Stakeholder Engagement In a Comparative Effectiveness/Implementation Study to Prevent Staphylococcus Aureus Infection Recurrence: CA-MRSA Project (CAMP2).

Abstract

BACKGROUND:

Methicillin-resistant or methicillin-sensitive Staphylococcus aureus skin and soft tissue infections pose serious clinical and public health challenges. Few protocols exist for outpatient education, decolonization and decontamination.

OBJECTIVES:

This trial implemented infection prevention protocols in homes via community health workers/Promotoras.

METHODS:

We engaged clinicians, patient stakeholders, clinical and laboratory researchers, New York-based federally qualified health centers and community hospital emergency departments. The Clinician and Patient Stakeholder Advisory Committee (CPSAC) convened in person and remotely for shared decision-making and trial oversight.

RESULTS:

The intervention trial consented participants with skin and soft tissue infections from Methicillin-resistant Staphylococcus aureus or methicillin-sensitive Staphylococcus aureus, completed home visits, obtained surveillance cultures from index patients and household members and sampled household environmental surfaces at baseline and three months.

LESSONS LEARNED:

The retention of the CPSAC during the trial demonstrated high levels of engagement.

CONCLUSIONS:

CPSAC was highly effective throughout design and execution by troubleshooting recruitment and home visit challenges.

• Authors: Brianna D'Orazio, Jessica Ramachandran, Chamanara Khalida, Johana Gonzalez, Rhonda G Kost, Kimberly S Vasquez, Teresa H Evering, Tameir Holder, Getaw Worku Hassen, Regina Hammock, Rosalee Nguyen, Ronette Davis, Keenan Millan, Van Johnson, Claude Parola, Barry S Coller, Jonathan N Tobin
• Journal: Progress in community health partnerships : research, education, and action (Prog Community Health Partnersh) Vol. 16 Issue 1 Pg. 45-60 ( 2022) ISSN: 1557-055X [Electronic] United States
• PMID: 35342110 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, U.S. Gov't, P.H.S.)

Chemical References

• Methicillin

Topics

• Community-Acquired Infections (drug therapy, epidemiology)
• Community-Based Participatory Research
• Humans
• Methicillin (therapeutic use)
• Methicillin-Resistant Staphylococcus aureus
• Soft Tissue Infections (drug therapy, epidemiology)
• Stakeholder Participation
• Staphylococcal Infections (prevention & control)
• Staphylococcus aureus