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首页> 外文期刊>BMJ: British medical journal >Clarity is needed on which sites to screen
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Clarity is needed on which sites to screen

机译：需要清晰的网站屏幕

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摘要

Kluytmans and Struelens, in their clinical review on meticillin resistant Staphylococcus aureus (MRSA) in hospital, concluded that the most important site to screen for MRSA carriage was the nose and that screening other non-clinical sites (perineum, groin, or axilla) was not useful.This is contrary to the practice in most UK hospitals, where the perineum and groin are also screened on the basis of the national guidelines published in 2006. Screening the nose alone will detect around 80% of carriers; includingthe perineum increases this to 93%. Not only is the overall detection rate increased, but detection of perineal carriers is important because this is correlated with more heavy dispersal of MRSA into the environment.This is an important issue for trusts having to implement the Department of Health's requirement to screen all elective admissions by 1 April 2009. The two sets of operational guidance do not specify which sites should be screened apart from the nose, and it is left to the microbiologistand infection prevention and control teams to make the decision.
机译：Kluytmans Struelens,临床检查meticillin耐药金黄色葡萄球菌在医院(MRSA),得出的结论是,最耐甲氧西林金黄色葡萄球菌马车的重要网站屏幕的鼻子和其他非临床筛查网站(会阴、腹股沟或腋窝)不是有用的。英国医院、会阴和腹股沟还筛选的基础上的国家在2006年出版的指导方针。独自一人会发现大约80%的运营商;包括会阴增加93%。只是总体检出率增加,但是会阴运营商检测是很重要的因为这是与更重分散的耐甲氧西林金黄色葡萄球菌的环境。信任必须实现的重要问题卫生部要求的屏幕2009年4月1日所有选择性招生。设置的操作指南没有指定网站应该筛选除了鼻子,这是留给microbiologistand感染预防和控制团队的的决定。

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