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Correspondence and communication| Volume 65, ISSUE 4, P532-534, April 2012

Do patients undergoing minor local anaesthetic plastic surgery procedures really need an MRSA swab?

Published:October 12, 2011DOI:https://doi.org/10.1016/j.bjps.2011.09.034
      As patients with Meticillin-resistant Staphylococcus aureus (MRSA) colonisation are at risk of subsequent infection, pre-morbid identification and decolonisation should reduce infection and transmission.
      • Coia J.E.
      • Duckworth G.J.
      • Edwards D.I.
      • et al.
      Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities.
      Therefore, the Department of Health in England introduced screening of all elective patients for MRSA in a 2009 working framework, suggesting this may be cost-effective.

      Impact Assessment of screening elective patients for MRSA. Working Framework November 2008. Department of Health.

      The original guidance made certain clear exceptions, including minor dermatology, commenting that MRSA infection rates were sufficiently low to negate cost economy.
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      References

        • Coia J.E.
        • Duckworth G.J.
        • Edwards D.I.
        • et al.
        Guidelines for the control and prevention of meticillin-resistant Staphylococcus aureus (MRSA) in healthcare facilities.
        J Hosp Infect. 2006; 635: S1-S44
      1. Impact Assessment of screening elective patients for MRSA. Working Framework November 2008. Department of Health.

        • Enoch D.A.
        • Carter N.M.
        • Karas J.A.
        MRSA screening of elective surgery day-case patients.
        J Hosp Infect. 2010; 74: 291-292
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        J Hosp Infect. 2010; 74: 35-41