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Reduction of 4SICU Hospital Acquired Methicillin Resistant Staph Aureus

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Reduction of 4SICU Hospital Acquired Methicillin Resistant Staph Aureus Team Members: Infection Control Department Surgical Intensive Care Unit Staff (4SICU) – PowerPoint PPT presentation

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Title: Reduction of 4SICU Hospital Acquired Methicillin Resistant Staph Aureus


1
Reduction of 4SICUHospital Acquired Methicillin
Resistant Staph Aureus
Team Members Infection Control
Department Surgical Intensive Care Unit Staff
(4SICU)
2
OPPORTUNITY STATEMENT
  • Reduce number of hospital acquired MRSA
    colonizations and/or infections in the 4SICU by
    implementing a screening procedure based on
    successful practice at other healthcare
    organizations.

3
SOLUTIONS IMPLEMENTED
  • Screening of high risk patients upon admission to
    the unit
  • Weekly screening

4
Criteria for MRSA screening upon admission
  • Any new admission to the unit who
  • Transfer from rehab facility
  • Transfer from outside hospital greater than 24
    hours after admission
  • Chronic renal failure patients on hemodialysis or
    on peritoneal dialysis
  • Any patient with 3 or more hospitalizations
    within the past year
  • NOTE The patient must be off antibiotics to
    which MRSA is susceptible i.e. vancomycin,
    trimethoprim/sulfamethoxazole (Bactrim) or
    linezolid (Zyvox) for at least 2 days prior to
    the MRSA screen cultures.

5
Criteria for weekly MRSA screening
  • If a patient present on the unit meets any of the
    following
  • conditions, then a MRSA screen will be performed
  • Dialysis patient
  • Patient has been on a ventilator for greater than
    5 days
  • Patient has been in the hospital for greater than
    7 days
  • NOTE The patient must be off antibiotics to
    which MRSA is susceptible i.e. vancomycin,
    trimethoprim/sulfamethoxazole (Bactrim) or
    linezolid (Zyvox) for at least 2 days prior to
    the MRSA screen cultures.

6
After
Before
7
RESULTS
Reduction of hospital acquired MRSA in the 4SICU
from 3.7/1000 patient days to 0.7/1000 patient
days. Decrease of 75
8
Next Steps
  • Expand project in other ICUs
  • ?
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