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Effectiveness of Extended Infection Control Measures on Methicillin-Resistant Staphylococcus aureus Infection Among Orthopaedic Patients

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Abstract

Purpose

The purpose of the study was to find the effectiveness of Extended Infection Control Measures (EICM) in reducing the rate of methicillin-resistant Staphylococcus aureus (MRSA) infection among orthopaedic surgery patients.

Methods

The study adopted a quasi-experimental design and was conducted in the orthopaedic units of a tertiary care hospital. This study recruited 168 orthopaedic patients and 154 healthcare professionals (HCPs). EICM included hand hygiene, decolonizing the patients and HCPS, staff education, feedback of surveillance data, treatment of high-risk and MRSA-infected patients, having separate equipment for MRSA-infected patients, and appropriate cleaning of patient’s unit.

Results

The EICM effectively reduced MRSA infection from 21.2 to 6% (p < 0.001). It also resulted in improving the knowledge of HCPs in the prevention and management of MRSA infection (p < 0.001), and all colonized HCPs were successfully (100%) decolonized.

Conclusion

EICM is a promising intervention to combat MRSA infection among orthopaedic wards. Hence, it can be executed in orthopaedic wards, thereby improving the treatment quality and reducing the infection-related consequences.

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Data Availability

Data are available.

Code Availability

Not applicable.

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Acknowledgements

We acknowledge the experts for validating the questionnaires and teaching materials; Dr Elissa Ladd, PhD, RN, FNP-BC, Associate Professor, Coordinator -Adult/Gerontology Nurse Practitioner Program, MGH Institute of Health Professions, Boston, Dr Muralidhar Varma, Associate Professor and Chairperson, Hospital Infection Control Committee, Kasturba Hospital Manipal, Manipal Academy of Higher Education, Manipal, Dr Christopher Sudhaker, Professor and Deputy Director, Quality Compliance, Manipal Academy of Higher Education, Manipal, Dr Judith Noronha, Professor and Associate Dean, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Manipal and Dr Mamatha S. Pai, Professor, Manipal College of Nursing Manipal, Manipal Academy of Higher Education, Manipal.

Funding

Authors of this study did not receive any funding for this study.

Author information

Authors and Affiliations

  1. College of Nursing, All India Institute of Medical Sciences, Kalyani, West Bengal, India

    T. Latha

  2. Department of Orthopedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India

    Anil K. Bhat

  3. Department of Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India

    H. Manjunatha Hande

  4. Department of Microbiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India

    Chiranjay Mukhopadhyay

  5. Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India

    Elsa Sanatombi Devi

  6. Department of Medical Surgical Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India

    Baby S. Nayak & Anice George

  7. Manipal-McGill Centre for Infectious Diseases, Manipal Academy of Higher Education, Manipal, Karnataka, India

    T. Latha, Anil K. Bhat & Chiranjay Mukhopadhyay

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Contributions

Conceptualization: LT and AKB. Data curation: LT and CM. Formal analysis: LT, AK, and BSN. Investigation: CM, ESD, and BSN. Methodology: LT, AKB, HMH, BSN, and AG. Project administration: LT, AKB, and ESD. Supervision: AKB, HMH, and AG. Validation: LT, AKB, CM, and AG. Writing–original draft: LT, AKB, and ESD. Writing–review and editing: LT, AKB, HMH, CM, ESD, BSN, and AG.

Corresponding author

Correspondence to Anil K. Bhat.

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The authors declare that they have no conflict of interest.

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Institutional research board and Institutional Ethics Committee have approved the study (Reference No: IEC 224/2012).

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Latha, T., Bhat, A.K., Hande, H.M. et al. Effectiveness of Extended Infection Control Measures on Methicillin-Resistant Staphylococcus aureus Infection Among Orthopaedic Patients. JOIO 56, 1804–1812 (2022). https://doi.org/10.1007/s43465-022-00713-5

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