MRSA rates higher in long-term care, HIV-positive, and hemodialysis patients

By: April 28th, 2010 Email This Post Print This Post

A recent study published in the Infection Control and Hospital Epidemiology indicates that certain patient populations are more prone to harboring MRSA infections, including elderly long-term care patients, HIV-positive outpatients, and patients receiving hemodialysis.

Researchers took nasal swab samples from patients at 11 different inpatient and outpatient facilities between January 23, 2006, through July 27, 2007. MRSA was prevalent in 20% of elderly, long-term care patients, 16% of HIV-infected outpatients, 15% of outpatients receiving hemodialysis, and 14% of inpatients receiving hemodialysis.

“Hospitals performing active surveillance for MRSA should consider such patient populations for screening cultures,” lead author Leonard Mermel, DO, ScM said in a press release.

Furthermore this data should encourage outpatient facilities to perform active surveillance, particularly with those patient populations. Both the CDC and APIC have a published list of MRSA prevention measures. You can also download an MDRO risk assessment on the Tools page under the “Infection Control” heading on the Tools page.

Does your facility conduct MRSA screening for high risk patients? Let us know in the comments section below.

Comments

I am the Infection Control Nurse in a Skilled Nursing Facility and no we do not
perform MRSA screening for high risk patients.

By Marlene Waymack on April 28th, 2010 at 10:49 am

This is nothing new for us. Our hospitals have been screening high risk patients for MRSA since 2007. Our high risk patients are: LTC patients, Assisted Living facility patietns, Prison or Jail patients, Dialysis patients and any patient with a history of MRSA. Studies have shown that many patients in LTC facilities are colonized (> 20%). How could you keep 40% of your patients who live in LTC facilities in Isolation Precautions? It would be detrimental to their daily life. Colonization and infection are different.

I work in a hospital in Pa. Recent legislation (Act 52) dictates we screen all high risk pts. which includes, LTC, hemodialysis, pts. receiving chemo agents and cystic fibrosis. We also participate in a pay for performance program in which we perform surveillance on all admissions and discharges on select units.

 

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