YNHPH VRE/MRSA Infection Control Policy

  Introduction
  Identification
Organism-Specific Precautions
    MRSA
  Level 1
    Level 2
    Level 3
    VRE
    Level 1
    Level 2
    Level 3
C. difficile
Modifications to Precautions
Precautions Checklist


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

Dr. Jeff Topal
688-4634




Organism-Specific Precautions
MRSA (Methicillin resistant Staphylococcus aureus)

LEVEL 1 MRSA PRECAUTIONS:

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

MRSA in an intact skin lesion and/or wound such that the wound or its discharge is easily contained by a simple dressing
MRSA in the sputum, but no cough
MRSA in the urine, but patient is continent
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:

Aggressive hand hygiene for both patient and staff.
Use of gloves and a gown if soiling is likely to occur for all wound care.
Use dedicated patient care equipment when feasible or clean all shared patient care equipment with an approved EPA disinfectant before use on another patient.
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:

Does the roommate have non-intact skin, open wounds, stasis ulcers, decubiti, burns, or indwelling devices (foley catheter, central line/PICC line, etc.)?
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)?
Is the roommate known to be colonized with VRE?
Is the roommate unable to cooperate in infection control measures?

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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