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Comparison of recommendations in national/regional Guidelines for prevention and control of MRSA in thirteen European countries

机译：欧洲/欧洲十三国预防和控制MRSA的国家/地区指南中建议的比较

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摘要

A comparison of methicillin-resistant Staphylococcus aureus (MRSA) prevention and control recommendations, as stated in national/regional guidelines of 13 European countries was performed based on a structured questionnaire filled by representatives of professional societies or institutions. The aim of this study was to be a source of guidelines, references and views which can inform discussions at national/regional/local levels. Countries were devided in two groups based on proportion of MRSA in blood cultures positive with Staphylococcus aureus retrieved from EARSS 2008: low proportion (4 countries) and higher proportion (9 countries). Guidelines from all respective countries have several common general recommendations: MRSA-positive patients have to have the same care as those that are not carrying MRSA, hand hygiene measures including the use of alcohol hand rubs are identified as important in the prevention of MRSA spread, environmental cleaning and/or disinfection has to be performed routinely, and personal protective equipment has to be used whilst working with MRSA positive patients. Surveillance and screening is also a part of all guidelines. Major differences among low and higher MRSA proportion countries, identified as successful practices, were: have guidelines and update it regularly, have guidelines not only for hospitals, but also for nursing homes and home practice, isolate MRSA positive patients in single room, perform MRSA screening based on risk categories in hospitals and nursing homes, and perform decolonisation of MRSA carriers.
机译：根据由专业协会或机构代表填写的结构化问卷，对13个欧洲国家的国家/地区指南中所述的耐甲氧西林金黄色葡萄球菌（MRSA）预防和控制建议进行了比较。这项研究的目的是成为指导，参考和观点的来源，这些信息可以为国家/地区/地方层面的讨论提供参考。根据从EARSS 2008检索到的金黄色葡萄球菌阳性的血液培养物中MRSA的比例，将国家分为两组：低比例（4个国家）和高比例（9个国家）。各个国家/地区的指南均提出了几项通用的一般性建议：MRSA阳性患者必须与未携带MRSA的患者获得相同的护理，手卫生措施（包括使用酒精擦手液）被认为对预防MRSA传播很重要，必须对MRSA阳性患者进行例行的环境清洁和/或消毒，并且必须使用个人防护设备。监视和筛查也是所有准则的一部分。在成功率较低的MRSA比例较高的国家之间的主要差异是：制定指南并定期更新，不仅针对医院，还针对疗养院和家庭实践制定指南，将MRSA阳性患者隔离在一个房间中，进行MRSA根据医院和疗养院的风险类别进行筛查，并对MRSA携带者进行非殖民化。

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