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MRSA screening policy included a general screening for all medical wards and the intensive care unit; in all other ward screening was performed as recommended by the Robert-Koch-Institut.
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For the whole study period, follow-up screening ceased after two negative ward screens, usually performed three to four weeks apart.
If a third patient was identified with the same MRSA strain, a second ward screen was performed, including all HCWs (medical, nursing, allied health and patient care assistants [PCAs]) associated with the ward.
In May 2009, a whole-ward screening revealed an unusually high ESBL-E prevalence among patients, which prompted the subsequent interventions, beginning in June 2009 and described below.
During his stay in the ward, neurological screening revealed loss of strength of both shoulders and arms and sensibility loss of both arms.
Patients and methods Between 1st March 2016 and 31st August 2016, consecutive patients admitted to our ICU following more than 24 h length of stay in another hospital ward, systematic screened for MDR bacteria.
Consecutive admissions to the geriatric ward were screened.
Mothers on the maternal ward were screened starting on 5 November 2011 (perianal swabs).
Ten percent (104) of admissions to the ward were screened, and 37 patients participated in 44 home hospital admissions.
When the interventions were specifically evaluated in the subgroup of clean surgery wards, the screening and decolonisation strategy was most effective.
Patients at the neurological ward were screened and could be included if the minimental state estimation (MMSE) was between 20 and 30 points.
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