Strategies to Prevent Methicillin-Resistant Staphylococcus aureus in Acute-Care Hospitals

Publication Date: June 29, 2023

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...

...ommendations to Prevent MRSA (Tabl...

...ential Practices: should be adopte...

...ement a MRSA monitoring program. (L)33...

...MRSA risk assessment. (L)3305355...

...pliance with the Centers for Disease Control a...

.... Use contact precautions for MRSA-co...

...ure cleaning and disinfection of e...

...laboratory-based alert system that not...

...lement an alert system that identifies readmi...

...MRSA data and outcome measures to key stakeholders...

...ealthcare personnel about MRSA. (L)3305355...

.... Educate patients and families abo...

...1. Implement an antimicrobial stewardship program...

...ditional Approaches: can be considered for use in...

...veillance Testing (AST...

...mplement a MRSA AST program for select...

...Active surveillance for MRSA in conjunction with...

3. Active surveillance with contact precautions...

...Hospital-wide active surveillance for MRSA can be...

...surveillance can be performed in the setting of a...

...MRSA infection or colonization...

...n HCP for MRSA infection or colonization if they...

MRSA decolonization the...

...sal decolonization (daily chlorhex...

2. Perform preoperative nares screening w...

...en for MRSA and provide targeted decoloni...

...ovide CHG bathing plus nasal decolo...

...nsider postdischarge decolonization...

.... Neonatal ICUs should consider targeted or uni...

...Burn units should consider targeted...

...Consider targeted or universal dec...

...ly consider decolonization as part of...

...rsal use of gowns and gloves...

...owns and gloves when providing care to or entering...

...nresolved Issues...

...ersal MRSA decolonization Mupirocin and chlorhe...