Featured Research

from universities, journals, and other organizations

Few Strategies Exist To Prevent MRSA Spread In Nursing Homes

Date:
January 23, 2008
Source:
Center for the Advancement of Health
Summary:
Methicillin-resistant Staphylococcus aureus is making news as a dangerous, sometimes fatal disease for hospital patients, and in recent cases, students. MRSA is also a major source of illness acquired in nursing homes, yet few studies have looked at how to prevent its spread among elderly residents, according to a new review.

Methicillin-resistant Staphylococcus aureus (MRSA) is making news as a dangerous, sometimes fatal disease for hospital patients, and in recent cases, students. MRSA is also a major source of illness acquired in nursing homes, yet few studies have looked at how to prevent its spread among elderly residents, according to a new review.

Related Articles


"Much of the research effort around MRSA to date has focused primarily on hospitals," said Carmel Hughes, lead review author.

MRSA spreads easily -- most commonly via the hands of health care workers -- and first-line antibiotics, like penicillin, are ineffective against the organism. Nursing home residents are particularly vulnerable because infection with the bug tends to increase with advancing age.

Close living proximity, multiple medications, pressure sores and catheters all make nursing homes ideal for breeding and spreading MRSA. However, nursing homes appear to have been short-changed in the medical literature on prevention, despite studies repeatedly reporting that residents are at higher risk.

"Many different ways of preventing the spread of MRSA have been studied, particularly in hospitals; however, we found no studies that looked at ways of preventing the spread of MRSA in nursing homes for older people," the reviewers say.

The review appears in The Cochrane Library, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

Hughes, a professor of primary care pharmacy at Queen's University Belfast in Northern Ireland, and colleagues searched for randomized and controlled clinical trials that focused on infection control interventions in nursing homes. They found none.

"The medical community has not prioritized MRSA and its transmission because of many competing patient safety issues. MRSA is just one of the many problematic and epidemiologically significant organisms we are dealing with in the health care setting," said Trish Perl, M.D., professor of medicine, pathology and epidemiology at Johns Hopkins Medical Institutions. Perl was not involved with the review.

Hughes said introducing effective interventions in hospitals might be easier because hospitals have isolation facilities and greater access to infection control expertise. Infection control training is not routinely available in nursing homes, she added.

"If we can use studies [like the current Cochrane review] to show the poor state of the science we can hopefully generate interest in epidemiologic studies performed by healthcare epidemiologists who understand the hospital environment," Perl said.

In the meantime, nursing homes can take advantage of lessons learned from hospital research.

"It is likely that an intervention for MRSA in nursing homes will consist of screening recently admitted residents to the nursing homes, hand washing and high standards of cleaning and decontamination," Hughes said. "It will be important for some staff members to make infection control a priority and that this is communicated to all other staff." Rigorous testing in the nursing home environment and detailed notes about such interventions will help ensure that they are effective, she added.

Reference: Hughes CM, Smith MBH, Tunney MM. Infection control strategies for preventing the transmission of meticillin-resistant Staphylococcus aureus (MRSA) in nursing homes for older people (Review). The Cochrane Database of Systematic Reviews 2008, Issue 1.


Story Source:

The above story is based on materials provided by Center for the Advancement of Health. Note: Materials may be edited for content and length.


Cite This Page:

Center for the Advancement of Health. "Few Strategies Exist To Prevent MRSA Spread In Nursing Homes." ScienceDaily. ScienceDaily, 23 January 2008. <www.sciencedaily.com/releases/2008/01/080122203232.htm>.
Center for the Advancement of Health. (2008, January 23). Few Strategies Exist To Prevent MRSA Spread In Nursing Homes. ScienceDaily. Retrieved March 31, 2015 from www.sciencedaily.com/releases/2008/01/080122203232.htm
Center for the Advancement of Health. "Few Strategies Exist To Prevent MRSA Spread In Nursing Homes." ScienceDaily. www.sciencedaily.com/releases/2008/01/080122203232.htm (accessed March 31, 2015).

Share This


More From ScienceDaily



More Health & Medicine News

Tuesday, March 31, 2015

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Solitair Device Aims to Takes Guesswork out of Sun Safety

Solitair Device Aims to Takes Guesswork out of Sun Safety

Reuters - Innovations Video Online (Mar. 31, 2015) — The Solitair device aims to take the confusion out of how much sunlight we should expose our skin to. Small enough to be worn as a tie or hair clip, it monitors the user&apos;s sun exposure by taking into account their skin pigment, location and schedule. Matthew Stock reports. Video provided by Reuters
Powered by NewsLook.com
Soda, Salt and Sugar: The Next Generation of Taxes

Soda, Salt and Sugar: The Next Generation of Taxes

Washington Post (Mar. 30, 2015) — Denisa Livingston, a health advocate for the Dinι Community Advocacy Alliance, and the Post&apos;s Abby Phillip discuss efforts around the country to make unhealthy food choices hurt your wallet as much as your waistline. Video provided by Washington Post
Powered by NewsLook.com
UnitedHealth Buys Catamaran

UnitedHealth Buys Catamaran

Reuters - Business Video Online (Mar. 30, 2015) — The $12.8 billion merger will combine the U.S.&apos; third and fourth largest pharmacy benefit managers. Analysts say smaller PBMs could also merge. Fred Katayama reports. Video provided by Reuters
Powered by NewsLook.com
S. Leone in New Anti-Ebola Lockdown

S. Leone in New Anti-Ebola Lockdown

AFP (Mar. 28, 2015) — Sierra Leone imposed a three-day nationwide lockdown Friday for the second time in six months in a bid to prevent a resurgence of the deadly Ebola virus. Duration: 01:17 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:

Strange & Offbeat Stories

 

Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins