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Control of MSSA and MRSA in the United States: protocols policies risk adjustment and excuses

机译：在美国控制MSSA和MRSA：协议政策风险调整和借口

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Data released by the U.S. Centers for Disease Control and Prevention (CDC) on March 5, 2019 showed that Staph aureus infections are a major problem in the United States, with 119,000 infections and almost 20,000 deaths in 2017. Rates of decline for hospital-onset MRSA have slowed since 2012 and the United States is not on track for meeting the 2015 U.S. Dept. of Health and Human Services’ goal of a 50% reduction by 2020. There is a need for improved standards for control of dangerous pathogens. Currently, the World Health Organization’s recommendation of preoperatively screening patients for Staph aureus has not become a standard of care in the United States.The U.S. Veterans Health Administration also released data which found a much larger decrease in hospital-onset MRSA infections as opposed to hospital-onset MSSA using various infectious disease bundles that all included universal MRSA surveillance and isolation for MRSA carriers. These results mirror the results obtained by the United Kingdom’s National Health Service. These findings support the contention that the marked decline in hospital-onset MRSA infections observed in these studies is due to interventions which are specifically targeted towards MRSA.A case is made that concerns with the integrity of healthcare policy research, along with industrial conflicts-of-interest have inhibited effective formulation of infectious disease policy in the United States. Because MRSA has become endemic in the general U.S. population (approximately 2%), the author advocates that universal facility-wide screening of MRSA on admission be included in infection prevention bundles used at U.S. hospital.
机译：美国疾病控制与预防中心（CDC）在2019年3月5日发布的数据显示，金黄色葡萄球菌感染是美国的主要问题，2017年有119,000例感染，近20,000例死亡。自2012年以来，MRSA的速度有所放慢，美国也未能实现2015年美国卫生与公共服务部的目标，即到2020年将其减少50％。有必要提高控制危险病原体的标准。目前，世界卫生组织对术前筛查金黄色葡萄球菌的建议在美国尚未成为标准治疗方法。美国退伍军人卫生管理局还发布了数据，发现与医院相比，医院发病的MRSA感染减少的幅度更大使用各种传染性疾病捆绑的多发性MSSA，这些捆绑都包括通用的MRSA监视和针对MRSA携带者的隔离。这些结果反映了英国国家卫生局的结果。这些发现支持这样的论点，即在这些研究中观察到的医院发作的MRSA感染显着下降是由于专门针对MRSA的干预措施引起的。该案例涉及医疗政策研究的完整性以及行业冲突。利益已抑制了美国对传染病政策的有效制定。由于MRSA已在美国一般人群中流行（约2％），因此作者主张在美国医院使用的感染预防套装中应包括入院时对MRSA进行全厂通用筛查。

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