MRSA infections in sterile sites were 0.2 per 10,000 OBDs, while non-sterile site infections were 1.3 per 10,000 OBDs.

Conclusions:

  • Serious MRSA infections are infrequent events in smaller Victorian hospitals.
  • The majority of MRSA infections were attributed to community or other healthcare facility acquisition.

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