Description

A patient colonized with methicillin-resistant Staphylococcus aureus (MRSA) is at risk for healthcare-associated infections and is a source for spread to others. Detecting colonization involves testing a number of sites that may harbor the organism.


 

Sites for specimen collection may include:

(1) anterior nares

(2) perineum or perianal area

(3) inguinal region

(4) neck and/or ear

(5) forehead

(6) axilla

(7) sites of indwelling devices

(8) wounds

(9) any other site previously documented as being colonized

 

Testing only 1 or 2 sites may fail to detect a colonized patient (false negative).

 

Testing multiple sites increases the cost of detection and surveillance.

 

cost of screening =

= (number of sites) * (cost per site)

 

If the patient is screened and surveyed several times, then these costs are repeated.

 


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