Recommendations
Table 1. Recommendations to Prevent MRSA (cont'd)
MRSA decolonization therapy (cont'd)
5. Consider postdischarge decolonization of MRSA carriers to reduce
postdischarge MRSA infection and readmission. (H)
6. Neonatal ICUs should consider targeted or universal decolonization during
times of above-average MRSA infection rates or targeted decolonization for
patients at high risk of MRSA infection (e.g., low birthweight, indwelling
devices, or prior to high-risk surgeries). (M)
7. Burn units should consider targeted or universal decolonization during
times of above average MRSA infection rates. (M)
8. Consider targeted or universal decolonization of hemodialysis patients. (M)
9. Strongly consider decolonization as part of a multimodal approach to
control MRSA outbreaks. (M)
Universal use of gowns and gloves
1. Use gowns and gloves when providing care to or entering the room of all
adult ICU patients, regardless of MRSA colonization status. (M)
Unresolved Issues
1. Universal MRSA decolonization
2. Mupirocin and chlorhexidine resistance
3. MRSA-colonized HCP
