MRSA IC Policy

Introduction
Colonization & Infection
Mode of Transmission
Control Measures

Contact Precaution

Patient Placement/
Cohorting

Cleaning of Patient
Care Equipment
Discontinuation of Contact Precautins

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Yale New Haven Hospital
QISS
GB 325
New Haven, CT
06504 USA

Dr. Jeff Topal
688-4634




Control Measurers
Contact Precautions

Place patients on Contact Precautions.

Handwashing - is the most effective infection control measure to reduce the risk of transmission of MRSA and other nosocomial pathogens in healthcare settings. Wash hands before patient contact and after touching blood, body fluids, secretions, excretions, and contaminated items, whether or not gloves are worn. Wash hands immediately after gloves are removed, between patient contact, and when otherwise indicated to avoid transfer of microorganisms to other patients or to the environment. It may be necessary to wash hands between tasks and procedures on the same patient to prevent cross-contamination of different body sites (e.g., change gloves after bathing patient and before performing a dressing change at an IV site).

Gloves - gloves provide a physical barrier between potentially infective material and the health care workers hands.

  1. Don gloves upon entering the room.
  2. During the course of providing care for a patient, change gloves after having contact with infected material that may ntain high concentrations of microorganisms (e.g., sputum and wound drainage).
  3. Remove gloves before leaving the patient’s room and wash hands immediately. After glove removal and handwashing, ensure hands do not touch potentially contaminated environmental surfaces or items in the patient’s room to avoid transfer of microorganisms to other patients or environments. You may need to use a clean paper towel under your hand to open the door of the room. After the door is opened, discard the paper towel in the waste container inside the room.
Gowns - put on a gown upon entering the room for the patient on Contact Precautions. A gown is necessary when doing direct patient care, having contact with the environment or items in the patient’s room.

Remove the gown before leaving the patient’s environment. After gown removal, ensure that clothing does not contact potentially contaminated environmental surfaces in order to avoid transfer of microorganisms to other patients or to the environment.

Masks - wearing a mask to protect the healthcare provider is based on the assumption that personnel are more likely to develop nasal colonization while performing certain patient care activities. Transient nasal carriage has been reported among nurses changing dressings of MRSA patients. However, the value of a mask in reducing transient nasal colonization is not known but if a patient has a productive cough with MRSA in the sputum, a mask should be worn.


Last modified: March 2, 2001.



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