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Full-Text Articles in Immunology and Infectious Disease

Viewpoint: A Response To "Screening And Isolation To Control Methicillin-Resistant Staphylococcus Aureus: Sense, Nonsense, And Evidence", Kevin T. Kavanagh, Lindsay Calderon, Daniel Saman Nov 2015

Viewpoint: A Response To "Screening And Isolation To Control Methicillin-Resistant Staphylococcus Aureus: Sense, Nonsense, And Evidence", Kevin T. Kavanagh, Lindsay Calderon, Daniel Saman

Biological Sciences Faculty and Staff Research

Surveillance and isolation for the prevention of methicillin-resistant Staphylococcus aureus (MRSA) has become a controversial topic, one that causes heated debate and appears to be surrounded by both politics and industrial conflicts-of-interest. There have been calls from numerous authors for a movement away from rigid mandates and toward an evidence-based medicine approach. However, much of the evidence can be viewed with an entirely different interpretation. Two major studies with negative findings have had an adverse impact on recommendations regarding active detection and isolation (ADI) for MRSA. However the negative findings in these studies can be explained by shortcomings in study …


The Use Of Surveillance And Preventative Measures For Methicillin-Resistant Staphylococcus Aureus Infections In Surgical Patients, Kevin T . Kavanagh, Lindsay Calderon, Daniel Saman, Said Abusalem Jan 2014

The Use Of Surveillance And Preventative Measures For Methicillin-Resistant Staphylococcus Aureus Infections In Surgical Patients, Kevin T . Kavanagh, Lindsay Calderon, Daniel Saman, Said Abusalem

Biological Sciences Faculty and Staff Research

The Agency for Healthcare Research & Quality (AHRQ) found that Methicillin-resistant Staphylococcus aureus (MRSA) is associated with up to 375,000 infections and 23,000 deaths in the United States. It is a major cause of surgical site infections, with a higher mortality and longer duration of care than Methicillin-sensitive Staphylococcus aureus. A multifactorial bundled approach is needed to control this epidemic, with single interventions unlikely to have a significant impact on attenuating MRSA infection rates.
Active surveillance has been studied in a wide range of surgical patients, including surgical intensive care and non-intensive care units; cardiac, vascular, orthopedic, obstetric, head and …