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Contact Precautions For MRSA

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Mrs. Jackson is a frail elderly woman who presents to the Emergency Department with a fall and an injured hip. During her assessment, the local hospital’s policy of screening for methicillin-resistant Staphylococcus aureus (MRSA) is initiated. In addition to confirming a hip fracture, Mrs. Jackson is now “flagged” as a MRSA carrier. Her hospital’s isolation and contact precaution protocols are swiftly implemented. Along her journey to fix her hip, Mrs. Jackson experiences delays in getting a hospital bed, receives less attention from her healthcare team, and feels emotional distress as a consequence of this MRSA label.
The use of patient isolation and contact precautions for MRSA is a controversial issue resulting from evidence that both …show more content…

The Center for Disease Control and Prevention (Siegel, Rhinehart, Jackson, & Chiarello, 2017) and the Association for Professionals in Infection Control (Aureden et al., 2010) recommend contact precautions for the prevention of MRSA transmission. Contact precautions include isolating the patient in a private room (or placing physical barriers between patients) and the mandatory use of gowns, masks, and gloves during patient interactions (Siegel, Rhinehart, Jackson, & Chiarello, 2017; Ofner-Agostini et al., 2007).
Are Contact Precautions Effective?
The research on the actual effectiveness of contact precautions for preventing MRSA transmission is controversial. There are studies that demonstrate a reduction in MRSA transmission and infection rates after implementation of contact precautions (Kypraios, O’Neill, Huang, Rifas-Shiman, & Cooper, 2010; Landelle, Pagani, & Harbarth, 2013; Marshall, Richards, & McBryde, 2013). However, there are newer conflicting studies that show the discontinuation of contact precautions does not increase transmission or infectivity rates of MRSA (Bardossy et al., 2017; Martin et al., 2016; Mckinnell et al., 2017; Renaudin et al., 2017). A Cochrane review of contact precautions in the hospital setting concluded that “there is no scientific evidence that the wearing of gloves, a gown, or a

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