




Yale
New Haven Hospital
QISS
GB 325
New Haven, CT
06504 USA

Dr. Jeff Topal
688-4634

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Patients with known MRSA infection/colonization who are asymptomatic defined as having:

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MRSA in an intact skin lesion and/or wound such that
the wound or its discharge is easily contained by a
simple dressing |
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MRSA
in the sputum, but no cough |
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MRSA in the urine, but patient is continent |
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MRSA in a nares culture, but no other identified sites
or prior sites of infection/colonization |
These
patients must be placed on Level 1 MRSA Precautions.
Although the patient will NOT be placed on Contact
Precautions, infection control measures will include:

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Aggressive hand hygiene for both patient and staff. |
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Use of gloves and a gown if soiling is likely to occur for all wound care. |
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Use dedicated patient care equipment when feasible or
clean all shared patient care equipment with an approved
EPA disinfectant before use on another patient. |
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Placement in a private room or cohorting with another known MRSA patient is preferred; however if a private room is not available, the following criteria should be utilized in roommate selection |
If
the roommate has any of the following risk factors, he/she
cannot be a roommate:

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Does the roommate have non-intact skin, open wounds,
stasis ulcers, decubiti, burns, or indwelling devices
(foley catheter, central line/PICC line, etc.)? |
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Is the roommate immunosuppressed (ESRD, HIV+/AIDS, on
steroids-greater than 20mg prednisone or equivalent/day,
neutropenic or S/P chemotherapy, S/P allogeneic or solid
organ transplant)? |
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Is the roommate known to be colonized with VRE? |
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Is the roommate unable to cooperate in infection control
measures? |
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IF
THE ANSWER IS YES TO ANY OF THE ABOVE, PLACEMENT WITH A MRSA POSITIVE
PATIENT IS NOT ADVISED.

Last
modified: October 4, 2002.



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