Christian Backer Mogensen, Poul Kjældgaard, Charlotte Jensen and Ming Chen, Akutforskningsenheden, Sygehus Sønderjylland MRSA screening in ED detects a minority of MRSA carriers.
2 Enheden for akutforskning
3 MRSA carriage Enheden for akutforskning
4
5
6
7
Aim: The aim of this study was to estimate the prevalence of MRSA among all acutely admitted ED patients and to evaluate the ability of the NBH screening tool to detect MRSA patients. 8 Enheden for akutforskning
9 Methods: ED: entrance to the hospital 3 month survey 1220 patients Enheden for akutforskning
Results: How many acute patients have MRSA ? 0 % 0,5% 1% 2% 5% 10% 10 Enheden for akutforskning
11 of 1220 patients = 0.9 % 11 Enheden for akutforskning
How is the SST screening working ? 12 Enheden for akutforskning
How many MRSA patients do we find by SST screening questions? 20 % 30% 50% 70% 100% 13 Enheden for akutforskning
14 Enheden for akutforskning
15 Enheden for akutforskning
16 Enheden for akutforskning
17 Enheden for akutforskning
Conclusion and discussion We do not identify the majority of MRSA carriers in the ED. Can we improve ? How ? 18 Enheden for akutforskning
More careful screening using present questions? Other questions ? Screening of all patients ? The HIV approach: pretend all has MRSA ? 19
20 Enheden for akutforskning