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March, 2008: A newly released study by Robicsek and colleagues in the Annuals
of Internal Medicine (March 18, 2008), describes the impact of a
universal MRSA screening program for patients newly admitted to
the hospital. The intervention was associated with an impressive
hospital wide 70% reduction in hospital-associated MRSA
infections. --
Click Here to View Report.
JAMA recently published a study (
Harbarth et. al. 2008
)last week that allegedly showed that screening patients for
MRSA was not an effective prevention strategy. However
there were severe flaws in the handling of identified patients.
Editorial Analysis by JAMA
Analysis by Consumer Reports found: "Another study
published recently in the Journal of the American Medical
Association concluded that MRSA screening of surgical patients
was not effective for preventing surgical infections. However,
this study did not measure the impact on the spread of
infections throughout the hospital, rather it only measured
infections among the surgical patients screened. The study
revealed that the results of 31 percent of the patients' tests
were not received prior to their surgery, thus negating the
benefit of screening. Further, the study actually found those
patients who were pre-screened and who got results prior to
surgery, were able to receive the appropriate preventive
antibiotics for MRSA and to "decolonize" prior to surgery. In
this group, no infections occurred."