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System-wide Surveillance for Clinical Encounters by Patients Previously Identified with MRSA and VRE

机译：以前用MRSA和VRE鉴定的患者对临床遭遇的全系统监测

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Methicillin-resistant Staphylococcus aureus (MRSA) and vanco-mycin-resistant Enterococci (VRE) have emerged as major infection control problems worldwide. Patients previously infected or colonized with MRSA or VRE need to be identified and often isolated as soon as they visit a health care facility. Infection control personnel usually are not aware when these patients enter their facilities. We developed a system-wide surveillance system to alert infection control personnel when patients with previous MRSA or VRE cultures from LDS Hospital have subsequent clinical encounters at any inpatient or outpatient facility at Intermountain Health Care (IHC). This paper describes this system and includes the results from an initial study on the potential epidemiological benefits provided to help improve patient care. The study found that patients with previous MRSA and VRE had subsequent encounters at 62 different IHC facilities up to 304 miles away from 1 day to over 5 years later. In addition, the new surveillance system was able to alert infection control personnel whenever these patients visited any IHC inpatient or outpatient facility,
机译：耐甲氧西林金黄色葡萄球菌（MRSA）和万科霉素耐药肠球菌（VRE）已经成为全球主要的感染控制问题。患者以前感染或与MRSA或VRE殖民统治的需要被识别，往往只要他们参观医疗机构隔离。感染控制人员通常都没有意识到，当这些患者进入他们的设施。我们开发了一个系统范围内的监控系统，警报感染控制人员，当患者从医院LDS以前MRSA或VRE文化有在在山间医疗保健（IHC）的任何住院或门诊设施的后续临床会诊。本文介绍了该系统，包括从提供帮助潜在的流行病学效益的初步研究结果改善病人护理。研究发现，患者既往MRSA和VRE曾在62个不同IHC设施随后遭遇了304英里远从1天到5年以后。此外，新的监控系统能够警惕感染控制人员只要这些病人去过的IHC住院或门诊设施，

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