Reduction in methicillin-resistant Staphylococcus aureus colonisation: impact of a screening and decolonisation programme

Garvey, M.I. et al. Journal of Infection Prevention. Published online: 4 August 2016

https://www.flickr.com/photos/wellcomeimages/16003100451/in/photolist-qo95e2-fCw4hb-53wmHs-58CKUe-cw4Wfq-cw4UMo-cw4WL3-cw4VJU-7ojVRv-4CaQEw-4C6xeT-EU6nC-4CaQLJ-q6Lo13-qoj7iX-4CaQDu-EU4Nk-zpiJyu-4CaQMY-qm32Db-j4vREz-or2Sbx-oHuHUf-j4MspC-9y4sDM-or32x7-dQjFSx-a4RLq5-6JBQwo-bpzxT4-iQPVjT-oHuBLJ-or2TEV-oY1BkX-bpCfQR-fN98g7-4CaQCA-4C6xnp-4C6xoc-4C6xmt-4C6xji-fzTQ3p-9RQsFL-7uoVdt-4bAWxg-oHfG5k-DEvM97-9y7kCs-9TwwGL-9TwvXh

Image source: Annie Cavanagh – Wellcome Images // CC BY-NC-ND 4.0

Patients in care homes are often at ‘high risk’ of being methicillin-resistant Staphylococcus aureus (MRSA) colonised. Here we report the prevalence of MRSA, the effect of MRSA screening and decolonisation in Wolverhampton care-home residents.

Eighty-two care homes (1665 residents) were screened for MRSA, three times at 6-monthly intervals (referred to as phases one, two and three). Screening and decolonisation of MRSA-colonised residents led to a reduction in the prevalence of MRSA from 8.7% in phase one, 6.3% in phase 2 and 4.7% in phase three.

Overall, the study suggests that care-home facilities in Wolverhampton are a significant reservoir for MRSA; screening and decolonisation has reduced the risk to residents going for procedures and has indirectly impacted on MRSA rates in the acute Trust.

Read the abstract here

 

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