Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-20T03:32:42.975Z Has data issue: false hasContentIssue false
  • English
  • Français

Methicillin-Resistant Staphylococcus aureus Control in Hospitals: The French Experience

Published online by Cambridge University Press:  02 January 2015

Hervé Richet ,
Michel Wiesel ,
Florence Le Gallou ,
Béatrice André-Richet ,
Eric Espaze  and
Association des Pays de la Loire pour l'Eviction des Infections Nosocomiales
Hervé Richet*
Affiliation:
Laboratoire de Bactériologie-Virologie-Hygiène Hospitalière, Centre Hospitalier Universitaire de Nantes, Nantes Cedex, Centre Hospitalier de La Roche sur Yon, La Roche sur Yon, France
Michel Wiesel
Affiliation:
Unité d'Hygiène Hospitalière, Centre Hospitalier de La Roche sur Yon, La Roche sur Yon, France
Florence Le Gallou
Affiliation:
Laboratoire de Bactériologie-Virologie-Hygiène Hospitalière, Centre Hospitalier Universitaire de Nantes, Nantes Cedex, Centre Hospitalier de La Roche sur Yon, La Roche sur Yon, France
Béatrice André-Richet
Affiliation:
Laboratoire de Bactériologie-Virologie-Hygiène Hospitalière, Centre Hospitalier Universitaire de Nantes, Nantes Cedex, Centre Hospitalier de La Roche sur Yon, La Roche sur Yon, France
Eric Espaze
Affiliation:
Laboratoire de Bactériologie-Virologie-Hygiène Hospitalière, Centre Hospitalier Universitaire de Nantes, Nantes Cedex, Centre Hospitalier de La Roche sur Yon, La Roche sur Yon, France
*
Laboratoire de Bactériologie-Virologie-Hygiène Hospitalière, Institut de Biologie des Hôpitaux de Nantes 9, quai Moncousu, 44035 Nantes Cedex 01, France
Get access Rights & Permissions [Opens in a new window]

Abstract

The first cases of isolation of Staphylococcus aureus resistant to methicillin in France were published in 1962. However, until recently, very few epidemiological studies or attempts to control the epidemic have been done in France. In this article, we present the results of a prospective study performed during a 3-month period in 27 hospitals of the Région des Pays de la Loire. Among the 94,605 hospitalized patients included in the study, 0.45% (427) developed methicillin-resistant Staphylococcus aureus (MRSA) infections, the incidence rate ranging from 0% to 1.2%. Thirty-four percent of MRSA-infected patients were 80 years old or older, 30% had been transferred from another service and 19% from another hospital, 56% were hospitalized at least once during the previous year, MRSA had been isolated at least once previously in 18% of MRSA-infected patients, 19% died, 16% were transferred to another service and 11% to another hospital, and only 32% were discharged to their homes. A poor compliance to contact isolation precautions was observed in all hospitals: 46% of MRSA-infected patients were hospitalized in a private room; gloves, masks, and gowns were worn for the care of 63.4%, 14%, and 42.5% of MRSA-infected patients, respectively; and handwashing was feasible in the rooms of 52% of the patients.

Type
From the Fourth International Conference on the Prevention of Infection
Information
Infection Control & Hospital Epidemiology , Volume 17 , Issue 8 , August 1996 , pp. 509 - 511
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Régnier, B. Les services de réanimation sont les épicentres des épidémies hospitalières de bactéries multi-résistantes aux antibiotiques. Réan Urg 1993;2:363–365.CrossRefGoogle Scholar
2. Voss, A, Milatovic, D, Wallrauch-Schwartz, C, Rosdhal, VT, Braveny, I. Methicillin-resistant Staphylococcus aureus in Europe. Eur J Clin Microbiol Infect Dis 1994;13:50–55.Google Scholar
3. Boyce, JM. Patterns of methicillin-resistant S aureus prevalence. Infect Control Hosp Epidemiol 1991;12:79–82.Google Scholar
4. Chabbert, YA, Baudens, JG. Souches de staphylocoques résistants naturellement à la méticilline et à la 5-méthyl-3-phényl-4iso oxazolyl-pénicilline. Ann Inst Pasteur 1962;103:222–230.Google Scholar
5. Leclercq, R. Methicillin-resistant S aureus in France: evolution and present status. In: Brun-Buisson, C, Casewell, MW, El Sohl, N, Régnier, B, eds. Methicillin-Resistant Staphylococci. Paris, France: Maurice Rapin Colloquia, Médecine-Sciences Flammarion; 1995:92–99.Google Scholar
6. Régnier, B. Les bactéries multirésistantes aux antibiotiques en réanimation: contexte épidémiologique et stratégie de maîtrise. Path Biol 1996;44:113–123.Google Scholar
7. Acar, J, Bergogne-Bérézin, E, Chabbert, Y, et al. Coomuniqué 1992 du Comité de l'Antibiogramme de la Société Française de Microbiologie. Path Biol 1992;40:741–748.Google Scholar
8. Boyce, JM. Methicillin-resistant Staphylococcus aureus in hospitals and long-term care facilities: microbiology, epidemiology, and preventive measures. Infect Control Hosp Epidemiol 1992;13:725–737.Google Scholar