14/01/2020

Which groups of people should be tested for MRSA at hospitals?

In Germany, the following recommendations apply: "RKI-Empfehlung zur Prävention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-Stämmen (MRSA) in medizinischen und pflegerischen Einrichtungen".

Background:
The RKI recommends screening at least the following people (by at least taking a swab from both the nasal atrium and any wounds):

  1. Patients with a known history of MRSA
  2. Patients from regions/institutions known for a higher prevalence of MRSA
  3. Dialysis patients
  4. Patients who have been admitted to inpatient hospital stays (> 3 days) in the past 12 months
  5. Patients who are in direct and regular contact with MRSA in their profession, e.g., contact with animals and agricultural animal feed (pigs, cattle, poultry)
  6. Patients who have been in contact with MRSA carriers during an inpatient stay (e.g., accommodated in the same room)
  7. Patients with the need for long-term care and one of the following risk factors: antibiotic treatment in the past 6 months or a catheter in place (e.g., a urinary catheter or PEG tube)

References:
KRINKO (2014) Empfehlung zur Prävention und Kontrolle von Methicillin-resistenten Staphylococcus aureus-Stämmen (MRSA) in medizinischen und pflegerischen Einrichtungen. Bundesgesundheitsbl 57:696-732.,Bundesgesundheitsbl 57:696-732.

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