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Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
MRSA: A Challenge to Norwegian Nursing Home Personnel
M Thorstad1, I Sie, B M Andersen
1Diakonova University College, 0166 Oslo, Norway.
Abstract:
In Norway, methicillin-resistant Staphylococcus aureus (MRSA) is increasing in primary healthcare, associated with imported cases and outbreaks in long-term care. According to Norwegian national guidelines, MRSA-exposed healthcare workers (HCWs) and patients are tested. Carriage of MRSA leads to exclusion from work in healthcare institutions. In this study, 388 staff members in 42 nursing homes in Oslo County responded to questions about personal experience with MRSA and of own attitudes to challenges associated with the control and treatment of MRSA patients. Half (52%) of the nursing staff were concerned of becoming infected with MRSA and the consequences of this would be for own social life, family, economy, and work restriction. The concern was associated with risk factors like old buildings not suitable for modern infection control work, low staffing rate (70% without specific training in healthcare and 32% without formal healthcare education), defective cleaning and decolonization, and lack of formal routines and capacity for isolation of MRSA patients. Since the Norwegian MRSA guideline permits patients with persistent MRSA infections to move freely around in nursing homes, the anxiety of the staff to become infected and excluded from job was real.
Insights
Healthcare staff in Norway fear methicillin-resistant Staphylococcus aureus (MRSA) infection and job exclusion. Concerns stem from inadequate facilities, low staffing, and poor infection control, impacting their social and economic well-being.
Area of Science:
- Infectious Diseases
- Public Health
- Healthcare Management
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) is a growing concern in Norwegian primary healthcare, particularly in long-term care facilities.
- National guidelines mandate testing for MRSA-exposed healthcare workers (HCWs) and patients, with carriage leading to work exclusion.
Purpose of the Study:
- To investigate the attitudes and concerns of nursing staff regarding MRSA in Oslo County nursing homes.
- To identify factors contributing to staff anxiety about MRSA infection and its consequences.
Main Methods:
- A survey was administered to 388 staff members across 42 nursing homes in Oslo County.
- The survey assessed personal experiences with MRSA and attitudes toward MRSA control and patient treatment challenges.
Main Results:
- Over half (52%) of nursing staff expressed concern about MRSA infection and potential consequences, including social, economic, and work-related impacts.
- Staff concerns were linked to environmental factors (outdated buildings), staffing issues (lack of training/education), and deficiencies in infection control practices (cleaning, decolonization, isolation).
Conclusions:
- Anxiety among nursing staff regarding MRSA is significant and influenced by systemic challenges within healthcare settings.
- Current guidelines allowing MRSA-infected patients freedom of movement in nursing homes contribute to staff fears of infection and job loss.
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