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Notification card to alert for methicillin-resistant Staphylococcus aureus is stigmatizing from the patient's point of view

Skyman, Eva ; Bergbom, Ingegerd ; Lindahl, Berit LU ; Larsson, Leif ; Lindqvist, Anna ; Sjöström, Harrieth Thunberg and Åhrén, Christina (2014) In Scandinavian Journal of Infectious Diseases 46(6). p.440-446
Abstract

Background: The importance of alerting health care systems of patients carrying multidrug-resistant bacteria (MRB) is highlighted in numerous guidelines. In the absence of electronic alert systems, notification cards are often recommended, but have rarely been evaluated. We evaluated patient experiences of receiving and using a methicillin-resistant Staphylococcus aureus (MRSA) notification card. Methods: Two cohorts of patients given a card when identified for the first time as a carrier in 1999-2003 and 2008-2010, responded to questionnaires distributed in 2004 and 2011, respectively. The response rate in 2004 was 92 (38 females)/129 and in 2011 was 110 (55 females)/209. In addition, 63% and 49%, respectively, followed the... (More)

Background: The importance of alerting health care systems of patients carrying multidrug-resistant bacteria (MRB) is highlighted in numerous guidelines. In the absence of electronic alert systems, notification cards are often recommended, but have rarely been evaluated. We evaluated patient experiences of receiving and using a methicillin-resistant Staphylococcus aureus (MRSA) notification card. Methods: Two cohorts of patients given a card when identified for the first time as a carrier in 1999-2003 and 2008-2010, responded to questionnaires distributed in 2004 and 2011, respectively. The response rate in 2004 was 92 (38 females)/129 and in 2011 was 110 (55 females)/209. In addition, 63% and 49%, respectively, followed the encouragement to provide written comments to the questions. These were analysed using a qualitative method. Results: The patients took responsibility not to infect others, reported high usage, and acknowledged the importance of the card to inform health care institutions about their carrier status, despite experiencing fear, disrespect, lack of knowledge, and unprofessional behaviour when presenting it to personnel. Alarmingly these stigmatizing experiences were more frequent in 2011. Professional behaviour was reported from the infectious disease clinic. A majority of the patients were unaware of how they had acquired MRSA. Conclusions: The MRSA notification card was felt to stigmatize the patient, which makes its use questionable. Other alert methods need to be developed. Most importantly, the study demonstrates the importance for these patients to meet staff educated about MRB. Thus, there is an urgent need to educate health care professionals at all levels.

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author
; ; ; ; ; and
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Alerts, Experience, MRSA, Notification card, Patient
in
Scandinavian Journal of Infectious Diseases
volume
46
issue
6
pages
440 - 446
publisher
Informa Healthcare
external identifiers
  • scopus:84900854947
  • pmid:24669980
ISSN
0036-5548
DOI
10.3109/00365548.2014.896029
language
English
LU publication?
no
id
0af34429-6f1c-4e82-b141-40be3a1e26ca
date added to LUP
2020-04-14 14:58:19
date last changed
2020-08-26 05:13:45
@article{0af34429-6f1c-4e82-b141-40be3a1e26ca,
  abstract     = {<p>Background: The importance of alerting health care systems of patients carrying multidrug-resistant bacteria (MRB) is highlighted in numerous guidelines. In the absence of electronic alert systems, notification cards are often recommended, but have rarely been evaluated. We evaluated patient experiences of receiving and using a methicillin-resistant Staphylococcus aureus (MRSA) notification card. Methods: Two cohorts of patients given a card when identified for the first time as a carrier in 1999-2003 and 2008-2010, responded to questionnaires distributed in 2004 and 2011, respectively. The response rate in 2004 was 92 (38 females)/129 and in 2011 was 110 (55 females)/209. In addition, 63% and 49%, respectively, followed the encouragement to provide written comments to the questions. These were analysed using a qualitative method. Results: The patients took responsibility not to infect others, reported high usage, and acknowledged the importance of the card to inform health care institutions about their carrier status, despite experiencing fear, disrespect, lack of knowledge, and unprofessional behaviour when presenting it to personnel. Alarmingly these stigmatizing experiences were more frequent in 2011. Professional behaviour was reported from the infectious disease clinic. A majority of the patients were unaware of how they had acquired MRSA. Conclusions: The MRSA notification card was felt to stigmatize the patient, which makes its use questionable. Other alert methods need to be developed. Most importantly, the study demonstrates the importance for these patients to meet staff educated about MRB. Thus, there is an urgent need to educate health care professionals at all levels.</p>},
  author       = {Skyman, Eva and Bergbom, Ingegerd and Lindahl, Berit and Larsson, Leif and Lindqvist, Anna and Sjöström, Harrieth Thunberg and Åhrén, Christina},
  issn         = {0036-5548},
  language     = {eng},
  month        = {01},
  number       = {6},
  pages        = {440--446},
  publisher    = {Informa Healthcare},
  series       = {Scandinavian Journal of Infectious Diseases},
  title        = {Notification card to alert for methicillin-resistant Staphylococcus aureus is stigmatizing from the patient's point of view},
  url          = {http://dx.doi.org/10.3109/00365548.2014.896029},
  doi          = {10.3109/00365548.2014.896029},
  volume       = {46},
  year         = {2014},
}