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As someone who believes school improvement should be research driven, I'm in favour of a universal admissions system".
Even Young agrees that a "universal admissions system" in which admissions are taken away from individual schools and given to the local authority may be necessary.
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Universal admission screening might be an economically viable option through prevention of MRSA infections and its associated costs [15], but has not been widely adopted because of the presumed high costs associated with testing and subsequent isolation [16].
Strategies included selective screening of high risk patients or universal admission screening, with PCR-based or chromogenic media-based tests, in medium (5%) or high nosocomial prevalence (15%) settings.
Universal admission MRSA screening was performed in the surgical wards.
29 Case-mix remained stable between periods of selective screening and universal admission screening (table 4).
Universal admission screening programme for MRSA (August 2008) incorporating isolation and decolonisation.
Universal admission screening and antibiotic stewardship were associated with decreases in MRSA bacteraemia and associated early mortality.
For patients located on high risk units (e.g., intensive care unit), universal admission screening is performed.
ICUs performing universal admission screening had significantly higher MRSA IDs than ICUs performing targeted or no screening.
Excluding pre-emptive decolonisation of all patients, the optimal strategy was targeted decolonisation based on the outcomes of universal admission and weekly screens using polymerase chain reaction.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com