Methicillin-resistant Staphylococcus aureus in hospitals: time for a culture change

Keith V Woollard
Med J Aust 2008; 188 (1): . || doi: 10.5694/j.1326-5377.2008.tb01515.x
Published online: 7 January 2008

To the Editor: The recent editorial by Collignon and colleagues emphasised the importance of infection control mechanisms in reducing patient harm from antibiotic-resistant organisms.1 It focused on disinfection of the hands of health care workers in hospitals. However, a vigorous education and surveillance program in a hospital in Victoria failed to achieve compliance among health care workers of even 50%.2 Top of the list of self-reported factors leading to poor compliance is “skin irritation and dryness associated with the use of hand hygiene agents”.3

  • Murdoch Medical Centre, Perth, WA.

  • 1. Collignon PJ, Grayson ML, Johnson PDR. Methicillin-resistant Staphylococcus aureus in hospitals: time for a culture change [editorial]. Med J Aust 2007; 187: 4-5. <MJA full text>
  • 2. Johnson PDR, Martin R, Burrell LJ, et al. Efficacy of an alcohol/chlorhexidine hand hygiene program in a hospital with high rates of nosocomial methicillin-resistant Staphylococcus aureus (MRSA) infection. Med J Aust 2005; 183: 509-514. <MJA full text>
  • 3. Pittet D. Hand hygiene: improved standards and practice for hospital care. Curr Opin Infect Dis 2003; 16: 327-335.
  • 4. Reynolds KA, Watt PM, Boone SA, et al. Occurrence of bacteria and biochemical markers on public surfaces. Int J Environ Health Res 2005; 15: 225-234.
  • 5. Makoul G, Zick A, Green M. An evidence-based perspective on greetings in medical encounters. Arch Intern Med 2007; 167: 1172-1176.


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