Prevention and control of methicillin-resistant Staphylococcus aureus infection is a crucial challenge of infection prevention as MRSA is a major cause of healthcare-associated infections, particularly in critically ill patients. In 2017, Mount St. Mary’s Hospital and Health Center, recognizing that hospital-acquired MRSA is a major cause of illness and death in the hospital population, began an initiative to reduce the infection among their patients.
Immediately, the hospital reviewed the current patient bathing protocols and best practice literature. With the full support of administration, clinical and medical staff leadership, daily bathing with chlorhexidine gluconate was implemented. Additionally, the organization developed patient educational tools and tip sheets for associates to use. Environmental services staff placed educational brochures in each patient room.
The MRSA standardized infection ratio decreased from 3.704 per 1,000 hospitalizations in 2016, to 1.984 in 2017, to a 2018 rate of 0.000. As of this date, they have not had a MRSA bloodstream infection. The facility saw improvement in frontline nurse and nurse attendant awareness of the benefit of chlorhexidine gluconate bathing, increased hand hygiene observations and a more accurate accounting of hand hygiene monitoring and compliance.
For more information, contact Joelyn Quigliano, CPHRM, director, quality and patient safety at (716) 298-2002 or firstname.lastname@example.org.