paper in the American Journal of Infection Control outlining an an active surveillance program for MRSA at a small acute care hospital in Montana. Patients found to be colonized were then placed in contact precautions. Of note, the hospital has had 1-2 MRSA healthcare associated infections yearly for the last several years. In 2010, isolation of asymptomatically colonized patients was discontinued with no subsequent increase in MRSA HAIs noted. The authors conclude that contact precautions are not necessary for asymptomatically colonized patients and the cost of consumable products for contact precautions was an unnecessary expense. I agree with the authors, but would go further to question the value of performing active surveillance for MRSA in a hospital with 1-2 infections per year.