ABSTRACT
Infections are the leading cause of morbidity and mortality in burn patients. Patients colonized with methicillin-resistant Staphylococcus aureus (MRSA) are at higher risk of developing an invasive infection, and MRSA is endemic in many burn units. The typical decolonization regimen of mupirocin and chlorhexidine bathing is not optimal in burn patients because of chlorhexidine limitations on nonintact skin. We studied the impact of universal decolonization using mupirocin and hypochlorous acid bathing on health care-associated MRSA infections in a burn intensive care unit. We show a significant decrease in total MRSA infections.
Subject(s)
Anti-Bacterial Agents/therapeutic use , Antisepsis/methods , Baths/methods , Burns/complications , Carrier State/drug therapy , Hypochlorous Acid/therapeutic use , Staphylococcal Infections/drug therapy , Adolescent , Adult , Aged , Aged, 80 and over , Burn Units , Child , Child, Preschool , Female , Hospitals, Community , Humans , Infant , Intensive Care Units , Male , Middle Aged , Retrospective Studies , Staphylococcus aureus , Tertiary Healthcare , Treatment Outcome , Young AdultABSTRACT
Preventing catheter-associated urinary tract infections is in the forefront of health care quality. However, nurse and physician engagement is a common barrier in infection prevention efforts. After implementation of a multidisciplinary catheter-associated urinary tract infection (CAUTI) prevention campaign, we studied the impact of our campaign and showed its association with reducing the CAUTI rate and catheter utilization and the positive effect on health care workers' engagement and perspectives. CAUTI prevention campaigns can lead to lower infection rates and change health care workers' perspective.
