Challenges and Strategies for MRSA Control: A Case of Hospitals in Karachi

Abstract

The attitudes and beliefs of health care workers (HCWs) influence the measures used to stop the spread of drug-resistant infections like methicillin-resistant Staphylococcus aureus (MRSA). One of the most important aspects of fostering a safe clinical setting for care is identifying obstacles and difficulties with suggested practices. The research aims to identify the perceived challenges and barriers for effective MRSA control from the perspective of health care workers. A qualitative grounded theory approach is used. A criterion sampling technique is used to select the sample. Data is collected through semi-structured interviews by following the BERA framework for ethical consideration protocols. Data is analyzed inductively through thematic analysis. The results highlighted that the high cost of MRSA screening, ineffective departmental communication, and staff education are the major challenges that contribute to MRSA infections. The key strategies are proposed to deal with the challenges. The findings revealed that the problems encountered by physicians in both public and private hospitals are similar. The expense of screening for MRSA is exorbitant. Efficient control of MRSA involves evaluating risks, following specific hygiene measures, and performing positive steps towards containment and infection mitigation. Human behavior, microbial epidemiology, and resource constraints are the core issues that face both public and private healthcare systems. The results confirm that consistent implementation of evidence-based practices, strong organizational systems, and a safety culture are more important for effective MRSA control than the ownership model.