Strategies to Prevent Methicillin-Resistant Staphylococcus aureus in Acute-Care Hospitals
Key Points
Key Points
- Antimicrobial stewardship is an essential practice for the prevention of methicillin-resistant Staphylococcus aureus (MRSA) in acute-care hospitals.
- Although the use of contact precautions remains an essential practice, hospitals that have strong horizontal prevention measures and neither ongoing MRSA outbreaks nor high or increasing rates of MRSA infection or hospital-onset MRSA-positive cultures may consider modifying the use of contact precautions for some or all MRSA-colonized or MRSA-infected patients.
- Active surveillance testing (AST) for specific patient populations is an additional approach that may be implemented part of a multifaceted strategy to prevent and control MRSA.
- Universal or targeted decolonization in several specific patient populations should be considered when MRSA transmission is not controlled by essential practices.
- This pocket guide highlights practical recommendations to assist acute care hospitals in implementing and prioritizing MRSA prevention efforts.
- It is based on a synthesis of evidence, theoretical rationale, current practices, practical considerations, author consensus, and consideration of potential harm, where applicable.
- No guideline or expert guidance document can anticipate all clinical situations. This pocket guide is not meant to be a substitute for individual clinical judgment by qualified professionals.
Recommendations
...mmendations...
...mmendations to Prevent MRSA (...
...ssential Practices: should be adopte...
.... Implement a MRSA monitoring progr...
...Conduct a MRSA risk assessment. (...
...mote compliance with the Centers for Dis...
...se contact precautions for MRSA-col...
...ing and disinfection of equipment and the e...
.... Implement a laboratory-based alert sy...
...mplement an alert system that identifies readmitt...
...rovide MRSA data and outcome measures to key stake...
...hcare personnel about MRSA. (L)3305355...
...tients and families about MRSA. (L)3305355...
...lement an antimicrobial stewardship program...
...roaches: can be considered for use in loc...
...ve Surveillance Testing (...
...Implement a MRSA AST program for select pa...
...ive surveillance for MRSA in conjunctio...
...eillance with contact precautions is inferior to u...
...ital-wide active surveillance for M...
...e surveillance can be performed in the sett...
...HCP for MRSA infection or coloniz...
...P for MRSA infection or colonization if they are...
...RSA decolonization therapy
...universal decolonization (daily ch...
2. Perform preoperative nares screening wit...
...RSA and provide targeted decolonization wit...
...athing plus nasal decolonization to known MRSA...
...discharge decolonization of MRSA carriers to r...
...ICUs should consider targeted or universal d...
...ts should consider targeted or universal decolon...
...geted or universal decolonization of...
...Strongly consider decolonization...
...iversal use of gowns a...
...wns and gloves when providing care to...
...solved Issues...
...al MRSA decolonization Mupirocin...