HPE HPE 85 – Spring 2017 - Page 24

Pharmacy practice MRSA decolonisation in a district general hospital A pilot service evaluation study to assess decolonisation of MRSA, and whether other measures to control MRSA, such as isolation and contact precautions, were implemented appropriately, is presented Hashim Elshibly David Farren MB BCh BAO MRCP FRCPath Mamoon Aldeyab PhD Laboratory Geraldine Conlon-Bingham PhD Michael Scott PhD Pharmacy Department, Antrim Area Hospital, Northern Health and Social Care Trust, Northern Ireland, UK Email: DrMichael.Scott@northerntrust.hscni.net Control of methicillin-resistant Staphylococcus aureus (MRSA) infection is a major challenge in health care facilities. Decolonisation may reduce the risk of MRSA infection in individual carriers and prevent re-infection and/or transmission to other patients. In our Trust, targeted MRSA screening and decolonisation of high-risk patients was adopted in the general wards as universal untargeted decolonisation is unsustainable in the long term, mainly due to issues of increased resistance to the agents used in decolonisation 1,2 and lack of cost effectiveness. Some settings, such as intensive care units, 3,4 were automatically considered high-risk and so were subject to routine screening on admission and thereafter weekly. Within Northern Ireland there has been an increased incidence of MRSA bacteraemia across all sectors compared with previous years, with 75 cases reported across Northern Ireland as a whole. 22 Aim This is a pilot service evaluation study to assess whether decolonisation of MRSA was performed in the hospital or after discharge or not as indicated by the Trust’s MRSA policy and whether other measures to control MRSA, such as hospitalpharmacyeurope.com