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Contact precautions (CP) in hospitals are a method of infection control in the transmission of multi-drug resistant organisms. Unfortunately, even though colonization with nasal methicillin-resistant Staphylococcus aureus (MRSA) is common in asymptomatic patients (3.8-4.5%) (6,7), patients are screened for nasal MRSA since it associated with higher morbidity and mortality. However, those who test positive for nasal MRSA are kept on CP even with a cleared MRSA infection(1). At TJUH, patients were kept on CP for 24 months after a positive swab regardless of location. This, unfortunately, led to unintended negative consequences: delay in patient transfer to other facilities (e. g. rehabilitation) (3), lower patient satisfaction (4), decreased health care provider time with patients (5), and increased health care expenditures.
quality improvement, MRSA, infection rates
Infectious Disease | Medicine and Health Sciences
al-Saiegh, MD, Fadi; Flomenberg, MD, Phyllis; Labella, RN, Giuliana; McRory, Kelli; and Harrop, MD, James, "Reduction of the Duration of Contact Precautions in Patients with a Positive MRSA Swab" (2019). House Staff Quality Improvement and Patient Safety Conference (2016-2019). Poster 123.