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[Current occurrence and infection control of MRSA enteritis for surgical patients in Japan (first report)]
M Ochiai1, H Tanimura, Y Umemoto
1Department of Gastroenterological Surgery, Wakayama Medical College.
Abstract:
We investigated the current occurrence and the infection control of MRSA enteritis in the surgical facilities in Japan from July 1990 to June 1992. In this two years, MRSA enteritis was encountered in 831 cases in 144 of 279 facilities (51.6%) which had replied to our survey. Frequency of onset of MRSA enteritis in the surgical specialty was 95% in abdominal surgery and general surgery. Nosocomial infection controls for MRSA infection were done in 92.1% of 261 facilities who replied to our questionnaire. Preventive control in the preoperative and postoperative periods were performed in 23.8%. Various controls for MRSA enteritis were recognized and enforced in 56.7% with restriction of postoperative antibiotics, 65.5% with environmental controls, 70.5% with preventive control for the medical staff and 42.9% with the control for the expansion of nosocomial MRSA infections.
Insights
Methicillin-resistant Staphylococcus aureus (MRSA) enteritis affected over half of surveyed Japanese surgical facilities between 1990-1992. Infection control measures were widely implemented, with specific focus on antibiotic restriction and staff protocols.
Area of Science:
- Infectious Diseases
- Hospital Epidemiology
- Surgical Infections
Context:
- MRSA enteritis surveillance in Japanese surgical settings.
- Data collected from July 1990 to June 1992.
- Focus on prevalence and control strategies.
Purpose:
- To determine the incidence of MRSA enteritis in surgical facilities.
- To evaluate the implementation of infection control measures for MRSA.
- To identify common control practices for MRSA enteritis.
Summary:
- MRSA enteritis occurred in 51.6% of responding facilities (831 cases).
- Abdominal and general surgery showed the highest incidence (95%).
- Infection control measures were reported by 92.1% of facilities, with varied specific practices.
Impact:
- Highlights the significant burden of MRSA enteritis in surgical care during the study period.
- Informs the development and refinement of targeted infection control strategies.
- Provides baseline data for evaluating future interventions against MRSA in surgical environments.