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Modeling relaxed policies for discontinuation of methicillin-resistant Staphylococcus aureus contact precautions
Ist Teil von
Infection control and hospital epidemiology, 2024-02, p.1-6
Ort / Verlag
United States
Erscheinungsjahr
2024
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
To evaluate the economic costs of reducing the University of Virginia Hospital's present "3-negative" policy, which continues methicillin-resistant
(MRSA) contact precautions until patients receive 3 consecutive negative test results, to either 2 or 1 negative.
Cost-effective analysis.
The University of Virginia Hospital.
The study included data from 41,216 patients from 2015 to 2019.
We developed a model for MRSA transmission in the University of Virginia Hospital, accounting for both environmental contamination and interactions between patients and providers, which were derived from electronic health record (EHR) data. The model was fit to MRSA incidence over the study period under the current 3-negative clearance policy. A counterfactual simulation was used to estimate outcomes and costs for 2- and 1-negative policies compared with the current 3-negative policy.
Our findings suggest that 2-negative and 1-negative policies would have led to 6 (95% CI, -30 to 44;
< .001) and 17 (95% CI, -23 to 59; -10.1% to 25.8%;
< .001) more MRSA cases, respectively, at the hospital over the study period. Overall, the 1-negative policy has statistically significantly lower costs ($628,452; 95% CI, $513,592-$752,148) annually (
< .001) in US dollars, inflation-adjusted for 2023) than the 2-negative policy ($687,946; 95% CI, $562,522-$812,662) and 3-negative ($702,823; 95% CI, $577,277-$846,605).
A single negative MRSA nares PCR test may provide sufficient evidence to discontinue MRSA contact precautions, and it may be the most cost-effective option.
Sprache
Englisch
Identifikatoren
ISSN: 0899-823X
eISSN: 1559-6834
DOI: 10.1017/ice.2024.23
Titel-ID: cdi_proquest_miscellaneous_2932025204
Format
–
Weiterführende Literatur
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