Breaking News
April 24, 2019 - Study finds involuntary staying in housing estates to be a potential health risk
April 24, 2019 - Older kidney disease patients starting dialysis die at higher rates than previously thought
April 24, 2019 - Time-restricted eating shows promise for controlling blood glucose levels
April 24, 2019 - Research provides important insight on the brain-body connection
April 24, 2019 - In 10 Years, Half Of Middle-Income Elders Won’t Be Able To Afford Housing, Medical Care
April 24, 2019 - Researchers study how E. coli clones have become major cause of drug-resistant infections
April 24, 2019 - Bacterial and fungal toxins found in popular electronic cigarettes
April 24, 2019 - Texting helps improve medication adherence, health outcomes for patients with schizophrenia
April 24, 2019 - Cochrane Review looks at different ways to use nicotine replacement therapies
April 24, 2019 - New review on relationship between COPD and Type 2 diabetes
April 24, 2019 - Brain areas linked to memory and emotion aid odor navigation in humans
April 24, 2019 - Brain stimulation reverses age-related memory loss
April 24, 2019 - Amid Opioid Prescriber Crackdown, Health Officials Reach Out To Pain Patients
April 24, 2019 - $4 million NIH award will help establish UCI Skin Biology Resource-based Center
April 24, 2019 - Cancer drugs reprogram genes in breast tumors to prevent endocrine resistance, finds study
April 24, 2019 - Combination-imaging technique provides new window into macaque brain connections
April 24, 2019 - Researchers identify new allergen responsible for allergy to durum wheat
April 24, 2019 - Researchers define role of rare, influential cells in the bone marrow
April 24, 2019 - DNA rearrangement may predict poor outcomes in multiple myeloma
April 24, 2019 - FDA Approves Skyrizi (risankizumab-rzaa) for Moderate to Severe Plaque Psoriasis
April 24, 2019 - Combination therapy might be beneficial in schizophrenia
April 24, 2019 - Blood test can help match cancer patients to early phase clinical trials
April 24, 2019 - Women tend to underreport snoring and underestimate its loudness
April 24, 2019 - Comprehensive molecular test introduced for diagnosis of malaria caused by P. vivax parasites
April 24, 2019 - New range prediction approach increases accuracy, safety and tolerability of proton therapy
April 24, 2019 - Need for Sedation Up for Regular Cannabis Users
April 24, 2019 - Lack of access to antibiotics is a major global health challenge
April 24, 2019 - New study provides better understanding on safety of deworming programs
April 24, 2019 - EEG used to detect impact of maternal stress on neurodevelopment in 2-month-old infants
April 24, 2019 - FDA Approves First Generic Naloxone Nasal Spray Against Opioid Overdose
April 24, 2019 - A new way of finding compounds that prevent aging
April 24, 2019 - Mechanical training makes synthetic hydrogels perform more like muscle
April 24, 2019 - Study provides new insights into regulatory T cells’ role in protecting against autoimmune disease
April 24, 2019 - Pregnant women with type 1 diabetes are at greater risk of preterm birth
April 24, 2019 - ‘Tummy tuck’ can be safely performed in obese patients with no increase in complications
April 23, 2019 - ‘First’ 3-D print of heart with human tissue, vessels unveiled
April 23, 2019 - Which blood-based method works best to detect TB?
April 23, 2019 - Gene therapy cures infants suffering from ‘bubble boy’ immune disease
April 23, 2019 - Chemical-sampling wristbands detect similar exposures across three continents
April 23, 2019 - Management of Residual Limb Pain
April 23, 2019 - Molecular clock influences immune cell responses
April 23, 2019 - On the importance of culture, partnerships and diversity at the Dean’s Lecture Series
April 23, 2019 - Siddhartha Mukherjee Receives Lewis Thomas Prize for Writing About Science
April 23, 2019 - Dengue mosquito poses greatest danger of spreading Zika virus in Australia
April 23, 2019 - Scientists identify 104 high-risk genes for schizophrenia
April 23, 2019 - Abdominal etching can help patients to get classic ‘six-pack abs’ physique
April 23, 2019 - Alvogen Inc. Issues Voluntary Nationwide Recall of Fentanyl Transdermal System Due to Product Mislabeling
April 23, 2019 - Skype hypnotherapy is effective treatment for IBS
April 23, 2019 - The future hope of “flash” radiation cancer therapy
April 23, 2019 - Bicycling, Recycling, and Beyond: Public Safety to Host Shred Fest and Bike-to-Campus Day 
April 23, 2019 - Skipping breakfast linked with increased risk of death from heart disease
April 23, 2019 - Neuroscientists propose new theory about amyloid precursor protein connection in Alzheimer’s
April 23, 2019 - Mediterranean diet protects against overeating and obesity
April 23, 2019 - NUS scientists uncover novel biomarkers linked with ‘chemobrain’
April 23, 2019 - Novel ECCITE-seq technique expands multimodal single cell analysis
April 23, 2019 - Half of all American workplaces offer health and wellness programs
April 23, 2019 - Hypnosis may offer a genuine alternative to painkillers
April 23, 2019 - Sleep loss greatly interferes with job performance
April 23, 2019 - Study shows how elderberry fruit can help fight against influenza
April 23, 2019 - Parkinson’s sufferers regain mobility with new implant
April 23, 2019 - Perinatal Complications Tied to Childhood Social Anxiety
April 23, 2019 - Research reveals how immune cells help tumors escape body’s defenses
April 23, 2019 - UAB receives $17 million grant to explore immune cells in inaccessible tissues of the human body
April 23, 2019 - Opening blocked arteries may be lifesaver for older heart attack patients
April 23, 2019 - Yposkesi chairman to speak on ‘Manufacturing and the CDMO Perspective’ at Cell and Gene Meeting
April 23, 2019 - Listeria Outbreak Linked to Deli Meats, Cheeses in 4 States
April 23, 2019 - Scientists find another way HIV can hide from vaccines
April 23, 2019 - Improved WIC food packages reduced obesity risk for children, study finds
April 23, 2019 - EU ban on ‘meaty’ names for veggie food products would affect public sector
April 23, 2019 - KNAUER self-tests gender pay gap one month after Equal Pay Day
April 23, 2019 - Johns Hopkins study reports overdiagnosis of schizophrenia
April 23, 2019 - New approach to repair defects in fetal membranes could prevent life-long medical conditions
April 23, 2019 - Reviving the heart’s regenerative capacities using microRNAs
April 23, 2019 - New pediatric blood pressure guidelines can better predict kids at higher risk of heart disease
April 23, 2019 - Second HIV remission patient rekindles cure hope
April 23, 2019 - Sparse Treatment Options Complicate Cancer Care For Immigrants In South Texas
April 23, 2019 - Hole-forming protein could help control cancer growth
April 23, 2019 - Study examines factors associated with low use of hearing aids among older Hispanic/Latino adults
April 23, 2019 - Changes to Medicare rules could support care innovation for dialysis
April 23, 2019 - Cancer patients requiring emergency department care have better outcomes at original hospital
Computer model shows how to better control MRSA outbreaks

