Methicillin-resistant Staphylococcus aureus Control in Singapore - Moving Forward

作者：Pereira Lynette A; Fisher Dale A^*

来源：Annals Academy of Medicine Singapore, 2008, 37(10): 891-896.

• Colonisation
• Infection
• Infection control

Singapore has a sophisticated healthcare system and is an important referral centre for Asia. Like much of the world, methicillin-resistant Staphylococcus aureus (M.RSA) is now endemic across its health system. MRSA infection has been associated with considerable attributable mortality, morbidity plus personal and public cost. Nosocomial infections are potentially preventable and need to be considered an unacceptable complication rather than a tolerable by product of healthcare. Failure to introduce long-term sustainable infection control initiatives is not all option for responsible clinical leaders and managers. Control of M RSA transmission in Singapore is achievable but we need to accept the challenge and acknowledge that it will take perhaps a decade. It requires implementation of many varied infection control measures to be rolled out sequentially and across all health services. Our ambition, in Singapore, should he for hospitals to achieve all inpatient prevalence of <1% MRSA colonised patients. Identified transmission of MRSA should be regarded as a serious breech. Successful control will require extraordinary collaboration, support, resources, accountability and consistency of effort. Currently, efforts are evolving significantly and today, we have a good opportunity to embark oil this difficult journey. Implementing infection control initiatives successfully over the next few years will save lives in the future.

• 出版日期2008-10