MRSA Risk - guidance on selection of antimicrobial prophylaxis and empirical treatment regimens
|Publication: 05/02/2009 --|
|Last review: 20/11/2019|
|Next review: 20/11/2022|
|Approved By: Improving Antimicrobial Prescribing Group and Infection Control|
|Copyright© Leeds Teaching Hospitals NHS Trust 2019|
This Clinical Guideline is intended for use by healthcare professionals within Leeds unless otherwise stated.
MRSA risk - guidance on selection of antimicrobial prophylaxis and empirical treatment regimens
Patients within these categories are considered at increased risk of MRSA infection:
- Known colonisation with MRSA at any site at any time.
- Known previous infection with MRSA (requiring antimicrobial treatment) at any time.
- Resident of a long term care facility (nursing home, residential home or any other long term residential facility) without a negative MRSA screening result.
- Current inpatient and in hospital for greater than 14 days.
If a patient has risk factors for MRSA infection:
- MRSA should be considered when choosing empirical (best guess) antimicrobial treatment regimens for infection.
- They should receive surgical prophylaxis with activity against MRSA as specified in specialty-specific prophylaxis guidelines.
- Where no specialty specific prophylaxis guidelines exists teicoplanin IV bolus 400mg within 1 hour prior to incision/tourniquet application as a single dose may be appropriate, discussion with microbiology is advised.
- Where patient is allergic to teicoplanin seek microbiology advice.
- Topical decolonisation should be administered according to the screening and decolonisation protocol.
|Target patient group:||All patients|
|Target professional group(s):||Pharmacists
Secondary Care Doctors
Secondary Care Nurses
Improving Antimicrobial Prescribing Group and Infection Control
LHP version 1.0
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