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). OPPORTUNITY STATEMENT.

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reduction of 4sicu hospital acquired methicillin resistant staph aureus

Reduction of 4SICUHospital Acquired Methicillin Resistant Staph Aureus

Team Members:

Infection Control Department

Surgical Intensive Care Unit Staff (4SICU)

opportunity statement
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.

solutions implemented
SOLUTIONS IMPLEMENTED
  • Screening of high risk patients upon admission to the unit
  • Weekly screening
criteria for mrsa screening upon admission
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.
criteria for weekly mrsa screening
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.
slide6
After

Before

results
RESULTS

Reduction of hospital acquired MRSA in the 4SICU from 3.7/1000 patient days to

0.7/1000 patient days.

Decrease of 75%

next steps
Next Steps

Expand project in other ICUs

?

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