n Southern African Journal of Critical Care - Evaluation of a protocol to control methicillin-resistant (MRSA) in a surgical cardiac intensive care unit

Volume 26, Issue 1
  • ISSN : 1562-8264
  • E-ISSN: 2078-676X



Methicillin-resistant (MRSA) is a major health care problem in intensive care units.

To evaluate how nurses implement the methicillin-resistant protocol (MRSAP) in a surgical cardiac intensive care unit (SCICU), and to evaluate the change in MRSA infection rates after implementation of the protocol.
The knowledge of nursing staff and their compliance to the MRSAP were assessed with a survey questionnaire and by conducting observations in the unit. Screening compliance and the reduction in infection rates were investigated using a retrospective records review.
There was an 88% (23 respondents) awareness of the MRSAP, but knowledge of the detailed content was variable. The staff were satisfied with the existing standards of infection control in the SCICU (85%, 22), and 64% (142) of the observed nurse-patient contacts complied with routine hygiene measures, such as hand hygiene. Few actual cases of MRSA infection were identified during the study period. Owing to the small number of cases it was not possible to test for the significance of this difference at SCICU level, but a chi-square test on the hospital MRSA cases for the same period demonstrated a highly significant reduction (χ2=6.2 × 10-41, df=1, p<0.0001).
There was evidence to support efficacy of the MRSAP in the reduction of MRSA infections.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error