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The Analysis of the Impact of a Mild, Low-iodine, Lotion Soap on the Reduction of Nosocomial Methicillin-Resistant Staphylococcus aureus: A New Opportunity for Surveillance by Objectives

Published online by Cambridge University Press:  02 January 2015

Kim M. Onesko  and
Eugene C. Wienke
Kim M. Onesko*
Affiliation:
Deaconess Hospital, St. Louis, Missouri
Eugene C. Wienke
Affiliation:
Deaconess Hospital, St. Louis, Missouri
*
CIGNA Health Plan, 1807 Park 270 Drive, St. Louis, MO 63146
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Abstract

A significant unremitting increase in the incidence of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infections in a 500-bed acute care community teaching hospital prompted reevaluation of the efficacy of the infection control measures used. A well-accepted, low-iodine, antimicrobial soap was used to replace a liquid natural handsoap in two areas with the highest incidence of MRSA—the intensive care unit, and a medical division.

Over a two-year period, an analysis was made of the effect of soap replacement on nosocomial infections and pathogens. Soap changeover occurred at the midpoint of the two-year period. From year to year, the nosocomial MRSA rate decreased 80% (t test, P=0.005). Other pathogens that demonstrated a dramatic decrease included methicillin-sensitive Staphylococcus aureus (MSSA), infections where no pathogens were isolated, and various gram-negative infections. Categories of nosocomial infections that decreased included surgical wound infections, primary bacteremias, and respiratory tract infections. The overall nosocomial infection rate of the two combined areas decreased 21.5%, representing a year-to-year savings of $109,500. As a result, the decision was made to install the low-iodine hand-soap permanently at all sinks within the hospital.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 8 , Issue 7 , July 1987 , pp. 284 - 288
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1987

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References

1.Thomson, RL, Cabezudo, I, Wenzel, RP, Epidemiology of nosocomial infections caused by methicillin-resistant Staphylococcus aureus. Ann Intern Med 1982;97:309–317.Google Scholar
2.McDonald, PJ, Methicillin-resistant Staphylococci: A sign of the times? Med J Aust 1982;445–446.Google Scholar
3.Gerken, MV, An outbreak of methicillin-resistant Staphylococcus aureus in a large medical center. Am Surg 1983;49:179–181.Google Scholar
4.Locksley, RM, Cohen, ML, Quinn, TC, et al: Multiply antibiotic-resistant Staphylococcus aureus: Introduction, transmission, and evolution of nosocomial infection. Ann Intern Med 1982;97:317–324.Google Scholar
5.Saravolatz, LD, Pohlod, DJ, Arking, LM, Community-acquired methicillin-resistant Staphylococcus aureus infections: A new source for nosocomial outbreaks. Ann Intern. Med 1982;97:325–329.Google Scholar
6.Arrow, PM, Allyn, PA, Nichols, EM, et al: Control of methicillin-resistant Staphylococcus aureus in a burn unit: Role of nurse staffing. J Trauma 1982;22:954–959.Google Scholar
7.Bartzokas, CA, Paton, JH, Gibson, MF, et al: Control and eradication of methicillin-resistant Staphylococcus aureus on a surgical unit. N Engl J Med 1984;311:1422–1425.Google Scholar
8.Jarvis, WR, White, JW, Munn, VP, et al: Nosocomial infection surveillance, 1983. MMWR CDC Surveitl Summ 1984;33:9SS–21SS.Google Scholar
9.Wenzel, RP, Methicillin-resistant Staph. Conversations in Infection Control 1984;5(4).Google Scholar
10.Haley, RW, Hightower, AW, Khabbaz, RF, et al: The emergence of methicillin-resistant Staphylococcus aureus infections in United States hospitals: Possible role of the house staff-patient transfer circuit. Ann Intern Med 1982;97:297–308.Google Scholar
11.Thomson, RL, Cabezudo, I, Wenzel, RP, Epidemiology of nosocomial infections caused by methicillin-resistant Staphylococcus aureus. Ann Intern Med 1982;97:309–317.Google Scholar
12.Crossley, K, Landesman, B, Zaske, D, An outbreak of infections caused by strains of Staphylococcus aureus resistant to methicillfn and aminoglycosides. Infect Dis 1979;139:280–287.Google Scholar
13.Berkleman, RL, Holland, BW, Anderson, RL, Increased bactericidal activity of dilute preparations Of povidone-iodine solutions. J Clin Microbiol 1982;15:635–639.Google Scholar
14.Haley, CE, Marling-Cason, M, Smith, JW, et al: Bactericidal activity of antiseptics against methicillin-resistant Staphylococcus aureus. J Clin Microbiol, April 1982, pp 635–639.Google Scholar
15.Gardner, IS, Bennett, JV, Scheckler, WE, et al: Surveillance of nosocomial infections. Proceedings of International Conference on Nosocomial Infections. CDC, Atlanta, GA, Aug 3-6, 1970.Google Scholar
16.Centers for Disease Control: Isolation techniques for use in hospitals. Government Printing Office, 1975.Google Scholar
17.Gardner, JS, Simmons, BP, Guidelines for isolation precautions in hospitals. Infect Control 1983;4:245–315.Google Scholar
18.Haley, RW, Surveillance by objective: A new priority-directed approach to the control of nosocomial infections. Am J Infect Control 1985;13:78–89.Google Scholar
19.Haley, RW, The “hospital epidemiologist” in US hospitals, 1976-1977: A description of the head of the infection surveillance and control program. Infect Control 1980;1:21–32.Google Scholar
20.Haley, RW, Schaberg, DR, Von Allmen, SD, et al: Estimating the extra charges and prolongation of hospitalization due to nosocomial infections: A comparison of methods. J Infect Dis 1980;141:248–257.Google Scholar
21.Haley, RW, Schaberg, DR, Crossley, KB, et al: Extra charges and prolongation of hospitalization due to nosocomial infections: A prospective inter-hospital comparison. Am J Med 1981;70:51–58.Google Scholar
22.Pinner, RW, Haley, RW, Blumenstein, BA, et al: High cost of nosocomial infections. Infect Control 1982;3:143–149.Google Scholar