MRSA Bug puts hospitals on edge, on guard

  1. from healthleadersmedia.com:

    bug puts hospitals on edge, on guard
    hospitals across the country are mounting increasingly aggressive defenses against a virulent bacterium resistant to antibiotics that turns seemingly minor skin abrasions, cuts and sores into serious, even life-threatening, infections.
    washington post, may. 14, 2007
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    About NRSKarenRN, BSN, RN Moderator

    Joined: Oct '00; Posts: 27,524; Likes: 13,741
    Utilization Review, prior Intake Mgr Home Care; from PA , US
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    9 Comments

  3. by   snowfreeze
    The unit I work on swabs for MRSA in the nares upon admission, when transferred, after 5 days stay and at discharge. We isolate for MRSA. Identifying and isolating MRSA has been shown to decrease the spread significantly.
  4. by   chadash
    It is MRSA mayhem! Read a great article from the British Journal of Medicine about measures that rid a British Ortho hospital of all MRSA out breaks in a years time. Might look that one up.
  5. by   Creamsoda
    We isolate the minute the patient comes into the door. We swab for MRSA, and only untill proven clear, then we will d/c isolation. Its a pain in the but to isolate from the get-go, but im sure it probably shortens the lenght of stay, and prevents the spread.

    Cher
  6. by   zipporah
    Snowbreeze, I saw this practice of swabbing all admits in Naples Fla, where are you please? My hospital does nothing.
    Last edit by zipporah on May 23, '07 : Reason: wanted to be more specific
  7. by   Lacie
    Quote from zipporah
    Snowbreeze, I saw this practice of swabbing all admits in Naples Fla, where are you please? My hospital does nothing.
    Same here but I work in chronic dialysis. We dont isolate pts at all and things go on as routine as the day before we found out they have mrsa. We have had a run of them of late and everyone have cvc's. Instead of looking at the fact they are all so close together in loungers (only a computer module seperates them) they are looking to test staff as the primary carrier. We do mask, face shield, gloves and gown prior to any contact otherwise not much else. I'm not saying it's not staff just there seem to be many other possibilites as the primary carrier. Anyone dealt with this issue?
  8. by   snowfreeze
    zipporah,
    I am located in Pittsburgh PA, the docs are even compliant with glove and gown policy. It takes 6 months and 3 negative swabs to take a patient out of MRSA isolation by facility policy so each re-admission puts the patient immediately in isolation again until the negative status is achieved.
  9. by   pepperann35
    I work in LTC/rehab. We don't have any isolation precautions for MRSA. We get many pts. with MRSA in the urine and nares. We also get a lot of c-diff and VRE. Nothing special is done other than universal precautions.
  10. by   sm01
    We isolate for MRSA, VRE, C-Diff, Acinobactor. MRSA and C-Diff are only contact isolation. VRE and Acinobactor are strict isolation. And of course we get the MDR as well that should be beyond strict isolation. At the hospital I work in MRSA is like a second nature thing everyone has it and I am sure that hospital staff is well colonized as well.
  11. by   pepperann35
    Quote from sm01
    We isolate for MRSA, VRE, C-Diff, Acinobactor. MRSA and C-Diff are only contact isolation. VRE and Acinobactor are strict isolation. And of course we get the MDR as well that should be beyond strict isolation. At the hospital I work in MRSA is like a second nature thing everyone has it and I am sure that hospital staff is well colonized as well.
    It did not used to be that way just a few years back. A staph infection was seen as very serious, I didn't see MRSA very often. Now, you are right, MRSA is everywhere. And much more c-diff. VRE is also on the rise.

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