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Survey of policy for MRSA screening in English cataract surgical units and changes to practice after updated National guidelines
BACKGROUND: National guidelines on MRSA (methicillin-resistant Staphylococcus aureus) screening policy in England have changed on a number of occasions, but there is limited data on its influence at a local level. The aim of this study was to determine if changes in National policy influenced preope...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3909305/ https://www.ncbi.nlm.nih.gov/pubmed/24341357 http://dx.doi.org/10.1186/1471-2415-13-80 |
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author | Joshi, Lavnish West, Stephanie K Herbert, Luke |
author_facet | Joshi, Lavnish West, Stephanie K Herbert, Luke |
author_sort | Joshi, Lavnish |
collection | PubMed |
description | BACKGROUND: National guidelines on MRSA (methicillin-resistant Staphylococcus aureus) screening policy in England have changed on a number of occasions, but there is limited data on its influence at a local level. The aim of this study was to determine if changes in National policy influenced preoperative screening of cataract patients for MRSA. METHODS: A structured telephone survey was conducted on all 133 ophthalmology units in England in 2004 and again in 2007 for the initial responders, after a change in national policy. RESULTS: A total of 74 units (56%) responded in 2004 and 71 units (96% of initial respondents) in 2007. In 2004, 57% of units screened for MRSA. They screened groups at high risk of carriage, including patients with previous MRSA (93%) and patients from Nursing homes (21%). Swab sites included the nose (100%), eyes (31%) and perineum (62%). In 2007, there was no significant change in the number of units that screened for MRSA (57% vs 66%; p = 0.118; McNemar test). However, more units screened for MRSA in patients from nursing/residential homes (21% vs 51%; p = 0.004, McNemar test), and in patients who had recent admission to hospital (12% vs 36%; p = 0.003). In the second survey, 3 units (6%) now screened patients who were close relatives of MRSA carriers. CONCLUSION: This survey has highlighted inconsistences in MRSA screening practice of day-case cataract surgery patients across England after 2 major national policy changes. A change in DoH policy only led to more units screening patients for MRSA from high risk groups. |
format | Online Article Text |
id | pubmed-3909305 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39093052014-02-02 Survey of policy for MRSA screening in English cataract surgical units and changes to practice after updated National guidelines Joshi, Lavnish West, Stephanie K Herbert, Luke BMC Ophthalmol Research Article BACKGROUND: National guidelines on MRSA (methicillin-resistant Staphylococcus aureus) screening policy in England have changed on a number of occasions, but there is limited data on its influence at a local level. The aim of this study was to determine if changes in National policy influenced preoperative screening of cataract patients for MRSA. METHODS: A structured telephone survey was conducted on all 133 ophthalmology units in England in 2004 and again in 2007 for the initial responders, after a change in national policy. RESULTS: A total of 74 units (56%) responded in 2004 and 71 units (96% of initial respondents) in 2007. In 2004, 57% of units screened for MRSA. They screened groups at high risk of carriage, including patients with previous MRSA (93%) and patients from Nursing homes (21%). Swab sites included the nose (100%), eyes (31%) and perineum (62%). In 2007, there was no significant change in the number of units that screened for MRSA (57% vs 66%; p = 0.118; McNemar test). However, more units screened for MRSA in patients from nursing/residential homes (21% vs 51%; p = 0.004, McNemar test), and in patients who had recent admission to hospital (12% vs 36%; p = 0.003). In the second survey, 3 units (6%) now screened patients who were close relatives of MRSA carriers. CONCLUSION: This survey has highlighted inconsistences in MRSA screening practice of day-case cataract surgery patients across England after 2 major national policy changes. A change in DoH policy only led to more units screening patients for MRSA from high risk groups. BioMed Central 2013-12-17 /pmc/articles/PMC3909305/ /pubmed/24341357 http://dx.doi.org/10.1186/1471-2415-13-80 Text en Copyright © 2013 Joshi et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Joshi, Lavnish West, Stephanie K Herbert, Luke Survey of policy for MRSA screening in English cataract surgical units and changes to practice after updated National guidelines |
title | Survey of policy for MRSA screening in English cataract surgical units and changes to practice after updated National guidelines |
title_full | Survey of policy for MRSA screening in English cataract surgical units and changes to practice after updated National guidelines |
title_fullStr | Survey of policy for MRSA screening in English cataract surgical units and changes to practice after updated National guidelines |
title_full_unstemmed | Survey of policy for MRSA screening in English cataract surgical units and changes to practice after updated National guidelines |
title_short | Survey of policy for MRSA screening in English cataract surgical units and changes to practice after updated National guidelines |
title_sort | survey of policy for mrsa screening in english cataract surgical units and changes to practice after updated national guidelines |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3909305/ https://www.ncbi.nlm.nih.gov/pubmed/24341357 http://dx.doi.org/10.1186/1471-2415-13-80 |
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