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Exploring the Barriers in the Uptake of the Dutch MRSA ‘Search and Destroy’ Policy Using the Cascade of Care Approach

The Dutch ‘search and destroy’ policy consists of screening patients with an increased risk of methicillin-resistant Staphylococcus aureus (MRSA) carriership and subsequent decolonization treatment when carriership is found. Decolonization therapy of individual MRSA carriers is effective. However, t...

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Autores principales: Westgeest, Annette C., Schippers, Emile F., Sijbom, Martijn, Visser, Leo G., de Boer, Mark G. J., Numans, Mattijs E., Lambregts, Merel M. C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9495217/
https://www.ncbi.nlm.nih.gov/pubmed/36139995
http://dx.doi.org/10.3390/antibiotics11091216
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author Westgeest, Annette C.
Schippers, Emile F.
Sijbom, Martijn
Visser, Leo G.
de Boer, Mark G. J.
Numans, Mattijs E.
Lambregts, Merel M. C.
author_facet Westgeest, Annette C.
Schippers, Emile F.
Sijbom, Martijn
Visser, Leo G.
de Boer, Mark G. J.
Numans, Mattijs E.
Lambregts, Merel M. C.
author_sort Westgeest, Annette C.
collection PubMed
description The Dutch ‘search and destroy’ policy consists of screening patients with an increased risk of methicillin-resistant Staphylococcus aureus (MRSA) carriership and subsequent decolonization treatment when carriership is found. Decolonization therapy of individual MRSA carriers is effective. However, the effectiveness of the national ‘search and destroy’ policy is dependent on the entire cascade of care, including identification, referral, and subsequent treatment initiation in MRSA carriers. The aim of this study was to evaluate the leakages in the cascade of MRSA decolonization care. We assessed familiarity with the ‘search and destroy’ policy and the barriers in the uptake of MRSA eradication care using a questionnaire among 114 Dutch general practitioners. The main reasons for treatment were planned hospital visits, occupational reasons, and infections. The main reasons for refraining from eradication treatment were unfamiliarity with the ‘search and destroy’ policy and the assumption that MRSA carriership is often self-limiting. To optimize the continuity of the cascade of care, interventions should be aimed at supporting general practitioners and facilitating treatment and referral.
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spelling pubmed-94952172022-09-23 Exploring the Barriers in the Uptake of the Dutch MRSA ‘Search and Destroy’ Policy Using the Cascade of Care Approach Westgeest, Annette C. Schippers, Emile F. Sijbom, Martijn Visser, Leo G. de Boer, Mark G. J. Numans, Mattijs E. Lambregts, Merel M. C. Antibiotics (Basel) Article The Dutch ‘search and destroy’ policy consists of screening patients with an increased risk of methicillin-resistant Staphylococcus aureus (MRSA) carriership and subsequent decolonization treatment when carriership is found. Decolonization therapy of individual MRSA carriers is effective. However, the effectiveness of the national ‘search and destroy’ policy is dependent on the entire cascade of care, including identification, referral, and subsequent treatment initiation in MRSA carriers. The aim of this study was to evaluate the leakages in the cascade of MRSA decolonization care. We assessed familiarity with the ‘search and destroy’ policy and the barriers in the uptake of MRSA eradication care using a questionnaire among 114 Dutch general practitioners. The main reasons for treatment were planned hospital visits, occupational reasons, and infections. The main reasons for refraining from eradication treatment were unfamiliarity with the ‘search and destroy’ policy and the assumption that MRSA carriership is often self-limiting. To optimize the continuity of the cascade of care, interventions should be aimed at supporting general practitioners and facilitating treatment and referral. MDPI 2022-09-08 /pmc/articles/PMC9495217/ /pubmed/36139995 http://dx.doi.org/10.3390/antibiotics11091216 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Westgeest, Annette C.
Schippers, Emile F.
Sijbom, Martijn
Visser, Leo G.
de Boer, Mark G. J.
Numans, Mattijs E.
Lambregts, Merel M. C.
Exploring the Barriers in the Uptake of the Dutch MRSA ‘Search and Destroy’ Policy Using the Cascade of Care Approach
title Exploring the Barriers in the Uptake of the Dutch MRSA ‘Search and Destroy’ Policy Using the Cascade of Care Approach
title_full Exploring the Barriers in the Uptake of the Dutch MRSA ‘Search and Destroy’ Policy Using the Cascade of Care Approach
title_fullStr Exploring the Barriers in the Uptake of the Dutch MRSA ‘Search and Destroy’ Policy Using the Cascade of Care Approach
title_full_unstemmed Exploring the Barriers in the Uptake of the Dutch MRSA ‘Search and Destroy’ Policy Using the Cascade of Care Approach
title_short Exploring the Barriers in the Uptake of the Dutch MRSA ‘Search and Destroy’ Policy Using the Cascade of Care Approach
title_sort exploring the barriers in the uptake of the dutch mrsa ‘search and destroy’ policy using the cascade of care approach
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9495217/
https://www.ncbi.nlm.nih.gov/pubmed/36139995
http://dx.doi.org/10.3390/antibiotics11091216
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