MRSA & IVAB - Vancomycin

Nurses General Nursing

Published

Hi there

I am wondering if other nurse see this situation in their units.

We swab patients on the ward for MRSA when they first arrive on unit or get transfered from other units to my ward.

Once confirmed that they are positive for MRSA, then Vancomycin IVAB is set up.

The question i pose is: Does anyone see a result prior to patients discharge after their long stay in the unit when and if they get clear of the MRSA bug ???? I cant work this one out, otherwise they just go back into community with the bug??? That to me is not controlling the problem.

We are only culturing patients that come to and transfer out of ICU for the multi-drug resistant acinobactor that has shown face to our hospital and that is it. Inless they have a history of isolation needs we isolate and culture for clearance.

Why do people randomly culture patients on admission?

Definitely only seen admission culturing done if the patient is on an interhospital transfer and has a surgical or pressure wound or if the person is going into elective surgery eg CABGS etc...

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