Nowadays, methicillin-resistant Staphylococcus aureus (MRSA) is becoming an increasingly important indicator of the quality of medical care in hospitals around the world. Poor hand hygiene among ...health care workers is one of the most important causes of transmission of this bacterium among hospitalised patients. At the Izola General Hospital, systematic MRSA surveillance has beenperformed since the end of 2002 and at the Valdoltra Orthopedic Hospital since 2000. The strategy of preventing MRSA transmission, such as early detection of carriers and prevention of transmission of these bacteria among the patients, has yielded encouraging results. Since 2001, the incidence of MRSA infection per 100 admissions has decreased from 0.48 to 0.16 at the IzolaGeneral Hospital, while at the Valdoltra Orthopedic Hospital it has varied between 0.07 and 0.18. Since 2003, MRSA transmission in EIT units has been decreasing significantly and the continually decreasing proportion of MRSA in hemocultures to 4.8% in 2005 is particularly encouraging. In spite of this, the results of epidemiological surveillance have shown that a lot of work still needs to be done, especially in terms of education and training of health care workers and controlling of instituted measures in order to be ableto achieve even better results in eradicating MRSA from hospitals.
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