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Screening for MRSA: A Flawed Hospital Infection Control Intervention
Richard P. Wenzel , MD, MSc, Gonzalo Bearman , MD, MPH and Michael B. Edmond , MD, MPH, MPA
Infection Control and Hospital Epidemiology
Vol. 29, No. 11 (November 2008), pp. 1012-1018
Published by: Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America
Stable URL: http://www.jstor.org/stable/10.1086/593120
Page Count: 7
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Focusing hospital resources on a single antibiotic‐resistant pathogen as a sole approach to infection control is inherently flawed. We applied attributable mortality principles to a basic model of bloodstream infections to outline the argument. Screening for methicillin‐resistant Staphylococcus aureus alone made sense in the 1980s, but the ongoing emergence of vancomycin‐resistant enterococci and antibiotic‐resistant strains of gram‐negative rods and Candida species, as well as the recognition of the value of team‐based infection control programs, support a population‐based approach.
© 2008 by The Society for Healthcare Epidemiology of America. All rights reserved.