{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T16:21:46Z","timestamp":1759335706407,"version":"3.44.0"},"reference-count":0,"publisher":"SMW Supporting Association","issue":"2728","license":[{"start":{"date-parts":[[2011,7,4]],"date-time":"2011-07-04T00:00:00Z","timestamp":1309737600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Swiss Med Wkly"],"abstract":"<jats:p>OBJECTIVE:  To prospectively evaluate new guidelines for MRSA admission screening and pre-emptive  isolation implemented in response to a doubling of newly diagnosed MRSA  patients in 2007.\n        DESIGN: One-year  surveillance (04\/2008\u201303\/2009).\n        SETTING:  Patients admitted to the tertiary-care hospital in St. Gallen (700 beds) and 10  affiliated public hospitals (890 beds) in Eastern   Switzerland (MRSA rate 2.5% in isolates).\n        PATIENTS:  Except for known MRSA carriers, all patients who underwent admission screening  in accordance with the guidelines and all MRSA patients newly detected by a clinical  sample were included.\n        METHODS: Depending  on epidemiological factors (stay in a foreign hospital, a Swiss hospital with known  high MRSA prevalence, or a chronic care facility) and personal risk factors  (wound, tracheostoma, urinary catheter, IVDU), patients were risk stratified into  screening and isolation, only screening or no screening at all. MRSA admission  screening included nasal, throat and axillary\/inguinal swabs, supplemented by  wound swabs, urine and respiratory secretion whenever appropriate (conventional  culture).\n        RESULTS:A total of6\/161 (3.7%) MRSA admission screenings yielded positive results  (number needed to screen: 27). 2\/32 (6.3%) pre-emptively isolated  patients were positive (number needed to isolate: 16). Only 6\/27 (22.2%) newly  diagnosed MRSA patients were detected by admission screening, and the remaining  patients were detected by clinical sample during hospitalisation. A total of 80%  of the MRSA positive patients had wounds. Swabs of axilla\/inguina did not  increase the sensitivity of the admission screening.\n        CONCLUSIONS:In the setting of low MRSA prevalence,  admission screening of patients at high risk for MRSA carriage detected only  one out of five newly diagnosed MRSA patients, emphasising the importance of  standard precautions for the prevention of MRSA transmission.<\/jats:p>","DOI":"10.4414\/smw.2011.13217","type":"journal-article","created":{"date-parts":[[2011,10,27]],"date-time":"2011-10-27T03:48:08Z","timestamp":1319687288000},"page":"w13217","source":"Crossref","is-referenced-by-count":2,"title":["MRSA admission  screening in a low prevalence setting \u2013 much ado about nothing?"],"prefix":"10.57187","volume":"141","author":[{"given":"G","family":"Rettenmund","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Schlegel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"36756","published-online":{"date-parts":[[2011,7,4]]},"container-title":["Swiss Medical Weekly"],"original-title":[],"link":[{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1316\/1516","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1316\/1517","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/download\/1316\/1516","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,15]],"date-time":"2025-08-15T03:01:39Z","timestamp":1755226899000},"score":1,"resource":{"primary":{"URL":"https:\/\/smw.ch\/index.php\/smw\/article\/view\/1316"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,7,4]]},"references-count":0,"journal-issue":{"issue":"2728","published-online":{"date-parts":[[2011,7,4]]}},"URL":"https:\/\/doi.org\/10.4414\/smw.2011.13217","relation":{},"ISSN":["1424-3997"],"issn-type":[{"type":"electronic","value":"1424-3997"}],"subject":[],"published":{"date-parts":[[2011,7,4]]}}}