MRSA BSI Additional Costs
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On Jun 19 2006 4:33PM  theholds wrote: 
Dear All

We are asking the board to invest in MRSA screening and decolonisation and they have asked us to quantify the savings. The evidenec is all a little wooly to sya the leats and I wondered if any one else had been in my position. What evidence did you use?

Craig
On Jun 20 2006 8:55AM  neil.wigglesworth wrote: 
Craig

NHS Scotland has just published a Health Technology Assesment on the clinical and cost effectiveness of screening for MRSA. Althought there are a number of assumptions built into the modelling it does demonstrate value for money over time as well as significant reductions in MRSA prevalence.

I have a copy but not electronically, it's available on

http://www.nhshealthquality.org/ under 'publications' 'HTA'

Neil
On Jun 27 2006 3:51PM  christine.wilson wrote: 
This is a consultation document and NHS QIS would welcome feedback.

It's not an easy read, but well worth getting into as this will have wide implications for the service if ratified. The reduction over 5 years is modelled on 7% MRSA prevalence and based on a number of assumptions (not all accurate).

Christine
ICN Ayrshire
On Sep 1 2006 9:07PM  heather.loveday wrote: 
I would suggest that you look at the HTA Systematic Review of Isolation



Cooper BS, Stone SP, Kibbler CC, Cookson BD, Roberts JA, MedleyGF,
Duckworth GJ, Lai R, Ebrahim S Systematic review of isolation policies
in the hospital management of methicillin-resistant Staphylococcus
aureus: a review of the literature with epidemiological and economic
modelling. Winchester, England. Health Technology Assessment
2003;7(39):194p. also available on line.


and the Systematic Review that underpinned the most recent MRSA
Guidelines published in JHI Supplement



Loveday HP, Pellowe CM, Jones SRLJ and Pratt RJ.A systematic review of
the evidence for interventions for the prevention and control of
methicillin-resistant Staphylococcus aureus (1996-2004): Report to the
joint MRSA Working Party (Sub group A) JHI 2006;63S: S45-S70. Also
available on line.



The economic evidence is relatively scant and costs are likely to be due
to reduced length of stay. It might be worth contacting Ben Cooper at
the HPA (Colindale) to see if they have done any additional work on
modelling costs.


Heather Loveday
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