Mar 25, 2009 – The annual meeting of the Society for Healthcare Epidemiology of America took place Mar 20-22 in San Diego. This News Scan Special Edition surveys a selection of the abundant research from that meeting on combating MRSA in healthcare institutions.’Positive Deviance’ makes difference in reducing MRSA ratesThree hospitals and healthcare systems in different parts of the United States significantly reduced their in-house transmission of methicillin-resistant Staphylococcus aureus (MRSA) by mounting a multi-pronged prevention effort of active surveillance, hand hygiene, and contact precautions. A key to the program’s success was “Positive Deviance,” an organizational technique that identifies personnel who are good problem solvers and keeps their ideas from being stifled by custom and hierarchy. The trial, co-sponsored by the Robert Wood Johnson Foundation, Centers for Disease Control and Prevention (CDC), and the Plexus Institute, reduced MRSA incidence in the hospitals by up to 62%.Invasive MRSA declining, may be due to hospital control effortsA CDC analysis of data from the Active Bacterial Core surveillance system, drawn from nine sites across the United States, shows that cases of invasive hospital-onset MRSA declined 16% from 2005 to 2007. Invasive cases that were due to hospital infection, but arose after discharge, declined 8.7%. In a related survey of 134 hospitals, almost all were deploying some MRSA-prevention measures out of a generally accepted menu of seven recommended practices, though no hospital was using all seven. The reduction in invasive MRSA may be linked to hospitals’ increased efforts.MRSA control in ICU leads to reductions throughout hospitalA MRSA-prevention campaign at the Billings Clinic, a 270-bed community hospital in Billings, Mont., demonstrated that limited control efforts may have broad reach. The hospital instituted active surveillance and hand hygiene in its 22-bed ICU and saw hospital-wide MRSA incidence fall from 1.2 cases per 1,000 patient-days to 0.27 per 1,000; reductions continued for 20 months.MRSA cases in hospitals may have been acquired in communityAn analysis of patients in a large Delaware healthcare system who were newly identified as having MRSA colonization shows that the vast majority of colonizations were not acquired during the hospital stay, but were present on admission. Only 13% were acquired in-hospital, suggesting that programs aimed at stopping hospital transmission could not have prevented them, and demonstrating that the complex epidemiology of MRSA in hospital and community is likely to complicate MRSA control.Community strains causing increasing number of hospital infectionsAt Stroger Hospital, the main public hospital for downtown Chicago, the incidence of hospital-associated bloodstream infections caused by MRSA has not changed significantly over 7 years. However, the proportion of those invasive infections caused by a community-genotype MRSA strain has more than doubled, from 32% of cases in 2000-2003 to 68% in 2004-2007.
Panaji, Nov 22 (IANS) Actor-filmmaker Rahul Bose says when he actively played rugby for India internationally, he chose films according to his sports calendar.Rahul, known for films like “English, August”, “Mr. and Mrs. Iyer”, “Chameli”, “Pyaar Ke Side Effects” and “15 Park Avenue”, was a part of a ‘Redefining Stories’ panel at the International Film Festival of India (IFFI) here on Thursday.Asked about his transition from being an actor to a director, Rahul, who first helmed “Everybody Says I’m Fine” and then directed the 2017 film “Poorna”, said: “It was not calculative.””I had a story about a hairdresser who reads mind, and everybody says I’m fine, but when he cuts their hair, he hears their real stories, and nobody’s fine.”I just wrote the story, loved the story, turned it into a scene breakdown and a screenplay and then I said I want make it. There was no proof that I would be a good director. Many actors are not good directors. So, that’s how. There was no calculation.”He said the 16-year-gap between both his directorials testify that they were not calculative moves.”I just do what I want to do when I want to do it,” he said.Rugby is the only calculation, moderator and popular cinematographer Aseem Bajaj prodded Rahul.He said: “When I was playing for India, I would look at the rugby calendar and see the two main tournaments, and took up films only if they didn’t clash with both tournaments, because playing for India was more important for me than acting in films.”His work was met with an applause from the audience.Rahul further said that as an artiste, who has primarily dabbled in independent cinema, he has never “struggled”.”I was doing theatre in Mumbai. I did 4-6 plays. Dev Benegal and Uma D’Cunha saw me in a play, and they cast me in ‘English, August’. And I got one film after another.”I have played the lead in 36 films, and cameo and supporting roles in 3 films. So I have never had a ‘I don’t have a Godfather in the industry’ story. I don’t have a struggle story,” he said.Rahul further said he neither had to change his acting nor did he have to change his choices.”I didn’t have to compromise right from ‘English, August’ right up to ‘Poorna’, barring one or two films,” he said, adding that he has worked in Bengali, English, Kannada, Tamil and Hindi films.–IANSrb/nv/sedadvertisement