Hi Marianne,

This APIC “Guide to the Elimination of MRSA Transmission in Hospital Settings” addresses HCW decolonization (when/whether to do it, rationale, regimens, caveats) starting on page 61. It’s from 2010 but still solid guidance.

Basically advises not to decolonize unless the HCW case is linked to ongoing hospital transmission. Then if you do decolonize, know it’s for short term eradication and not long term (and there is a failure rate even in the short term.)

 

Hope this helps,

 

Melanie

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Cloeren, Marianne
Sent: Tuesday, October 17, 2023 8:41 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Almashat, Sammy <SAlmashat@som.umaryland.edu>; Roth, Tracy <tsroth@som.umaryland.edu>
Subject: [EXTERNAL] [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