The introduction of daily bathing with disposable, germ-killing cloths resulted in a sustained, significant decrease in methicillin-resistant Staphylococcus aureus (MRSA) incidence at a Canadian geriatric facility, according to a poster presented at the 39th Annual Educational Conference and International Meeting of the Association for Professionals in Infection Control and Epidemiology (APIC).
Infection preventionists, working in the Acute Care Transition (ACT) unit at Baycrest, a geriatric healthcare system in Ontario, reduced the rate of MRSA transmission by 82 percent over a 33-month period.
Their results were achieved by daily bathing of patients with disposable cloths containing chlorhexidine gluconate (CHG), an antimicrobial that reduces organisms on a patient's skin and leaves a residue of the antimicrobial that lasts for up to six hours.
MRSA is a type of bacteria that is resistant to certain antibiotics and is a common cause of healthcare-associated infections.
The use of the wipes began as a pilot study in the 27-bed unit, which is dedicated to patients with complex sub-acute and chronic conditions that require urgent medical care. Prior to the study, there was a transmission rate of 4.99 cases per 1,000 patient days. After this intervention was introduced and became a standard of care, that rate was reduced to 0.88 cases per 1,000 patient days – an 82 percent reduction. It was an isolated intervention, with no other changes in practice on the unit.
The 1,000-bed facility screens every patient on admission to determine whether they are colonized with MRSA – meaning the organism is present in the body but not yet causing an infection. Lead study author, Heather Candon, M.Sc., CIC, infection prevention and control practitioner at Baycrest, said that the impetus for the bathing intervention came about after determining that 21 percent of the facility's MRSA transmission was occurring in the ACT unit.
"Because patients who are colonized with MRSA have a much greater chance of developing a MRSA infection, we knew we needed to intervene to stop transmission and prevent infection," said Candon. "Use of the CHG cloths proved to be a very effective way to achieve and sustain this reduction."
Candon added that previous reports had shown that bathing with CHG cloths reduced the risk of infections in patients undergoing surgery, but, to their knowledge, the technique had not yet been studied for reduction of MRSA transmission in a geriatric setting.
"The research presented by the Baycrest team represents a potentially promising intervention to reduce MRSA transmission and improve patient safety as part of an overall bundle of infection prevention strategies as identified by a facility's infection risk assessment," said Michelle Farber, RN, CIC, APIC 2012 president.
The APIC 2012 Annual Conference, June 4-6 in San Antonio, is the most comprehensive infection prevention conference in the world, featuring more than 100 educational sessions and workshops led by top health experts. The conference is designed to help attendees translate the latest science into practical strategies for the reduction of healthcare-associated infections. The Twitter hashtag #APIC2012 is being used for the meeting.
Poster Presentation #14-204 – Sustained reduction in methicillin-resistant Staphylococcus aureus incidence in a geriatric setting by implementing daily bathing with 2% chlorhexidine gluconate cloths.
APIC's mission is to create a safer world through prevention of infection. The association's more than 14,000 members direct infection prevention programs that save lives and improve the bottom line for hospitals and other healthcare facilities. APIC advances its mission through patient safety, implementation science, competencies and certification, advocacy, and data standardization. Follow APIC on Twitter: http://twitter.com/apic.
Liz Garman | EurekAlert!
PET imaging tracks Zika virus infection, disease progression in mouse model
20.09.2017 | US Army Medical Research Institute of Infectious Diseases
'Exciting' discovery on path to develop new type of vaccine to treat global viruses
18.09.2017 | University of Southampton
Whispering gallery mode (WGM) resonators are used to make tiny micro-lasers, sensors, switches, routers and other devices. These tiny structures rely on a...
Using ultrafast flashes of laser and x-ray radiation, scientists at the Max Planck Institute of Quantum Optics (Garching, Germany) took snapshots of the briefest electron motion inside a solid material to date. The electron motion lasted only 750 billionths of the billionth of a second before it fainted, setting a new record of human capability to capture ultrafast processes inside solids!
When x-rays shine onto solid materials or large molecules, an electron is pushed away from its original place near the nucleus of the atom, leaving a hole...
For the first time, physicists have successfully imaged spiral magnetic ordering in a multiferroic material. These materials are considered highly promising candidates for future data storage media. The researchers were able to prove their findings using unique quantum sensors that were developed at Basel University and that can analyze electromagnetic fields on the nanometer scale. The results – obtained by scientists from the University of Basel’s Department of Physics, the Swiss Nanoscience Institute, the University of Montpellier and several laboratories from University Paris-Saclay – were recently published in the journal Nature.
Multiferroics are materials that simultaneously react to electric and magnetic fields. These two properties are rarely found together, and their combined...
MBM ScienceBridge GmbH successfully negotiated a license agreement between University Medical Center Göttingen (UMG) and the biotech company Tissue Systems Holding GmbH about commercial use of a multi-well tissue plate for automated and reliable tissue engineering & drug testing.
MBM ScienceBridge GmbH successfully negotiated a license agreement between University Medical Center Göttingen (UMG) and the biotech company Tissue Systems...
Pathogenic bacteria are becoming resistant to common antibiotics to an ever increasing degree. One of the most difficult germs is Pseudomonas aeruginosa, a...
19.09.2017 | Event News
12.09.2017 | Event News
06.09.2017 | Event News
20.09.2017 | Life Sciences
20.09.2017 | Power and Electrical Engineering
20.09.2017 | Physics and Astronomy