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Updated: Aug 26, 2025

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA
Published on: February 9, 2011
Effectiveness of Extended Infection Control Measures on Methicillin-Resistant Staphylococcus aureus Infection Among
T Latha1,2, Anil K Bhat3,2, H Manjunatha Hande4
1College of Nursing, All India Institute of Medical Sciences, Kalyani, West Bengal India.
Purpose:
The purpose of the study was to find the effectiveness of Extended Infection Control Measures (EICM) in reducing the rate of methicillin-resistant Staphylococcus aureus (MRSA) infection among orthopaedic surgery patients.
Methods:
The study adopted a quasi-experimental design and was conducted in the orthopaedic units of a tertiary care hospital. This study recruited 168 orthopaedic patients and 154 healthcare professionals (HCPs). EICM included hand hygiene, decolonizing the patients and HCPS, staff education, feedback of surveillance data, treatment of high-risk and MRSA-infected patients, having separate equipment for MRSA-infected patients, and appropriate cleaning of patient's unit.
Results:
The EICM effectively reduced MRSA infection from 21.2 to 6% (p < 0.001). It also resulted in improving the knowledge of HCPs in the prevention and management of MRSA infection (p < 0.001), and all colonized HCPs were successfully (100%) decolonized.
Conclusion:
EICM is a promising intervention to combat MRSA infection among orthopaedic wards. Hence, it can be executed in orthopaedic wards, thereby improving the treatment quality and reducing the infection-related consequences.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s43465-022-00713-5.
Insights
Extended Infection Control Measures (EICM) significantly reduced methicillin-resistant Staphylococcus aureus (MRSA) infections in orthopaedic patients. This intervention also enhanced healthcare professionals' knowledge and decolonization rates, improving patient care.
Area of Science:
- Infectious Diseases
- Hospital Epidemiology
- Orthopaedic Surgery
Background:
- Methicillin-resistant Staphylococcus aureus (MRSA) poses a significant threat in healthcare settings, particularly in orthopaedic wards.
- High rates of MRSA colonization and infection can lead to prolonged hospital stays, increased morbidity, and substantial healthcare costs.
- Effective infection control strategies are crucial to mitigate the spread of antibiotic-resistant bacteria like MRSA.
Purpose of the Study:
- To evaluate the effectiveness of Extended Infection Control Measures (EICM) in reducing MRSA infection rates among orthopaedic surgery patients.
- To assess the impact of EICM on healthcare professionals' (HCPs) knowledge regarding MRSA prevention and management.
- To determine the success rate of decolonization for MRSA-colonized patients and HCPs.
Main Methods:
- A quasi-experimental design was employed in the orthopaedic units of a tertiary care hospital.
- The study involved 168 orthopaedic patients and 154 healthcare professionals.
- EICM encompassed comprehensive strategies including hand hygiene, patient and HCP decolonization, staff education, surveillance data feedback, targeted treatment, equipment segregation, and unit disinfection.
Main Results:
- EICM implementation led to a significant reduction in MRSA infection rates, decreasing from 21.2% to 6% (p < 0.001).
- The intervention demonstrably improved HCPs' knowledge of MRSA prevention and management (p < 0.001).
- A 100% success rate was achieved in the decolonization of all colonized healthcare professionals.
Conclusions:
- Extended Infection Control Measures (EICM) represent a highly effective intervention for combating MRSA infections in orthopaedic settings.
- The successful reduction in MRSA rates and improved HCP knowledge underscore the value of EICM in enhancing the quality of care.
- Implementing EICM in orthopaedic wards is recommended to improve patient outcomes and minimize infection-related complications.
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