Mrsa eradication presentation sep 30 2010
•Transferir como PPT, PDF•
4 gostaram•1,769 visualizações
This document summarizes an MRSA eradication program implemented at New England Baptist Hospital. It describes increasing rates of MRSA infections, both in the hospital and community. The hospital implemented universal pre-operative MRSA/MSSA screening and decolonization treatment for patients undergoing inpatient surgery to reduce surgical site infections. Rapid PCR testing was used to screen over 6,000 patients annually. While costly to implement, the program aimed to improve patient outcomes and reduce costs associated with treating surgical site infections. Preliminary results showed reduced MRSA colonization and bacteremia post-surgery.
![New England Baptist Hospital ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
Recomendados
Recomendados
Mais conteúdo relacionado
Mais procurados
Mais procurados (20)
Semelhante a Mrsa eradication presentation sep 30 2010
Semelhante a Mrsa eradication presentation sep 30 2010 (20)
Mais de Maureen Spencer, RN, M.Ed.
Mais de Maureen Spencer, RN, M.Ed. (17)
Mrsa eradication presentation sep 30 2010
- 1. Diane Gulczynski, RN, MS, CNOR Senior Vice President, Patient Care Services Maureen Spencer, RN,M.Ed., CIC Infection Control Manager New England Baptist Hospital, Boston, Ma.
- 4. New England Baptist Hospital Orthopaedic Surgery – 2007 Massachusetts Market
- 9. Methicillin-resistant Staphylococcus Aureus (MRSA)
- 13. Staph aureus and MRSA Secondary Bacteremias Associated with Surgical Site Infections
- 21. MRSA Reimbursement Code CPT Code Charge 87081 Rule Out Cx $28.00 87641 MRSA by PCR $110.00 as of 4/30/09 BC Indemnity $76.13 Tufts $62.39 Blue Care Elect $55.42 HMO Blue $53.20 HPHC $49.49 Medicare $38.03 Medicaid $27.17 United Healthcare $82.01
- 28. MRSA Eradication Program and Results Maureen Spencer,RN
- 47. Environmental Reservoirs [Sexton et al, J Hosp Infect 2006]
- 48. Potential Airborne Transmission [Sexton et al, J Hosp Infect 2006]
- 58. Pittsburgh Results [Rao et al, Clin Orthop Relat Res 2008]
- 64. Concerns
- 65. Our Experience and Evidence Surveillance Data JBJS
- 68. 0 . 18 % 0 . 06 % 0.26% 0.13 % Pre (2006) and Post (2007) 50% Reduction in Staph aureus SSI 60% Reduction in MRSA SSI MRSA SSI Rate MSSA SSI Rate 10/01/05-07/16/06 07/17/06-09/30/07 10/01/05-07/16/06 07/17/06-09/30/07
- 73. OR Cleanup Bundle Approach to Reducing SSI
- 74. Orthopedic Surgical Site (THR, TKR, Spine, Other Ortho) Infection Rates
- 75. NEBH SSI Rates 2003 – 2010 (outpatient and inpatient infections)
- 77. Thank You
Notas do Editor
- And this will continue to increase due to the older population and more active lifestyles, the emergence of new less invasive procedures and newer technology.
- 17 MSSA isolates and 10 MRSA isolates were sent to the Mayo Clinic for pulsed field gel electrophoresis to determine if we were experiencing a point source outlbreak. None of the strains had the same number and size of bands to indicate a point source outbreak or carrier among staff.
- We conducted another anonymous surveillance culture study in Feb 2006 – 133 spine patients noses were cultured in the OR 29% grew out Staph aureus and 4% were positive for MRSA – which was undiagnosed and therefore surgical prophylaxis with Vancomycin was not administered and no precautions were used in the OR, PACU or nursing units. These patients may also Have been discharged to a rehab facility with no flagging for precautions.
- Surveillance is the systematic collection of identified patient outcomes. The National Nosocomial Infection Surveillance data collected By the Centers for Disease control from approx 250 US hospitals is used for benchmarking infection rates. The key to infection control surveillance Data in a hospital is that the information be collected using standardized definitions, analyzed using sound epidemiologic principles and Used within the healthcare facility. Communication is key!