MRSA screening of staff.... - page 2
I did a search and I found some threads but none that I found were recent, so I thought I would pose the question here. One surgeon at our facility wants to have all the Operating Theatre staff... Read More
May 6, '12You can actually decolonize a patient using certain products, right before surgery. They stay without MRSA for 12-24 hours. they can be retreated every 12-24 hours if they need to or are high risk.
Sun0408- we don't know. which is why we decolonize EVERYONE regardless.
The surgeon requesting it has already been tested, and he has had only one post op infection in about 3 years. He's great.
And yes the hospital has to pay the sick leave. It's a very sticky situation.
I should add that treatment for MRSA colonization is a topical antibiotic. it is very unlikely to cause anyone to develop C-diff.
May 6, '12Years ago we had a massive MRSA breakout in the unit I work in...they swabbed all of us and the ones that were positive were banished to the MRSA part of the unit and had to be treated with bactroban up our noses. They have never swabbed us again since they have since then figured out that most of us are colonized anyways. We swab all our admissions.
May 6, '12Ive worked the reg floors for 8 years, and had 3 surgeries in the last 3 years. I have swabbed negative every single time. thought for sure i would be pos, but apparently not
May 6, '12Quote from jrwestjrwest, sometimes I think its good luck, but often I think it is that people, like you, are following really good handwashing and stuff...Ive worked the reg floors for 8 years, and had 3 surgeries in the last 3 years. I have swabbed negative every single time. thought for sure i would be pos, but apparently not
May 6, '12Quote from JZ_RNSo you're not sneezing into surgical incisions? I thought that was a standard part of OR procedure.There's a reason we use standard precautions.
Quote from sauconyrunnerMaybe not c. diff, but topical antibiotics create resistance just like oral and IV antibiotics.I should add that treatment for MRSA colonization is a topical antibiotic. it is very unlikely to cause anyone to develop C-diff.
We want to cut down on MRSA, then we need to go treat the colonized staff at WalMart before we start hitting up OR staff.
May 6, '12I had a patient who was an anesthesiologist with systemic MRSA in CSF and the Infectious Disease team had no problem with her continuing to be in the operating room. If the ID team doesn't care about that, I have a hard time thinking that people who are simply colonized with it and are scrubbed need to be swabbed and put out of work.
May 7, '12Hallelujah! Spoke with Admin, and all have agreed (except Surgeon), that we do not need screening of anyone except patients. Yaaaaay, one less problem.