Objectives: In July 2010, patients reported with MRSA positive in ICU were three patients. MRSA screening aims to prevent and early detect of outbreak and activate decolonization of MRSA positive patients accordance with procedures to prevent transmission to patients, staffs and environment.
Method: Patient screening is done to inpatient at admission who has been hospitalized >1 times in the last year and use antibiotics, or referral from another hospital. If the result of MRSA screening is positive, activate MRSA decolonization procedure. Place the patient in isolation room when available or cohorting. Then, 5 days bathing patient with chlorhexidine 2% and provision of mupirocin ointment at nose and wound 2 times per day. Clothes and linens must be replaced each time after decolonization procedure performed. Equipment such as BP cuff and thermometer must be dedicated to the patient or decontamination after contact to the patient. Implement contact precaution and restriction of patient mobilization. Implementation of the decolonization discontinued on day 6 and conducted a re-examination MRSA on day-7. MRSA procedure is deactivated after negative result. Educate patient, family and visitors about MRSA prevention.
Results: From 112 new patients with risk factors of MRSA colonization were screened in July-December 2010, 5 patients were MRSA positive and after activation of MRSA decolonization, result was 100% MRSA negative.
Conclusion: Screening of inpatients with MRSA colonization risk factors at admission can provide optimal prevention of MRSA transmission to patients, staffs and the environment.