A Cost-Effective Way for Infection Preventionists to Stem Outbreaks and Practice Good Antimicrobial Stewardship.
There are two main approaches that hospitals and other healthcare organizations are taking to prevent MRSA infections, particularly among their most vulnerable patient populations. These populations include patients admitted to intensive care units (ICUs), those undergoing surgery, and those transferred from another healthcare facility. The approaches are:
- Targeted decolonization: perform active MRSA surveillance testing on all patients or select high-risk patient groups and place those who test positive in contact precautions and decolonize them.
- Universal decolonization: treat all patients or select high-risk patient groups with a nasal antibiotic or antiseptic and bathe with the antimicrobial agent chlorhexidine (CHG), without performing surveillance and regardless of their MRSA status.
Which method is more effective at preventing MRSA outbreaks in a healthcare facility, and at what cost?
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