The use of active surveillance cultures in adult intensive care units to reduce methicillin-resistant Staphylococcus aureus-related morbidity, mortality, and costs: a systematic review
K. McGinigle, M. Gourlay, и I. Buchanan. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America, 46 (11):
1717--25(июня 2008)PMID: 18494098.
DOI: 18494098
Аннотация
Active surveillance cultures (ASCs) are universal or targeted microbiological screening cultures for patients admitted to a hospital. ASCs have been proposed to control the increasing numbers of infections due to multidrug-resistant organisms, but their efficacy and cost-effectiveness are unproven. We conducted a systematic review of the literature pertaining to the use of ASCs and control of methicillin-resistant Staphylococcus aureus (MRSA). We searched relevant journals and the PubMed Medline, Web of Science, CINAHL, and Cochrane Library databases. No randomized, controlled trials were identified. Sixteen observational studies and 4 economic analyses were reviewed. Only 2 of the observational studies had a control group. None of the studies were of good quality. Thus, we identified important gaps in the literature, including a need for a clear definition of ASCs, a clear implementation protocol, and rigorous economic evaluations. Existing evidence may favor the use of ASCs, but the evidence is of poor quality, and definitive recommendations cannot be made.
Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
номер
11
страницы
1717--25
том
46
issn
1537-6591
shorttitle
The use of active surveillance cultures in adult intensive care units to reduce methicillin-resistant Staphylococcus aureus-related morbidity, mortality, and costs
%0 Journal Article
%1 mcginigle_use_2008
%A McGinigle, Katharine L
%A Gourlay, Margaret L
%A Buchanan, Ian B
%D 2008
%J Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
%K Adult, Care Humans, Infections, Intensive Methicillin Morbidity, Resistance, Staphylococcal Staphylococcus Units, aureus
%N 11
%P 1717--25
%R 18494098
%T The use of active surveillance cultures in adult intensive care units to reduce methicillin-resistant Staphylococcus aureus-related morbidity, mortality, and costs: a systematic review
%U http://www.ncbi.nlm.nih.gov/pubmed/18494098
%V 46
%X Active surveillance cultures (ASCs) are universal or targeted microbiological screening cultures for patients admitted to a hospital. ASCs have been proposed to control the increasing numbers of infections due to multidrug-resistant organisms, but their efficacy and cost-effectiveness are unproven. We conducted a systematic review of the literature pertaining to the use of ASCs and control of methicillin-resistant Staphylococcus aureus (MRSA). We searched relevant journals and the PubMed Medline, Web of Science, CINAHL, and Cochrane Library databases. No randomized, controlled trials were identified. Sixteen observational studies and 4 economic analyses were reviewed. Only 2 of the observational studies had a control group. None of the studies were of good quality. Thus, we identified important gaps in the literature, including a need for a clear definition of ASCs, a clear implementation protocol, and rigorous economic evaluations. Existing evidence may favor the use of ASCs, but the evidence is of poor quality, and definitive recommendations cannot be made.
@article{mcginigle_use_2008,
abstract = {Active surveillance cultures {(ASCs)} are universal or targeted microbiological screening cultures for patients admitted to a hospital. {ASCs} have been proposed to control the increasing numbers of infections due to multidrug-resistant organisms, but their efficacy and cost-effectiveness are unproven. We conducted a systematic review of the literature pertaining to the use of {ASCs} and control of methicillin-resistant Staphylococcus aureus {(MRSA).} We searched relevant journals and the {PubMed} Medline, Web of Science, {CINAHL,} and Cochrane Library databases. No randomized, controlled trials were identified. Sixteen observational studies and 4 economic analyses were reviewed. Only 2 of the observational studies had a control group. None of the studies were of good quality. Thus, we identified important gaps in the literature, including a need for a clear definition of {ASCs,} a clear implementation protocol, and rigorous economic evaluations. Existing evidence may favor the use of {ASCs,} but the evidence is of poor quality, and definitive recommendations cannot be made.},
added-at = {2011-03-11T10:05:34.000+0100},
author = {{McGinigle}, Katharine L and Gourlay, Margaret L and Buchanan, Ian B},
biburl = {https://www.bibsonomy.org/bibtex/20b2fe266aec757a1e82c002cf2acd5a5/jelias},
doi = {18494098},
interhash = {bf5277e28dc22200ffa033f42df056c0},
intrahash = {0b2fe266aec757a1e82c002cf2acd5a5},
issn = {1537-6591},
journal = {Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America},
keywords = {Adult, Care Humans, Infections, Intensive Methicillin Morbidity, Resistance, Staphylococcal Staphylococcus Units, aureus},
month = jun,
note = {{PMID:} 18494098},
number = 11,
pages = {1717--25},
shorttitle = {The use of active surveillance cultures in adult intensive care units to reduce methicillin-resistant Staphylococcus aureus-related morbidity, mortality, and costs},
timestamp = {2011-03-11T10:06:11.000+0100},
title = {The use of active surveillance cultures in adult intensive care units to reduce methicillin-resistant Staphylococcus aureus-related morbidity, mortality, and costs: a systematic review},
url = {http://www.ncbi.nlm.nih.gov/pubmed/18494098},
volume = 46,
year = 2008
}