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Success of MRSA eradication in hospital routine: depends on compliance.

机译：在医院常规中成功根除MRSA：取决于依从性。

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BACKGROUND: To prevent transmission of MRSA, eradication by antiseptic washings and nasal ointment is recommended. There are few studies, which investigated the success of eradication of MRSA carriage during everyday clinical working conditions and results are controversial. We wanted to assess the effectiveness of MRSA eradication procedures--especially octenidine whole body washings and mupirocin nasal ointment--under conditions of everyday life. PATIENTS AND METHODS: We retrospectively analyzed the files of all patients who were admitted to the medical department of a tertiary care hospital between 1999 and 2004 and who were infected or colonized by MRSA. According to hospital's standards of care patients should have been washed with octenidine and should have got mupirocin nasal ointment only in case of nasal carriage. Patients were regarded as MRSA-eradicated when swabs taken on three consecutive days, earliest, three days after discontinuation of antiseptic and antiinfective procedures were without proof of MRSA. RESULTS: Only 6% of patients were eradicated. MRSA could be cultured from swabs taken on dismissal of 60% of patients. Fifteen percent of patients had only one or two negative series of swabs. In 19% of patients success of eradication remained unknown. Besides we found that under every day clinical working conditions compliance with several tasks of the eradication protocol was insufficient. CONCLUSION: Under every day clinical working conditions MRSA eradication is successful only in few patients. Whole body washings should be tested in detailed studies before they should become a recommendation for eradication of MRSA.
机译：背景：为防止MRSA传播，建议通过消毒剂冲洗和鼻软膏根除。很少有研究调查了在日常临床工作条件下根除MRSA支架的成功性，并且结果存在争议。我们希望评估在日常生活条件下根除MRSA的程序（尤其是奥丁啶全身冲洗液和莫匹罗星鼻软膏）的有效性。病人和方法：我们回顾性分析了1999年至2004年间三级医院医疗部门收治并感染MRSA的所有患者的病历。根据医院的护理标准，患者应已用辛烯丁胺清洗，并且仅在鼻腔运输的情况下才应使用莫匹罗星的鼻药膏。如果在抗菌和抗感染程序终止后连续三天，最早，连续三天服用棉签而没有MRSA证据，则将患者视为MRSA根除。结果：只有6％的患者被根除。 MRSA可以从60％的患者解散后的拭子中培养而来。 15％的患者只有一次或两次阴性系列拭子。在19％的患者中，根除的成功仍然未知。此外，我们发现在每天的临床工作条件下，根除根除方案的多项任务均不够。结论：在每天的临床工作条件下，根除MRSA仅在少数患者中是成功的。全身清洗剂应进行详细的研究测试，然后才能成为根除MRSA的建议。

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