Reports about the prevalence of HA-MRSA and outcomes of effective prevention strategies can improve awareness and increase compliance with hand hygiene, contact isolation, and other prevention methods.
In addition to the SHEA guidelines, Henderson (2006) supported use of antibiotic stewardship, hand hygiene, staff grouping, maintenance of appropriate staffing ratios, reduction in lengths of stay, contact isolation (including mask), active microbiologic surveillance, and better staff education to prevent transmission of MRSA infection.
As a result of our investigation, which showed no patient-to-patient transmission in our NICU during the study period, we established the following procedures: 1) we obtained ASC for VRE only from infants >14 days of age on admission to the NICU and placed them on contact isolation
pending results, and 2) we no longer perform weekly surveillance cultures on previously culture-negative patients.
difficile spores, current recommendations include initiating contact isolation precautions for symptomatic patients even while awaiting confirmation from diagnostic testing (Wilcox, 2007).
An urgent need exists for the nurse to follow contact isolation procedures for the diagnosed patient and be diligent about hand hygiene to prevent nosocomial transmission.
To prevent the spread of these organisms within and between facilities, health-care providers and facilities are advised to 1) ensure the appropriate use of vancomycin ; 2) educate those personnel who provide direct patient care about the epidemiologic implications of such strains and the infection-control precautions necessary for containment; 3) strictly adhere to and monitor compliance with contact isolation
precautions and other recommended infection-control practices, and 4) conduct surveillance to monitor the emergence of resistant strains.
This hospital instituted contact isolation of patients at high risk for MRSA, pending the outcome of microbiology tests.
With this high-risk vector identified, we activated the hospital's new contact isolation policy.
When control policies failed to stop the epidemic, more aggressive measures were taken, including continuous staff education, contact isolation
for MRSA-positive patients, systematic screening for persons exposed to MRSA, cohort nursing of MRSA-positive and MRSA-exposed patients in epidemic situations, and perception of the 30 medical institutions in that district as one epidemiologic entity brought under surveillance and control of the infection control team of Turku University Hospital.
Jones has been on contact isolation
precautions since he developed diarrhea.