mask for MRSA?

  1. 0
    In our facility we have been coming up with many cases of MRSA. Most of them sputum cases. I have been looking all over in my books and on the internet, but I can't find my answer.

    Should we be using droplet precautions for these MRSA positive sputum patients? Should we use these precautions until the patient has been tested again for MRSA?

    Thanks
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  4. 24 Comments so far...

  5. 0
    Our hospital policy (& that of I.D) is that droplet procautions always for any MRSA pt. Gown, gloves, mask. I know there has been some controversy in the past, but our I.D. dept stands tough on the masking/gloves/gown and we have never had a major outbreak. (touch wood) )

    My advice? Be save, err on the side of caution. Mask!

    ciao
    JO
  6. 0
    I'm with Tiki-when I did agency nursing in ICU, that was that hospital's policy also-never knew a nurse to even become a carrier, and we had no in-hospital spread. BTW, we used the same policy in ER whenever we got radio report that someone with MRSA was coming in from a NH, and so did EMS.
  7. 0
    Over kill is not always the answer. For many reasons Pts do not understand why we wears masks when just entering the room if bug is in urine and they have a catheter... and there is nothing that shows it decreases the risk of spreading. Poor handwashing on the other hand... now there is documentation of that impacting the spread of many things.

    But when something runs the risk of being spread via an airborne route, a maks is alwasy a very good idea.

    I suggest you look at the www.APIC.org website. (assoc. for Infection Control Practioners). They have very good educational things available and an IC list serve as well.

    Good luck.
    Last edit by bernarma on May 28, '02
  8. 0
    In most UK hospitals MRSA is a constant

    If it is detected in sputum yes we wear masks otherwise we just use contact precautions

    Patients with known MRSA are treated with Aquasept baths and Bactroban nasal cream

    Does this help?
    j
  9. 0
    no one mentioned , is the mrsa colonized? if so no precautions are needed.
  10. 0
    if it's colonized no precautions are needed. sorry.
  11. 0
    Why would a colonized resident not need precautions?? Colonization just means the bacteria doesn't make them sick, but can still be transferred to other residents in the facility via heathcare workers. Am I crazy for thinking this way?
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  13. 0
    In our facility, if the MRSA is colonized then we don't observe isolation prec. I had a pt just admitted w/MRSA of the skin. (MRSE) thinking that is what it was, anyway She got sick quick on me, pulmonary edema. She had started a cough that went down hill in hours. I masked immediately when I noted her cough. If it is respiratory MRSA, our pts may come out of their room but w/a mask on until we get a report stating it is colonized. We have another one w/MRSA of her eye. She must wear an eye patch to come out of her room. Tex


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