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Hi all
We have a new admission from hospital who has been identified as a positive MRSA within urine. We are applying PPE requirements for transmission based precautions, but are seeking guidance on this as to managing this ongoing. We had also suggested sampling the urnine again to determine whether it is still an active infection.thanking you all in advance.
Hi Milja
Just a query: Is the resident colonised or have an acute infection?
Retesting would be GP led and based on prev testing dates.
Below are a few links to assist.
‘Aged Care IPC in Focus’ has a great ‘managing MRO in aged care’ presentation, this will assist to manage all MRO: Link https://www.acipc.org.au/members/ipc-in-aged-care/
QLD provide a Residential Aged Care MRO Guide: https://www.health.qld.gov.au/__data/assets/pdf_file/0031/719068/mros-info-sheet-residential-care-facilities.pdfIn the aged care setting a risk assessment is required to determine the precautions- as per Aged Care IPC Guide: https://www.safetyandquality.gov.au/our-work/infection-prevention-and-control/infection-prevention-and-control-aged-care
Consider with risk assessment:
If the urine can be contained – resident is continent, or has incontinence aids, or has IDC – transmission risk is reduced.
Isolation is not required if urine can be contained. Mental health must also be a consideration where risk is reduced.
Standard precautions are always in place.
Contact and (if droplet risk) droplet precautions should be applied only when managing urine (toileting, bathing, aid change etc), or handling items contaminated by urine.
Any clothing or linen items contaminated by urine should be placed in a washing soluble bag and linen bag – colour coded infectious – for transport
Items for disposal which are contaminated with urine should be placed in clinical waste – including PPE
Daily room/bathroom clean/disinfection would be required – TGA approved to MRSA
Encourage and assist with resident hand hygieneRegards Carrie
