Knowledge , Perceptions and Practices of Methicillin Resistant Staphylococcus Aureus Transmission Prevention Among Nurses (original) (raw)
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Endemic methicillin-resistant Staphylococcus aureus: Nurses' risk perceptions and attitudes
American Journal of Infection Control, 2014
Dissemination of methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most difficult challenges for prevention, control, and treatment of health careeassociated infections. A survey and interviews were conducted on nurses from a hospital center. We found that most nurses' perceived risk of acquiring MRSA related to themselves (72%), other nurses (88.5%), and patients (97.8%). This perception influences attitudes, leading to compliance with the existing recommendations.
Aim: To determine the staff nurses knowledge regarding MRSA infection control practices, and to determine the relationship between knowledge of staff nurses while adapting practices regarding MRSA infection control prevention and selected social demographic variables. Methods: A descriptive design utilizing survey method was used. A sample of 60 RNs, from a tertiary care hospital in South Trinidad were recruited using stratified sampling technique. A blue print showing the distribution of items (Pathogenesis, Predisposing and preventive factors), was prepared prior to the construction of self-administered knowledge questionnaire on MRSA – 30 Items and adaptation Scale on MRSA – 20 Items. Adaption Scale was designed to analyse the level of compliance of RNs practice to MRSA protocol. Data were analysed using SPSS Version 19. Results: Majority of the RNs (72.41%) scored on pathogenesis of MRSA (mean 6.52+1.65). 56.78% of RNs demonstrated knowledge on preventive factors of MRSA. However only 51.33% had knowledge on predisposing factors of MRSA. More than half (34) of the staff scored on the undecided section of the adaption scale whether nurses follow correct protocol for MRSA prevention. Most RNs agreed that they maintain proper hand hygiene. However within the Predisposing factors a large number of RNs (41) were unsure of maintaining hand hygiene, which was contradictory to responses regarding hand hygiene. A positive correlation was seen between knowledge scores of RNs and their place of work (p=0.001). RNs in surgical wards demonstrated better overall knowledge of MRSA, in comparison to RNs working in medical wards. One-way analysis of variance (ANOVA) between level of education and knowledge of MRSA among RNs was found to be significant at 2.432 (p=0.03). Conclusion: It was concluded that level of RNs knowledge on MRSA was inadequate, which translated into their non-adaptation of
Risk factors for health care–associated infections: From better knowledge to better prevention.
Dissemination of methicillin-resistant Staphylococcus aureus (MRSA) remains one of the most difficult challenges for prevention, control, and treatment of health careeassociated infections. A survey and interviews were conducted on nurses from a hospital center. We found that most nurses' perceived risk of acquiring MRSA related to themselves (72%), other nurses (88.5%), and patients (97.8%). This perception influences attitudes, leading to compliance with the existing recommendations.
The Israel Medical Association journal : IMAJ, 2011
BACKGROUND The compliance of hospital staff with guidelines for the active surveillance of methicillin-resistant Staphylococcus aureus (MRSA) in Israel has not been determined. OBJECTIVES To evaluate the compliance of hospital staff with guidelines for the active surveillance of MRSA and assess its impact on the incidence of nosocomial MRSA bacteremia. METHODS We assessed compliance with MRSA surveillance guidelines by assessing adherence to the screening protocol and reviewing medical and nursing charts of patients colonized with MRSA, and observed hand hygiene opportunities among health care workers and colonized patients. Rates of nosocomial MRSA bacteremia and of adherence with hand hygiene among overall hospital staff were obtained from archived data for the period 2001-2010. RESULTS Only 32.4% of eligible patients were screened for MRSA carriage on admission, and 69.9% of MRSA carriers did not receive any eradication treatment. The mean rate of adherence to glove use among nur...
Clinical practice, 2019
Background: Because of rapid occurrence and ever-mutating attributes of MRSA infection that makes it difficult to detect and manage. Therefore, nurses need to be knowledgeable of MRSA. Aim: To assess the effectiveness of structured teaching programmer on knowledge and attitude regarding prevention and control of Methicillin-Resistant Staphylococcus aureus among medical-surgical and ICU nurses in Egypt. Material and Method: Pre/ post-quasi-experimental study design was conducted over a period of six months consisted of a random sample of 60 nurses worked in critical and medical-surgical settings at Al Manial university hospital in Egypt. Pre/post Knowledge and attitude questionnaires regarding MRSA were constructed by the researchers and their validity was examined by a panel of experts. Data was gathered and analyzed utilizing descriptive and inferential statistical tests. Results: The findings revealed the significant increase in nurses' knowledge after teaching program regarding definition, risk factors, pathogenesis, prevention, and treatment. Moreover, nurses' showed significant improvements in the attitude towards prevention and control of MRSA infection after exposure to educational program but showed no change regarding the concern of the workload affects their abilities to apply infection prevention guidelines and they still feel with danger when contacting with MRSA patients and they see that they should spend little time with MRSA patient. Conclusion: There was an improvement in nurses' knowledge and attitude responses regarding MRSA control and prevention after exposure to the educational programme. Recommendations: Develop and implement nurses' practical guidelines to prevent and control MRSA infection in a different health care setting.
IP Innovative Publication Pvt. Ltd., 2017
Introduction: It was observed that Health care workers (HCW) play an important role in the transmission of MRSA between the patients in the hospital environment. The aim of present study was to find out the carriage rate of MRSA among the HCWs in the critical care units in our setting. Material and Method: All healthy HCWs involved in the management of critically ill patients were recruited into the study. By using sterile cotton swabs, specimens were collected from the anterior nares, finger web spaces and finger print directly taken on Brain-Heart infusion agar plate. Staphylococcus aureus was identified by the standard procedure. Antibiotic susceptibility testing was performed according to the Kirby-Bauer disc diffusion method. MRSA was identified by using a cefoxitin disc. Result: Among the 112 HCWs who were screened for MRSA, 54(48.21%) were Nurses and Brothers, 26(23.22%) were nursing students and 32(28.57%) were doctors. Twenty one (18.75%) Staphylococcus aureus strains were isolated. Among them 14 (12.5%) were MRSA. The proportion of nasal carriage of MRSA was higher 9(8.04%) than that on hand 5(4.46%). The highest carriage rate was noted in nurses and brothers (7.14%). Antimicrobial pattern of MRSA had revealed 100% sensitivity to Vancomycin and Linezolid while highest resistance to penicillin, Erythromycin and ciprofloxacin in the present study. Conclusion: MRSA carriage among HCW can be reduce by their regular Screening and decolonization. Strict standard infection control practices should be employed to minimize either the carriage or the transmission rate of MRSA.