1. Reduction of 4SICU Hospital Acquired Methicillin Resistant Staph Aureus Team Members: Infection Control Department Surgical Intensive Care Unit Staff (4SICU)

2. OPPORTUNITY STATEMENT Reduce number of hospital acquired MRSA colonizations and/or infections in the 4SICU by implementing a screening procedure based on successful practice at other healthcare organizations.

3. SOLUTIONS IMPLEMENTED Screening of high risk patients upon admission to the unit Weekly screening

4. Criteria for MRSA screening upon admission Any new admission to the unit who: oTransfer from rehab facility oTransfer from outside hospital greater than 24 hours after admission oChronic renal failure patients on hemodialysis or on peritoneal dialysis oAny patient with 3 or more hospitalizations within the past year NOTE: The patient must be off antibiotics to which MRSA is susceptible i.e. vancomycin, trimethoprim/sulfamethoxazole (Bactrim) or linezolid (Zyvox) for at least 2 days prior to the MRSA screen cultures.

5. Criteria for weekly MRSA screening If a patient present on the unit meets any of the following conditions, then a MRSA screen will be performed: oDialysis patient oPatient has been on a ventilator for greater than 5 days oPatient has been in the hospital for greater than 7 days NOTE: The patient must be off antibiotics to which MRSA is susceptible i.e. vancomycin, trimethoprim/sulfamethoxazole (Bactrim) or linezolid (Zyvox) for at least 2 days prior to the MRSA screen cultures.

6. Before After

7. RESULTS Reduction of hospital acquired MRSA in the 4SICU from 3.7/1000 patient days to 0.7/1000 patient days. 75% Decrease of 75%

8. Next Steps Expand project in other ICUs ?