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.

Abstract

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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