Ring fencing of joint replacement (JR) units has been reported to reduce infections and is recommended by health authorities in Australia and the UK. It has not been determined whether a demographic risk assessment is adequate to prevent the admission of patients colonized with meticillin-resistant Staphylococcus aureus (MRSA) to ring-fenced units. As such, 250 admissions to the JR unit of a suburban Sydney hospital were screened, and MRSA colonization was identified in 2.8% of patients complying with the demographic risk assessment. Demographic risk assessment is not an adequate substitute for physical MRSA screening, and undermines the effectiveness of ring-fencing procedures.

译文

据报道,关节置换 (JR) 单位的围栏可减少感染,并由澳大利亚和英国的卫生当局推荐。尚未确定人口统计学风险评估是否足以防止感染耐甲氧西林金黄色葡萄球菌 (MRSA) 的患者进入环围单位。因此,对悉尼郊区医院的JR病房的250入院进行了筛查,并在符合人口统计学风险评估的2.8% 患者中确定了MRSA定植。人口统计学风险评估不能完全替代物理MRSA筛查,并且会破坏围栏程序的有效性。

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