Some of the patients are carriers, and some acquired MRSA through airborne particles.
Do we generalise both groups by isolating them from patients of other disciplines? If not,why?
To prevent MRSA transmission we must implement contact based precautions. So all MRSA carriers, infected or not, should be admitted under contact isolation. This does not mean private rooms. It means barrier precautions.
Barrier nursing when in hospital and preventative precautions on discharge.
Dear Researchers,
I agree with Alexandre Carvalho and Bernard Leddy. As MRSA being a higly contagious Multi-Drug Resistant Microorganism with intended human-to-human spread potential, so it is imperative to avoid any kind of physical contact with either the carrier or the infected patient.
As we know, MRSA can be tramsimted through contact (direct or indirect) or droplet, so different precautions should be taken accordingly. For the contact transmission, what you should do are to prevent the patients from people or fomites contaminated with germs, but for the droplet transmission, more strict precautions should be taken to protect them from the germs.
Isolation is a relative definition, but that is not meaning single room isolation, I think it depends on the bed capability of your hospital. however, for the germ or virus transmitted through aerosols, it is better to isolate them in single room or together with the similar patients.
Best regards.
Absolutely, yes needs to be isolated, To prevent MRSA transmission.
Actually it is hard to isolate patient, because tendance of illness is high in Mongolia.
It depends on the circumstances. Isolated cases should not been isolated. Infection prevention staff should ensure that universal precautions are used by all staff members. Situation is different when cluster of cases are identified and therefore dissemination occurs. In such case contact precautions should be used. One should not forget that isolation precautions are expensive, increase the load of care for healthcare workers and often associated with adverse effects in isolated patients.
I disagree with Hervé Richet. An aggressive policy of contact isolation is needed to prevent isolated cases to become an outbreak. "Search and destroy" policy make possible a low prevalence of MRSA in the Netherlands and similar measures allowed Scotland to curb MRSA to a mere 10%. In Portugal, where MRSA prevalence is around 50%, we are starting to implement active tracking of carriers, decolonization protocols and contact isolation to all patients with risk factors for MRSA colonization.
Of course, basic precautions are meant to be universal - used in all patients.
Well, in many countries like France the decrease of MRSA infections is not due to contact isolation but to the substitution of MRSA strains by MSSA strains more susceptible but more virulent. So the gain is not real. In addition, isolation precautions are not always correctly applied and anyway increased the burden of care for healthcare workers (HCW). In addition several recent studies have shown that isolation precautions are not very effective to control dissemination of MDR drugs. The CDC recommend to make sure that all HCW know and apply universal precautions and to keep isolation precautions for highly resistant microorganismes (e.g., carbapenemase producing microorganisms). Make audits of patients under contact isolation precautions, you will be surprised by what you will observe. Ask HCW what they know about hand hygiene and universal precautions you may have also some surprises.
contact precautions must be observed for all cases.if cases r more u can do cohart isolation.morover MRSA SECREENING SHOULD BE DONE FOR ALL ADMISSIONS FRON OTHER HOSPITALS
How long between the collection of the specimen for screening and the result from the lab? What do you do with the patient between between admission and delivery of the result?
Yes, healthcare workers are notorious for not washing their hands. Anything in the room is contaminated and could act as a vector.
In an hospital unit, MRSA patients must be isolated even if only carriers...
MRSA is spread by hands and could spread all around the unit if not isolated, hand caution!
Outside the hospital, it will depend on the kind of work or people around
Thanks All,
More queries now -
1. What would be the likely percentage risks, say 50-50, if the MRSA's patients are not isolated but grouped in the same room as those who are not MRSA's patients themselves?
2. Would a mere sneeze jeopardize the other patients as would HIV patients since both are airborne and easily transmitted by body fluid?
3. What happen if the healthcare workers do not change the gloves and use it on non-MRSA's patient after handling the MRSA's patients' bedpan or blood taking? Would the former be infected immediately, on interval depending on their health's situation or none at all?
Best Regards - Mariam
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