Assignment: Consumers Union
Consumers Union supports proposals that have been debated in a number of states to require hospitals to screen certain patients for MRSA and take special precautions with those colonized with the bacteria to prevent its spread. Screening patients for MRSA is a critical part of an effective strategy to prevent the spread of this deadly superbug.
So far, three states – Illinois, New Jersey, and Pennsylvania – have passed laws requiring hospitals to screen certain patients upon admission for MRSA. All three states require hospitals to screen patients admitted to Intensive Care Units and other high risk patients (such as those being transferred from nursing homes) to identify those colonized with MRSA.30
1 R. Molina Klevens, DDS, MPH, et al, “Invasive Methicillin-Resistant Staphylococcus aureus Infections in the United States,” Journal of the American Medical Association, 298 (October 17, 2007) 15, p. 1769. 2 MRSA: Information for Patients & Visitors (Saskatoon Health Region: Infection Prevention & Control Program, May 2004), p. 1. 3 MRSA in Healthcare Settings (Washington, D.C.: Centers for Disease Control and Prevention, 2006), p. 2. http://www.cdc.gov/ncidod/dhqp/ar_mrsa_spotlight_2006.html 4 Executive Summary: National Prevalence Study of MRSA in U.S. Healthcare Facilities (Washington, D.C.: Association for Professionals in Infection Control and Epidemiology, 2007), p. 4. 5 Klevens, p. 1769 6 Klein, Eili, et al., “Hospitalizations and Deaths Caused by Methicillin-Resistant Staphylococcus aureus, United States, 1999-2005,” Emerging Infectious Diseases, 13 (December 2007) 12, p. 1840. 7 Klevens, p. 1763. 8 MRSA in Pennsylvania Hospitals (Harrisburg, Pennsylvania, Pennsylvania Heaclth Care Containment Council, August 2006), p. 2. 9 Alex Cukan, “Caregiving: Choosing a Hospital, Part 5,” United Press International, 22 August 2006, p. 1. 10 Harbath, S. et al., “The Preventable Portion of Nosomial Infections: An Overview of Published Reports,” Journal of Hospital Infection (2003)54, p. 261, citing Pittel et al (2000). 11 Hand Hygiene in Healthcare Settings: An Overview (Washington, D.C. : Centers for Disease Control and Prevention, 2002), Slide 2. 12 Boyce, JM et al, “Environmental contamination due to methicillin-resistant Staphylococcus aureus: possible infection control implications,” Infection Control & Hospital Epidemiology, 1997; 18: 622-627. 13 Neely, AN et al, “Survival of enterococci and staphylococci on hospital fabrics and plastics,” Journal of Clinical Microbiology, 2000; 38:724-726. 14 Boyce, p. 622-627. 15 Muto, Carlene A., et al, “SHEA Guideline for Preventing Nosocomial Transmission of Multidrug- Resistant Strains of Staphylococcus aureua and Enterococcus,” Infection Control and Hospital Epidemiology, 24 (May 2003) 5, p. 368. 16 Bager, F DANMAP 98: “Consumption of Microbial Agents and Occurrence of Antimicrobials in Bacteria from Food Animals, Food and Humans in Denmark,” Copenhagen: Statens Serum
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