Imperial College London
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Dr Jon Otter

Faculty of Medicine, Department of Infectious Disease

Honorary Senior Lecturer
 
 
 
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Contact

 

j.otter Website CV

 
 
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Location

 

Clarence WingSt Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Mizuno:2018:10.1016/j.jhin.2018.06.026,
author = {Mizuno, S and Iwami, M and Kunisawa, S and Naylor, N and Yamashita, K and Kyratsis, Y and Meads, G and Otter, J and Holmes, A and Ahmad, R},
doi = {10.1016/j.jhin.2018.06.026},
journal = {Journal of Hospital Infection},
pages = {280--298},
title = {Comparison of national strategies to reduce methicillin-resistant Staphylococcus aureus (MRSA) infections in Japan and England},
url = {http://dx.doi.org/10.1016/j.jhin.2018.06.026},
volume = {100},
year = {2018}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundNational responses to healthcare-associated infections vary between high-income countries but when analysed for contextual comparability, interventions can be assessed for transferability.AimTo identify learning from country-level approaches to addressing meticillin-resistant Staphylococcus aureus (MRSA) in Japan and England.MethodsA longitudinal analysis (2000-17), comparing epidemiological trends and policy interventions. Data from 441 textual sources concerning infection prevention and control (IPC), surveillance, and antimicrobial stewardship interventions were systematically coded for: type - mandatory requirements, recommendations, or national campaigns; method - restrictive, persuasive, structural in nature; level of implementation - macro (national), meso (organisational), micro (individual) levels. Healthcare organisational structures and role of media were also assessed.FindingsIn England significant reduction has been achieved in number of reported MRSA bloodstream infections. In Japan, in spite of reductions, MRSA remains a predominant infection. Both countries face new threats in the emergence of drug-resistant Escherichia coli. England has focused on national mandatory and structural interventions, supported by a combination of outcomes-based incentives and punitive mechanisms, and multidisciplinary IPC hospital teams. Japan has focused on (non-mandatory) recommendations and primarily persuasive interventions, supported by process-based incentives, with voluntary surveillance. Areas for development in Japan include resourcing of dedicated data management support and implementation of national campaigns for healthcare professionals and the public.ConclusionPolicy interventions need to be relevant to local epidemiological trends, while acceptable within health system cultures and public expectations. Cross-national learning can help inform the right mix of interventions to create sustainable and resilient systems for future infection and econom
AU  - Mizuno,S
AU  - Iwami,M
AU  - Kunisawa,S
AU  - Naylor,N
AU  - Yamashita,K
AU  - Kyratsis,Y
AU  - Meads,G
AU  - Otter,J
AU  - Holmes,A
AU  - Ahmad,R
DO  - 10.1016/j.jhin.2018.06.026
EP  - 298
PY  - 2018///
SN  - 0195-6701
SP  - 280
TI  - Comparison of national strategies to reduce methicillin-resistant Staphylococcus aureus (MRSA) infections in Japan and England
T2  - Journal of Hospital Infection
UR  - http://dx.doi.org/10.1016/j.jhin.2018.06.026
UR  - http://hdl.handle.net/10044/1/62817
VL  - 100
ER  -
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