Authors
Jiaming Cui, Jack Heavey, Leo Lin, Eili Y Klein, Gregory R Madden, Costi D Sifri, Bryan Lewis, Anil K Vullikanti, B Aditya Prakash
Publication date
2024/2/26
Journal
Infection Control & Hospital Epidemiology
Pages
1-6
Publisher
Cambridge University Press
Description
Objective
To evaluate the economic costs of reducing the University of Virginia Hospital’s present “3-negative” policy, which continues methicillin-resistant Staphylococcus aureus (MRSA) contact precautions until patients receive 3 consecutive negative test results, to either 2 or 1 negative.
Design
Cost-effective analysis.
Settings
The University of Virginia Hospital.
Patients
The study included data from 41,216 patients from 2015 to 2019.
Methods
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 …
Total citations
20241
Scholar articles
J Cui, J Heavey, L Lin, EY Klein, GR Madden, CD Sifri… - Infection Control & Hospital Epidemiology, 2024