Indian Journal of Orthopaedics ( IF 1 ) Pub Date : 2022-08-20 , DOI: 10.1007/s43465-022-00713-5 T Latha 1, 2 , Anil K Bhat 2, 3 , H Manjunatha Hande 4 , Chiranjay Mukhopadhyay 2, 5 , Elsa Sanatombi Devi 6 , Baby S Nayak 7 , Anice George 7
Purpose
The purpose of the study was to find the effectiveness of Extended Infection Control Measures (EICM) in reducing the rate of methicillin-resistant Staphylococcus aureus (MRSA) infection among orthopaedic surgery patients.
Methods
The study adopted a quasi-experimental design and was conducted in the orthopaedic units of a tertiary care hospital. This study recruited 168 orthopaedic patients and 154 healthcare professionals (HCPs). EICM included hand hygiene, decolonizing the patients and HCPS, staff education, feedback of surveillance data, treatment of high-risk and MRSA-infected patients, having separate equipment for MRSA-infected patients, and appropriate cleaning of patient’s unit.
Results
The EICM effectively reduced MRSA infection from 21.2 to 6% (p < 0.001). It also resulted in improving the knowledge of HCPs in the prevention and management of MRSA infection (p < 0.001), and all colonized HCPs were successfully (100%) decolonized.
Conclusion
EICM is a promising intervention to combat MRSA infection among orthopaedic wards. Hence, it can be executed in orthopaedic wards, thereby improving the treatment quality and reducing the infection-related consequences.
中文翻译:
扩大感染控制措施对骨科患者耐甲氧西林金黄色葡萄球菌感染的有效性
目的
该研究的目的是探讨扩大感染控制措施(EICM)在降低骨科手术患者耐甲氧西林金黄色葡萄球菌(MRSA)感染率方面的有效性。
方法
该研究采用准实验设计,在一三级医院的骨科单位进行。这项研究招募了 168 名骨科患者和 154 名医疗保健专业人员 (HCP)。EICM 包括手部卫生、患者和 HCPS 去定植、工作人员教育、监测数据反馈、高危和 MRSA 感染患者的治疗、为 MRSA 感染患者提供单独的设备以及适当清洁患者病房。
结果
EICM 有效地将 MRSA 感染率从 21.2% 降低到 6% ( p < 0.001)。它还提高了 HCP 在预防和管理 MRSA 感染方面的知识 ( p < 0.001),并且所有定植的 HCP 均成功 (100%) 去定植。
结论
EICM 是对抗骨科病房 MRSA 感染的一种有前途的干预措施。因此,它可以在骨科病房进行,从而提高治疗质量并减少感染相关的后果。