Monday, December 3, 2007

Scott and White to test all patients for MRSA

Now here's an interesting piece of news! Scott & White hospitals in Round Rock and Temple, TX are going to start testing all patients for MRSA colonization through nasal cultures. This will surely provide some interesting epidemiological data, but the bigger question is, what will they do with this information? Are they going to try to treat everyone who is colonized? Study after study does not recommend this unless the patient has recurring infections. This is going to be an important question in the coming years, should asymptomatic MRSA carriers be treated? The Netherlands maintains one of the world's lowest MRSA colonization and infection rates by screening for MRSA upon hospital admission and subsequently treating all colonizers. Does the US have the resources for this? Also, with mupirocin-resistant MRSA emergence, is it a waste of resources to treat patients who are asymptomatic? And would treatment involve just topical antibiotics? Antiseptic washes? Oral antibiotics? I'm eager to see how this information is handled and if hospital MRSA infection rates are decreased.

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