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This article is part of the supplement: International Conference on Prevention & Infection Control (ICPIC 2011)

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Control of methicillin-resistant Staphylococcus aureus (MRSA): the impact of active surveillance for MRSA in a non-acute hospital in Madrid (Spain)

C Bischofberger1*, L Garcia-Picazo2, C Garcia-Gonzalez3, M Alonso3 and Á Asensio4

  • * Corresponding author: C Bischofberger

Author Affiliations

1 Medicina Preventiva, Hospital de El Escorial / Guadarrama, Guadarrama, Madrid, Spain

2 Microbiología, Hospital El Escorial, Madrid, Spain

3 Medicina Interna, Hospital de Guadarrama, Madrid, Spain

4 Medicina Preventiva, Hospital Universitario Puerta de Hierro, Madrid, Spain

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BMC Proceedings 2011, 5(Suppl 6):P8  doi:10.1186/1753-6561-5-S6-P8

The electronic version of this article is the complete one and can be found online at:

Published:29 June 2011

© 2011 Bischofberger et al; licensee BioMed Central Ltd.

This is an open access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Introduction / objectives

Because of the frequent interchange of patients between acute hospitals and rehabilitation hospitals, infections caused by multidrug-resistant bacteria will continue to emerge. There are limited data concerning the epidemiology of nosocomial infection among patients admitted for rehabilitation in non acute hospitals after stabilization of an acute surgical or neurological event. Recognition of such threats has prompted new interest in the prevention and control of infections associated with those health-care facilities.


To evaluate the impact of an intervention on rates of methicillin-resistant Staphylococcus aureus (MRSA) colonization or infection in a geriatric-rehabilitation hospital.



Quasi-experimental analysis before/after.


A 160 bed geriatric-rehabilitation hospital in Guadarrama (Madrid), Spain.


All patients admitted to the hospital during two periods: 2003-2004 and 2010.


A multimodal intervention consisting on active surveillance for MRSA in all patients admitted and a comprehensive hand hygiene promotion programme is studied.


The preintervention rate of MRSA colonization or infection was 1.02 cases per 1,000 patient-days (95% confidence interval {CI}, 0.93-1.25 cases per 1,000 patient-days). The rate decreased significantly to 0.21 cases per 1,000 patient-days (95% CI, 0.12-0.45 cases per 1,000 patient-days) after the intervention.

Disclosure of interest

None declared.