This can work for patients who are not healthcare workers, but it is much more difficult for healthcare workers who have chronic exposure. We have never attempted this at the various institutions where I have worked. Unless you have a surgeon with high risk and value to the organization, I would agree with what Melanie shared.

Laura L Radke, MD

Adjunct Assistant Professor of Medicine

Medical Director, F&MCW Occupational Health Services

Phone: 262-253-8197 | Fax: 262-253-5152 Cell Phone: 414-530-0723

E-mail: laura.radke@froedtert.com

Froedtert & the Medical College of Wisconsin Workforce Health / North Hills Health Center

Building B First Floor

W129 N7055 Northfield Dr.

Menomonee Falls, WI 53051

From: MCOH-EH <mcoh-eh-bounces+laura.radke=froedtert.com@mylist.net> On Behalf Of Michael A. Sauri, MD, MPH&TM, FACP, FACPM
Sent: Tuesday, October 17, 2023 11:09 AM
To: 'MCOH-EH' <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] MRSA decolonization protocol for HCW

Marianne,

I cannot speak to a specific institutional protocol but in my private practice, I have been successful in decolonizing patients using a one week course of the combination of the daily application of pHisoderm (hexachlorophene) body wash from the neck down just before showering and the daily swabbing of both nares with Bactrobam (mupirocin) ointment.

Michael

Michael A. Sauri, MD, MPH&TM, FACP,

FACPM, FACOEM, FRSTM&H, CTropMed

Medical Director

Occupational Health Consultants

2301 Research Blvd, Suite 125

Rockville, MD 20850

Tel 301-738-6420

Fax 301-990-3534

msauri@ohcmd.com

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Cloeren, Marianne
Sent: Tuesday, October 17, 2023 9:41 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Almashat, Sammy <SAlmashat@som.umaryland.edu>; Roth, Tracy <tsroth@som.umaryland.edu>
Subject: [MCOH-EH] MRSA decolonization protocol for HCW

Hello! Does anyone have an MRSA decolonization protocol (for healthcare workers, not patients) you’d be willing to share?

Thank you!

Marianne

Marianne Cloeren, MD, MPH, FACOEM, FACP

Associate Professor

University of Maryland School of Medicine

Division of Occupational and Environmental Medicine

UMB Public Health Officer

mcloeren@som.umaryland.edu

410-328-2637

Cell 443-466-0033

Book time to meet with me

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