Costs and benefits of rapid screening of methicillin-resistant Staphylococcus aureus (MRSA) carriage in intensive care units: a prospective multicenter study
| العنوان: | Costs and benefits of rapid screening of methicillin-resistant Staphylococcus aureus (MRSA) carriage in intensive care units: a prospective multicenter study |
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| المؤلفون: | Marc J. M. Bonten, Stephanie Erdkamp, Jan Kluytmans, Caroline E. Visser, Anton Buiting, Petra F. G. Wolffs, Annet Troelstra, Erika van Elzakker, Ton van Zwet, M.W.H. Wulf, Christina M. J. E. Vandenbroucke-Grauls, Steven F. T. Thijsen, Ardine de Wit, Andreas Voss, Willem J. G. Melchers, R.W. Bosboom, Marjan W. M. Wassenberg |
| المساهمون: | Medical Microbiology and Infection Prevention, CCA - Quality of life |
| المصدر: | Critical Care, 16, 1, pp. R22-R22 Critical care (London, England), 16(1). Springer Science + Business Media Wassenberg, M, Kluijtmans, J A J W, Erdkamp, S, Bosboom, R, Buiting, A, van Elzakker, E, Melchers, W, Thijsen, S, Troelstra, A, Vandenbroucke-Grauls, C, Visser, C, Voss, A, Wolffs, P, Wulf, M, van Zwet, T, de Wit, A & Bonten, M 2012, ' Costs and benefits of rapid screening of methicillin-resistant Staphylococcus aureus carriage in intensive care units: a prospective multicenter study ', Critical Care, vol. 16, no. 1, R22, pp. 1-8 . https://doi.org/10.1186/cc11184Test Critical Care, 16(1):R22, 1-8. Springer Science + Business Media Critical Care, 16, R22-R22 Critical Care |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | Adult, Methicillin-Resistant Staphylococcus aureus, Pediatrics, medicine.medical_specialty, Meticillin, Time Factors, Isolation (health care), Cost-Benefit Analysis, Staphylococcal infections, medicine.disease_cause, Critical Care and Intensive Care Medicine, Invasive mycoses and compromised host Infection and autoimmunity [N4i 2], Young Adult, Predictive Value of Tests, Intensive care, medicine, Humans, Mass Screening, Prospective Studies, GeneralLiterature_REFERENCE(e.g.,dictionaries,encyclopedias,glossaries), Mass screening, Aged, GeneXpert MTB/RIF, business.industry, Research, Pathogenesis and modulation of inflammation Infection and autoimmunity [N4i 1], Middle Aged, Staphylococcal Infections, medicine.disease, Methicillin-resistant Staphylococcus aureus, Intensive Care Units, Carriage, Emergency medicine, Commentary, business, medicine.drug |
| الوصف: | Introduction: Pre-emptive isolation of suspected methicillin-resistant Staphylococcus aureus (MRSA) carriers is a cornerstone of successful MRSA control policies. Implementation of such strategies is hampered when using conventional cultures with diagnostic delays of three to five days, as many non-carriers remain unnecessarily isolated. Rapid diagnostic testing (RDT) reduces the amount of unnecessary isolation days, but costs and benefits have not been accurately determined in intensive care units (ICUs). Methods: Embedded in a multi-center hospital-wide study in 12 Dutch hospitals we quantified cost per isolation day avoided using RDT for MRSA, added to conventional cultures, in ICUs. BD GeneOhm (TM) MRSA PCR (IDI) and Xpert MRSA (GeneXpert) were subsequently used during 17 and 14 months, and their test characteristics were calculated with conventional culture results as reference. We calculated the number of pre-emptive isolation days avoided and incremental costs of adding RDT. Results: A total of 163 patients at risk for MRSA carriage were screened and MRSA prevalence was 3.1% (n = 5). Duration of isolation was 27.6 and 21.4 hours with IDI and GeneXpert, respectively, and would have been 96.0 hours when based on conventional cultures. The negative predictive value was 100% for both tests. Numbers of isolation days were reduced by 44.3% with PCR-based screening at the additional costs of (sic)327.84 (IDI) and (sic)252.14 (GeneXpert) per patient screened. Costs per isolation day avoided were (sic)136.04 (IDI) and (sic)121.76 (GeneXpert). Conclusions: In a low endemic setting for MRSA, RDT safely reduced the number of unnecessary isolation days on ICUs by 44%, at the costs of (sic)121.76 to (sic)136.04 per isolation day avoided |
| وصف الملف: | application/pdf |
| تدمد: | 1364-8535 1466-609X |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e78e3c7a6340e34c6ac5dbee7daa2677Test https://hdl.handle.net/2066/110728Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e78e3c7a6340e34c6ac5dbee7daa2677 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 13648535 1466609X |
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