MedicalResearch.com Interview with:
Dr. Lauren Epstein M.D., M.S.
Division of Healthcare Quality Promotion Epidemic Intelligence Service
Centers for Disease Control and Prevention
Atlanta, GA, USA
Medical Research: What is the background for this study? What are the main findings?
Dr. Epstein: Nearly 80% of methicillin resistant
Staphylococcus aureus (MRSA) infections occurs outside of the hospitals and mostly among individuals with a recent hospitalization. However, risk factors for MRSA infections among patients recently discharged from an acute care hospital have not been well explored. The goal of this study was to identify modifiable risk factors associated with MRSA infections among recently discharged patients to target future prevention efforts. We found that patients with a history of
MRSA colonization, chronic wounds, invasive devices at discharge such as central lines and surgical drains, and those discharged from a hospital to a nursing home are at increased risk of invasive MRSA infections within 12 weeks after hospital discharge.
Medical Research: What should clinicians and patients take away from your report?
Dr. Epstein: MRSA infections are a significant public health concern and patients remain at risk for MRSA infections following acute care hospitalizations, especially in the 3 months following discharge from an acute care facility.
Patients with a prior history of
MRSA colonization are at increased risk for MRSA infections following an acute care hospitalization. In addition, patients who have an invasive device (such as a central line or surgical drain) or a chronic wound at the time of discharge from a hospitalization are at increased risk of MRSA infection following discharge. Finally, patients who are discharged to a long term care facility, regardless of other risk factors, are at increased risk of MRSA infection.
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