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Title: Correlation between meticillin-resistant Staphylococcus aureus prevalence and infection control initiatives within southern and eastern Mediterranean hospitals
Authors: Borg, Michael A.
Cookson, Barry D
Rasslan, Ossama
Gür, Deniz
Redjeb, SaidaBen
Benbachir, Mohamed
Rahal, K.
Bagatzouni, Despo Pieridou
Nasser, Ziad El
Daoud, Ziad
Scicluna, Elizabeth A.
Affiliations: Faculty of Medicine 
Keywords: Antibiotic resistance
Subjects: Infection Control
Issue Date: 2009
Part of: Journal of hospital infection
Volume: 71
Issue: 1
Start page: 36
End page: 42
The Mediterranean region has been identified as an area of hyper-endemicity for multi-resistant hospital pathogens. To better understand potential drivers behind this situation, we attempted to correlate already published meticillin-resistant Staphylococcus aureus (MRSA) data from 27 hospitals, participants in the Antibiotic Resistance Surveillance & Control in the Mediterranean Region (ARMed) project, with responses received from the same institutions to questionnaires which dealt with various aspects of infection control and antibiotic stewardship. No difference could be ascertained between high and low prevalence hospitals in terms of scores from replies to structured questions regarding infection control set-up, hand hygiene facilities and antibiotic stewardship practices. However, we did identify differences in terms of bed occupancy and isolation facilities. Hospitals reporting frequent episodes of overcrowding, particularly involving several departments, and which found regular difficulties sourcing isolation beds, had significantly higher MRSA proportions. This suggests that infrastructural deficits related to insufficient bed availability and compounded by inadequate isolation facilities could potentiate MRSA hyper-endemicity in south-eastern Mediterranean hospitals.
DOI: 10.1016/j.jhin.2008.09.007
Ezproxy URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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