MRSA筛查：有缺陷的医院感染控制干预方式
Infect Control Hosp Epidemiol 2008;29:1012–1018 © 2008 by The Society for Healthcare Epidemiology of America. All rights reserved.0899-823X/2008/2911-0003$15.00
DOI: 10.1086/593120
Original Article
Screening for MRSA: A Flawed Hospital Infection Control InterventionMRSA筛查：有缺陷的医院感染控制干预方式Richard P. Wenzel, MD, MSc;
Gonzalo Bearman, MD, MPH;
Michael B. Edmond, MD, MPH, MPA
From the Department of Internal Medicine, Medical College of Virginia Campus, Virginia Commonwealth University, Richmond, Virginia (all authors).
Focusing hospital resources on a single antibiotic-resistant pathogen as a sole approach to infection control is inherently flawed. We applied attributable mortality principles to a basic model of bloodstream infections to outline the argument. Screening for methicillin-resistant Staphylococcus aureus alone made sense in the 1980s, but the ongoing emergence of vancomycin-resistant enterococci and antibiotic-resistant strains of gram-negative rods and Candida species, as well as the recognition of the value of team-based infection control programs, support a population-based approach.
Received June 9, 2008; accepted September 4, 2008; electronically published October 20, 2008.
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