Screening Long term patients

[Rebecca O’Donnell]

Good morning all,

I would love some feedback regarding the following:

1. What time frame does your facility define a patient as “long term” e.g. MRO risk

2. And with the Long term classification does your facility screen for MRO’s as part of surveillance??

Thanks, have a great day.

Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.au

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[Michael Wishart]

Hi Bec

The national infection control guidelines list these screening recommendations:

Patients at high risk of carriage:
— those who are known to have been previously infected or colonised with MRSA
— frequent re-admissions to any healthcare facility
— transfers from other acute care facility
— residence in long term care facilities
— patients with chronic wounds
— recent inpatients at hospitals known or likely to have a high prevalence of MRSA
— locales or populations where community-acquired strains of MRSA are prevalent
Patients in high-risk units
— ICU/high dependency unit (admission and discharge)
— Spinal unit
— Burns unit
— Pre-operative clinics
— Patients with planned prosthetic surgery (joint replacement, cardiothoracic surgery)

The AICA / ACSQHC guidelines suggest:

MRSA Recommended:
Patients with chronic wounds or indwelling medical device (not previously known to have MRSA)
Optional:
Dependent on locally demonstrated epidemiology of MRSA:
– Transfers from other acute or long term care facilities or readmission after recent prolonged hospital inpatient
care*
– Admission screening in locales or populations where community-acquired strains of MRSA are prevalent.
Specialised units including intensive care units
All patients on admission; then weekly or twice weekly dependent on demonstrated acquisition rates
Optional:
Selected preoperative patients

I would not be including patients just because they were long term in my facility unless they met one of the above criteria, or unless there was clear epidemiological evidence of local increased risk within your facility over a certain time frame.

As far as long term care facilities is concerned, my interpretation is actually any residential care with assisted care facilities. Not retirement villages with independent living. We do have residential care in our screening policy, but I am not sure how well it is followed currently. If you have any local epidemiological data on local residential care MRSA colonisation / infection rates, this could also be used to guide screening policy.

Good luck, always hard to know who to screen without wasting a lot of time and resources for little gain.

Cheers
Michael

Michael Wishart
CNC Infection Control
Holy Spirit Northside Private Hospital
627 Rode Road, Chermside, Qld 4032
t: (07) 3326 3068 | f: (07) 3326 3523
e: Michael.Wishart@hsn.org.au
w:www.holyspiritnorthside.org.au
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Good morning all,

I would love some feedback regarding the following:

1. What time frame does your facility define a patient as “long term” e.g. MRO risk

2. And with the Long term classification does your facility screen for MRO’s as part of surveillance??

Thanks, have a great day.

Rebecca O’Donnell | Infection Control Co-ordinator
St Vincent’s Hospital Toowoomba | 22-36 Scott Street TOOWOOMBA 4350
T 07 4690 4042 | F 07 46904400
E rebecca.o’donnell@stvincents.org.au | W http://www.stvincents.org.au

P Please consider the environment before printing this email.
This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not be duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care (“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference.

WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.

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WARNING : This email contains information, which is CONFIDENTIAL, and that maybe subject to LEGAL PRIVILEGE. This e-mail and any attachments to it (the “Communication”) is confidential and is for the use only of the intended recipient, and may not duplicated or used by any other party without the express consent of the sender. The Communication may contain copyright material of St Vincent’s Health & Aged Care(“SVHAC”), or any of its related entities or of third parties. If you are not the intended recipient of the Communication, please notify the sender immediately by return e-mail, delete the Communication, and do not read, copy, print, retransmit, store or act in reliance on the Communication. Any views expressed in the Communication are those of the individual sender only, unless expressly stated to be those of SVHAC. SVHAC does not guarantee the integrity of the Communication, or that it is free from errors, viruses or interference. Thank-you.

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