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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Infect+Control+Hosp+Epidemiol
2016 ; 37
(7
): 782-90
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The Impact of Methicillin-Resistant Staphylococcus aureus (MRSA) and
Vancomycin-Resistant Enterococcus (VRE) Flags on Hospital Operations
#MMPMID27019995
Shenoy ES
; Lee H
; Hou T
; Ware W
; Ryan EE
; Hooper DC
; Walensky RP
Infect Control Hosp Epidemiol
2016[Jul]; 37
(7
): 782-90
PMID27019995
show ga
OBJECTIVE To determine the impact of methicillin-resistant Staphylococcus aureus
and vancomycin-resistant Enterococcus (MRSA/VRE) designations, or flags, on
selected hospital operational outcomes. DESIGN Retrospective cohort study of
inpatients admitted to the Massachusetts General Hospital during 2010-2011.
METHODS Operational outcomes were time to bed arrival, acuity-unrelated
within-hospital transfers, and length of stay. Covariates considered included
demographic and clinical characteristics: age, gender, severity of illness on
admission, admit day of week, residence prior to admission, hospitalization
within the prior 30 days, clinical service, and discharge destination. RESULTS
Overall, 81,288 admissions were included. After adjusting for covariates,
patients with a MRSA/VRE flag at the time of admission experienced a mean delay
in time to bed arrival of 1.03 hours (9.63 hours [95% CI, 9.39-9.88] vs 8.60
hours [95% CI, 8.47-8.73]). These patients had 1.19 times the odds of
experiencing an acuity-unrelated within-hospital transfer [95% CI, 1.13-1.26] and
a mean length of stay 1.76 days longer (7.03 days [95% CI, 6.82-7.24] vs 5.27
days [95% CI, 5.15-5.38]) than patients with no MRSA/VRE flag. CONCLUSIONS
MRSA/VRE designation was associated with delays in time to bed arrival, increased
likelihood of acuity-unrelated within-hospital transfers and extended length of
stay. Efforts to identify patients who have cleared MRSA/VRE colonization are
critically important to mitigate inefficient use of resources and to improve
inpatient flow. Infect Control Hosp Epidemiol 2016;37:782-790.