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
...ommendations...
...ommendations to Prevent MRSA (Ta...
...tial Practices: should be adopted by all ac...
.... Implement a MRSA monitoring program...
.... Conduct a MRSA risk assessment. (L)3305355
...omote compliance with the Centers for Dise...
...contact precautions for MRSA-colonized and MRSA...
...e cleaning and disinfection of equipment and th...
...ement a laboratory-based alert syste...
...alert system that identifies readmitte...
...A data and outcome measures to key stakeholde...
.... Educate healthcare personnel about...
...te patients and families about MRSA. (L)33053...
...antimicrobial stewardship program. (L)3305355...
...al Approaches: can be considered for use in l...
...rveillance Testing (AS...
...RSA AST program for select patient populations as...
...eillance for MRSA in conjunction with d...
...veillance with contact precautions is inferi...
...de active surveillance for MRSA can be...
...tive surveillance can be performed in the...
...HCP for MRSA infection or colonization...
...r MRSA infection or colonization if t...
...lonization therapy...
...niversal decolonization (daily chlorhexidine...
...eoperative nares screening with targeted use...
...SA and provide targeted decolonization with CHG ba...
...athing plus nasal decolonization to known MRSA ca...
...Consider postdischarge decolonization of MR...
...CUs should consider targeted or un...
7. Burn units should consider targeted or univer...
...er targeted or universal decolonization...
...ongly consider decolonization as part of a multimo...
...sal use of gowns and gloves...
...and gloves when providing care to or enter...
...solved Issues...
...al MRSA decolonization Mupirocin and chlorhexid...