Abstract
We performed a surveillance of MRSA-infections and-carriers who were admitted to the Center of Critical Care Medicine (CCM). Nine hundred ninety six patients were admitted to our CCM since September '96 to March'98 and were checked for MRSA in their nasal cavity or bronchial secretions at the time of admission and discharge.
The annual cases with MRSA-positive at admission were 27 (2.7%). Thirty one patients changed to MRSA-infection during admission. Bacteriological studies of 15 cases, each of the two strains of 3 periods were similar to the type of coagulase and MIC. MRSA-carriers already had been hospitalized prior to admission to our CCM. MRSA-infected patients were seriously ill and had been treated with antibiotics for long time. We avoided nasokomical infection by isolation of patients and sterilization of beds. Those patients who have been transfered from other wards and patients with infections pulmonary diseases would be better to treat as MRSA-positive patients with high risks.
ICU patients who have heed transferred from other units inside of the hospital or from respiratory unit of other hospital should be treated as suspects of MRSA positive patients
