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Management of Outbreaks of Methicillin-Resistant Staphylococcus aureus Infection in the Neonatal Intensive Care Unit: A Consensus Statement

Published online by Cambridge University Press:  21 June 2016

Susan I. Gerber ,
Roderick C. Jones ,
Mary V. Scott ,
Joel S. Price ,
Mark S. Dworkin ,
Mala B. Filippell ,
Terri Rearick ,
Stacy L. Pur ,
James B. McAuley  and
Mary Alice Lavin
...Show all authors
Susan I. Gerber*
Affiliation:
Chicago Department of Public Health, Chicago
Roderick C. Jones
Affiliation:
Chicago Department of Public Health, Chicago
Mary V. Scott
Affiliation:
Evanston Department of Health and Human Services, Evanston, Illinois Illinois Department of Public Health, Chicago, Illinois
Joel S. Price
Affiliation:
Illinois Department of Public Health, Chicago
Mark S. Dworkin
Affiliation:
Illinois Department of Public Health, Chicago
Mala B. Filippell
Affiliation:
Children's Memorial Hospital, Chicago
Terri Rearick
Affiliation:
Children's Memorial Hospital, Chicago
Stacy L. Pur
Affiliation:
Rush University Medical Center, Chicago
James B. McAuley
Affiliation:
Rush University Medical Center, Chicago
Mary Alice Lavin
Affiliation:
John H. Stroger, Jr.Hospital of Cook County, Chicago
Sharon F. Welbel
Affiliation:
John H. Stroger, Jr.Hospital of Cook County, Chicago
Sylvia Garcia-Houchins
Affiliation:
University of Chicago Hospitals, Chicago
Judith L. Bova
Affiliation:
University of Chicago Hospitals, Chicago
Stephen G. Weber
Affiliation:
University of Chicago Hospitals, Chicago
Paul M. Arnow
Affiliation:
University of Chicago Hospitals, Chicago
Janet A. Englund
Affiliation:
University of Chicago Hospitals, Chicago University of Washington / Children's Hospitaland Regional Medical Center, Seattle, Washington
Patrick J. Gavin
Affiliation:
Evanston Northwestern Healthcare, Evanston, Illinois
Adrienne G. Fisher
Affiliation:
Evanston Northwestern Healthcare, Evanston, Illinois
Richard B. Thomson
Affiliation:
Evanston Northwestern Healthcare, Evanston, Illinois
Thomas Vescio
Affiliation:
Evanston Northwestern Healthcare, Evanston, Illinois
Teresa Chou
Affiliation:
Advocate Illinois Masonic Medical Center, Chicago
Daniel C. Johnson
Affiliation:
Mount Sinai Hospital, Chicago
Mary Beth Fry
Affiliation:
University of Illinois Medical Center, Chicago
Anne H. Molloy
Affiliation:
University of Illinois Medical Center, Chicago
Laura Bardowski
Affiliation:
Northwestern Memorial Hospital, Chicago, Illinois
Gary A. Noskin
Affiliation:
Northwestern Memorial Hospital, Chicago, Illinois
*
Chicago Department of Public Health, 2160 W. Ogden Ave., Chicago, IL 60612 (Gerber_Sue@cdph.org)
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Abstract

Objective.

In 2002, the Chicago Department of Public Health (CDPH; Chicago, Illinois) convened the Chicago-Area Neonatal MRSA Working Group (CANMWG) to discuss and compare approaches aimed at control of methicillin-resistant Staphylococcus aureus (MRSA) in neonatal intensive care units (NICUs). To better understand these issues on a regional level, the CDPH and the Evanston Department of Health and Human Services (EDHHS; Evanston, Illinois) began an investigation.

Design.

Survey to collect demographic, clinical, microbiologic, and epidemiologic data on individual cases and clusters of MRSA infection; an additional survey collected data on infection control practices.

Setting.

Level III NICUs at Chicago-area hospitals.

Participants.

Neonates and healthcare workers associated with the level III NICUs.

Methods.

From June 2001 through September 2002, the participating hospitals reported all clusters of MRSA infection in their respective level III NICUs to the CDPH and the EDHHS.

Results.

Thirteen clusters of MRSA infection were detected in level III NICUs, and 149 MRSA-positive infants were reported. Infection control surveys showed that hospitals took different approaches for controlling MRSA colonization and infection in NICUs.

Conclusion.

The CANMWG developed recommendations for the prevention and control of MRSA colonization and infection in the NICU and agreed that recommendations should expand to include future data generated by further studies. Continuing partnerships between hospital infection control personnel and public health professionals will be crucial in honing appropriate guidelines for effective approaches to the management and control of MRSA colonization and infection in NICUs.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 27 , Issue 2 , February 2006 , pp. 139 - 145
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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