Infection control and management of MRSA: assessing the knowledge of staff in an acute hospital setting

被引:33
作者
Easton, P. M.
Sarma, A.
Williams, F. L. R.
Marwick, C. A.
Phillips, G.
Nathwani, D.
机构
[1] Directorate Change & Innovat, Tayside NHS Board, Dundee DD3 8EA, Scotland
[2] Ninewells Hosp & Med Sch, Dundee, Scotland
[3] Univ Dundee, Div Community Hlth Sci, Sect Publ Hlth, Dundee DD1 4HN, Scotland
[4] Ninewells Hosp & Med Sch, Infect Unit, Dundee, Scotland
[5] Ninewells Hosp & Med Sch, Med Microbiol, Dundee, Scotland
关键词
MRSA; infection control; management; education;
D O I
10.1016/j.jhin.2006.12.016
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Much of the recent work in tackling meticillin-resistant Staphylococcus aureus (MRSA) has focused on hygiene in hospitals, but it is unclear how much hospital staff know about the treatment and management of patients who are colonized or infected with MRSA. The aim of this study was to assess the knowledge and perceived practice of staff regarding MRSA and its management in an acute hospital setting. A further aim was to determine what staff felt was needed in terms of information or education on the risks, management and treatment of MRSA. A questionnaire survey was carried out through group administration during a study day and by face-to-face interviews. Subjects included in the questionnaire were infection and colonization, treatment, and the availability of local support and advice. There were 174 responses, divided equally between doctors and nurses. Knowledge on many aspects of MRSA and its management was deficient, although the majority of participants who felt that they required additional information about MRSA acknowledged this. The survey confirmed that assumptions should not be made about adequate knowledge and expertise of staff in relation to MRSA. Gaps in awareness of aspects of care and management were highlighted and information and educational needs identified. (C) 2007 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码:29 / 33
页数:5
相关论文
共 14 条
[1]   What is the evidence for a causal link between hygiene and infections? [J].
Aiello, AE ;
Larson, EL .
LANCET INFECTIOUS DISEASES, 2002, 2 (02) :103-110
[2]   Assessment of knowledge, attitudes, and practices regarding isolation precautions among Iranian healthcare workers [J].
Askarian, M ;
Mirzaei, K ;
Mundy, LM ;
McLaws, ML .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2005, 26 (01) :105-108
[3]   Why don't physicians follow clinical practice guidelines? A framewouk for improvement [J].
Cabana, MD ;
Rand, CS ;
Powe, NR ;
Wu, AW ;
Wilson, MH ;
Abboud, PAC ;
Rubin, HR .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1999, 282 (15) :1458-1465
[4]   Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities [J].
Coia, J. E. ;
Duckworth, G. J. ;
Edwards, D. I. ;
Farrington, M. ;
Fry, C. ;
Humphreys, H. ;
Mallaghan, C. ;
Tucker, D. R. .
JOURNAL OF HOSPITAL INFECTION, 2006, 63 :S1-S44
[5]   Guidelines for the prophylaxis and treatment of methicillin-resistant Staphylococcus aureus (MRSA) infections in the UK [J].
Gemmell, CG ;
Edwards, DI ;
Fraise, AP ;
Gould, FK ;
Ridgway, GL ;
Warren, RE .
JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY, 2006, 57 (04) :589-608
[6]  
Gillespie A, 1998, Nurs Stand, V12, P35
[7]   Risk, prevention and treatment of pressure ulcers -: nursing staff knowledge and documentation [J].
Gunningberg, L ;
Lindholm, C ;
Carlsson, M ;
Sjödén, PO .
SCANDINAVIAN JOURNAL OF CARING SCIENCES, 2001, 15 (03) :257-263
[8]   The awareness-to-adherence model of the steps to clinical guideline compliance - The case of pediatric vaccine recommendations [J].
Pathman, DE ;
Konrad, TR ;
Freed, GL ;
Freeman, VA ;
Koch, GG .
MEDICAL CARE, 1996, 34 (09) :873-889
[9]   Attitudes and perceptions toward hand hygiene among healthcare workers caring for critically ill neonates [J].
Pessoa-Silva, CL ;
Posfay-Barbe, K ;
Pfister, R ;
Touveneau, S ;
Perneger, TV ;
Pittet, D .
INFECTION CONTROL AND HOSPITAL EPIDEMIOLOGY, 2005, 26 (03) :305-311
[10]   Evidence that hospital hygiene is important in the control of methicillin-resistant Staphylococcus aureus [J].
Rampling, A ;
Wiseman, S ;
Davis, L ;
Hyett, AP ;
Walbridge, AN ;
Payne, GC ;
Cornaby, AJ .
JOURNAL OF HOSPITAL INFECTION, 2001, 49 (02) :109-116