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. 2009 Apr 9;4(1):Doc02.
doi: 10.3205/dgkh000127.

Implementing the MRSA recommendations made by the Commission for Hospital Hygiene and Infection Prevention (KRINKO) of 1999 - current considerations by the DGKH Management Board

Arne Simon  1 , Martin Exner, Axel Kramer, Steffen Engelhart
Affiliations

Implementing the MRSA recommendations made by the Commission for Hospital Hygiene and Infection Prevention (KRINKO) of 1999 - current considerations by the DGKH Management Board

Arne Simon et al. GMS Krankenhhyg Interdiszip. .

Abstract
in English, German

In Germany, recommendations on dealing with patients who are colonised with methicillin-resistant S. aureus (MRSA) for the inpatient sector have been published in 1999 by the Commission for Hospital Hygiene and Infection Prevention (KRINKO). Some challenges arise with regard to the practical implementation of the KRINKO recommendations. These challenges do not principally question the benefit of the recommendations but have come into criticism from users. In this commentary the German Society for Hospital Hygiene (DGKH) discusses some controversial issues and adds suggestions for unresolved problems regarding the infection control management of MRSA in healthcare settings.

In Deutschland wurde 1999 von der Kommission für Krankenhaushygiene und Infektionsprävention beim Robert Koch-Institut (KRINKO) die ‚Empfehlung zur Prävention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-Stämmen (MRSA) in Krankenhäusern und anderen medizinischen Einrichtungen’ publiziert. Die praktische Umsetzung dieser Empfehlung stellt das gesamte Behandlungsteam vor erhebliche Herausforderungen. Die mit der Umsetzung verbundenen Probleme stellen den Nutzen der Empfehlung nicht prinzipiell infrage, führen aber zu anhaltender Kritik von Seiten einiger Anwender. In diesem Kommentar thematisiert die Deutschen Gesellschaft für Krankenhaushygiene einige kontroverse Themen der MRSA-Empfehlung und ergänzt Vorschläge zur praktischen Umsetzung.

Keywords: MRSA; infection control; nosocomial infection.

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