Computer model shows how to better control MRSA outbreaks

image_pdfDownload PDFimage_print
MRSA
Credit: CC0 Public Domain

A research team led by scientists at the Columbia University Mailman School of Public Health report on a new method to help health officials control outbreaks of methicillin-resistant Staphylococcus aureus, or MRSA, a life-threatening antibiotic-resistant infection often seen in hospitals. The researchers are the first to reveal the invisible dynamics governing the spread of these outbreaks and demonstrate a new, more effective method to prevent their spread. Findings are published in the journal eLife.

The research team developed a computer model of MRSA outbreaks using more than 2 million admission records from 66 hospitals in Stockholm County, Sweden, representing a period of six years. Their model recreated outbreaks of the most prevalent MRSA strain, UK EMRSA-15, which is present in 16 countries worldwide, including the United States. Adapting statistical techniques used in weather forecasting, the model simulates two connected dynamics at the individual scale: transmission within hospitals and infections imported from the community. Information on when and where patients were admitted and discharged and who was diagnosed for MRSA is used to reveal a group of “stealth colonizers”—individuals who are infectious but whose status is invisible.

The model-inference system estimated as many as 400 asymptomatic MRSA cases per month in the Swedish hospitals, and that up to 61 percent of MRSA infections diagnosed in the hospital setting were imported from the community.

More than revealing hidden transmission dynamics, the new MRSA simulation method calculates the chances each patient might get infected. The researchers tested the value of these probabilities by simulating an intervention that provides treatment to high-risk patients. They found their targeted intervention was better at controlling an outbreak than current practices, which involve either treating patients who have spent the most time in hospital, treating patients with the most contacts in hospital, or using contact tracing to treat those patients who were exposed to a patient testing positive for the infection. The targeted intervention provided a 50 percent further reduction in infections and 80 percent further reduction in colonized patients.

“Compared with traditional intervention strategies that may overlook a considerable number of invisible colonized patients, this new model-inference system can identify a pivotal group for treatment, namely individuals who may otherwise transmit MRSA asymptomatically,” says first author Sen Pei, a postdoctoral research scientist in the Department of Environmental Health Sciences at the Columbia Mailman School.

The researchers first validated their inference method using virtual outbreaks generated with the computer model. Unlike records from the hospital, where only infections are observed, this model-generated outbreak “observes” all outbreak characteristics (e.g., the number of “stealth” colonized patients). They then used the simulated observations of infection as input for their model-inference method and were able to reliably estimate the hidden dynamics of the virtual outbreak, including rates of MRSA importation from the community and numbers of colonized patients. These findings confirmed the validity of the approach and motivated its application to the Swedish hospital data.

The researchers say they plan on applying their system to to other antimicrobial resistant pathogens and in settings with a higher burden of disease.

“Our method provides a powerful and cost-effective way for hospitals and public health officials to contain outbreaks of MRSA and other antibiotic-resistant infections as they become increasingly common,” says senior author Jeffrey Shaman, associate professor of Environmental Health Sciences at Columbia Mailman.


Treatment for MRSA no longer more costly than for susceptible Staph aureus infections


More information:
Sen Pei et al, Inference and control of the nosocomial transmission of methicillin-resistant Staphylococcus aureus, eLife (2018). DOI: 10.7554/eLife.40977


Provided by
Columbia University’s Mailman School of Public Health

Citation:
Computer model shows how to better control MRSA outbreaks (2019, January 2)
retrieved 17 January 2019
from https://medicalxpress.com/news/2019-01-mrsa-outbreaks.html

This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no
part may be reproduced without the written permission. The content is provided for information purposes only.

Tagged with:

About author

Related Articles