We've blogged many times on the adverse unintended consequences of active surveillance for MRSA. A new study in the American Journal of Infection Control documents yet another setback for patients colonized with MRSA. Susan Huang's group studied admission practices at 13 nursing homes in California. Patients colonized with MRSA were nearly 3-fold more likely to be denied admission than those without MRSA colonization. Active detection and isolation for multidrug-resistant pathogens is one of the only interventions in medicine where the benefit accrues to patients who don't bear the burden of the intervention. And the more we study this, the bigger we find that burden to be.
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Pondering vexing issues in infection prevention and control
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No surprising as I run a MRSA Group on Facebook. The greater majority of our members have HA MRSA (Hospital Acquired) more often than CA (Community Acquired) MRSA. They go in for surgeries or different ailments and come out with an antibiotic resistant monster. It's pathetic. Meanwhile everyone reports that HA MRSA has dropped drastically. That's utter bull!
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