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Infection control crisis due to methicillin-resistant <i>Staphylococcus aureus</i> (MRSA) in an intensive care unit at a Jordanian hospital, 2016: a teaching case-study
Supplement article - Supplement | Volume 33 (1): 10. 15 May 2019 | 10.11604/pamj.supp.2019.33.1.18604

Infection control crisis due to methicillin-resistant Staphylococcus aureus (MRSA) in an intensive care unit at a Jordanian hospital, 2016: a teaching case-study

Ilham Abu-Khader, Tareq Sanouri, Nancy Abdul-Rahim, Yousef Khader, Malak A Shaheen

Corresponding author: Ilham Abu-Khader, Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan

Received: 04 Mar 2019 - Accepted: 09 Mar 2019 - Published: 15 May 2019

Domain: Infectious diseases epidemiology

Keywords: Methicillin-resistant Staphylococcus aureus, intensive care unit, Jordan

This articles is published as part of the supplement Case Studies for Public Health in the Eastern Mediterranean Region - 2019, commissioned by Yousef S Khader (yskhader@just.edu.jo).

©Ilham Abu-Khader et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Ilham Abu-Khader et al. Infection control crisis due to methicillin-resistant Staphylococcus aureus (MRSA) in an intensive care unit at a Jordanian hospital, 2016: a teaching case-study. Pan African Medical Journal. 2019;33(1):10. [doi: 10.11604/pamj.supp.2019.33.1.18604]

Available online at: https://www.panafrican-med-journal.com/content/series/33/1/10/full

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Infection control crisis due to methicillin-resistant Staphylococcus aureus (MRSA) in an intensive care unit at a Jordanian hospital, 2016: a teaching case-study

Infection control crisis due to methicillin-resistant Staphylococcus aureus (MRSA) in an intensive care unit at a Jordanian hospital, 2016: a teaching case-study

Ilham Abu-Khader1,&, Tareq Sanouri1, Nancy Abdul-Rahim2, Yousef Khader3, Malak A Shaheen4

 

1Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan, 2Ministry of Health, Amman-Jordan, 3Jordan University of Science and Technology, Jordan, 4Ain Shams University, Cairo, Egypt

 

 

&Corresponding author
Ilham Abu-Khader, Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan

 

 

Abstract

Methicillin-resistant Staphylococcus aureus (MRSA) strains have been extremely important pathogens as hospital acquired infection in healthcare settings for more than three decades with particularly life-threatening manifestations. The most frequent hospital acquired infections are among those undergoing invasive medical procedures or weakened immune systems in intensive care unit. Additionally, infections resulting from community-associated MRSA strains have emerged in the last decade and become a public health problem of global proportions. The goal of this case study is to understand the transmission of methicillin resistance staphylococcus aureus and apply appropriate infection control measures in intensive care units at Jordanian Hospitals. It simulates an antibiotic resistance investigation including laboratory confirmation, active case finding, descriptive epidemiology and implementation of control measures. After completing this case study, the healthcare professional will be able to list the mechanisms conferring the antimicrobial resistance associated with MRSA, list the risk factors of MRSA, and to use protective preventive measures.

 

 

How to use this case study    Down

General instructions: this case study should be used as adjunct training material for novice epidemiology trainees to reinforce the concepts taught in prior lectures. The case study is ideally taught by a facilitator in groups of about 20 participants. Participants are to take turns reading the case study, usually a paragraph per student. The facilitator guides the discussion on possible responses to questions. The facilitator may make use of flip charts to illustrate certain points. Additional instructor’s notes for facilitation are coupled with each question in the instructor’s guide to aid facilitation.

 

Audience: this case study was developed for novice field epidemiology students. These participants are commonly health care workers working in the county departments of health whose background may be as medical doctors, nurses, environmental health officers or laboratory scientists who work in public health-related fields. Most have a health science or biology background.

 

Prerequisites: before using this case study, participants should have received lectures on hospital surveillance prevention and control.

 

Materials needed: flash drive, flip charts, markers, computers with MS Excel

 

Level of training and associated public health activity: Novice –MRSA, infection control

 

Time required: 2-3 hours

 

Language: English

 

 

Case study material Up    Down

  • Download the case study student guide
  • Request the case study facilitator guide

 

 

Competing interest Up    Down

The authors declare no competing interests.

 

 

Acknowledgement Up    Down

Authors would like to acknowledge The Eastern Mediterranean Public Health Network (EMPHNET) for their technical support.

 

 

References Up    Down

  1. Centers for Disease Control and Prevention (CDC). Antibiotic resistance threats in the United States, 2013. Atlanta: CDC; 2013.

  2. Li Z. A Review of Staphylococcus aureus and the emergence of drug-resistant problem. Advances in Microbiology. 2018 Jan 15;8(01):65. Google Scholar

  3. Haddadin AS, Fappiano SA, Lipsett PA. Methicillin Resistant Staphylococcus aureus (MRSA) in the intensive care unit. Postgrad Med J. 2002 Jul;78(921):385-92. PubMed | Google Scholar

  4. Oztoprak N, Cevik MA, Akinci E, Korkmaz M, Erbay A, Eren SS, Balaban N, Bodur H. Risk factors for ICU-acquired methicillin-resistant Staphylococcus aureus infections. Am J Infect Control. 2006 Feb;34(1):1-5. PubMed | Google Scholar

  5. Klevens RM, Edwards JR, Tenover FC, McDonald LC, Horan T, Gaynes R, National Nosocomial Infections Surveillance System. Changes in the epidemiology of methicillin-resistant Staphylococcus aureus in intensive care units in US hospitals, 1992-2003. Clin Infect Dis. 2006 Feb 1;42(3):389-91. Epub 2005 Dec 19. PubMed | Google Scholar

  6. Carrico R, Adam L, Aurden K, Fauerbach L. APIC text of infection control and epidemiology. Association for Professional in Infection Control and Epidemiology, Washington, DC, USA, 2005.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Supplement

Infection control crisis due to methicillin-resistant Staphylococcus aureus (MRSA) in an intensive care unit at a Jordanian hospital, 2016: a teaching case-study

Supplement

Infection control crisis due to methicillin-resistant Staphylococcus aureus (MRSA) in an intensive care unit at a Jordanian hospital, 2016: a teaching case-study

Supplement

Infection control crisis due to methicillin-resistant Staphylococcus aureus (MRSA) in an intensive care unit at a Jordanian hospital, 2016: a teaching case-study

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