MRSA. Patient Screening Information

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1 MRSA Patient Screening Information

2 WHAT IS MRSA? First identified in the 1960s, MRSA is an abbreviation of Meticillin Resistant Staphylococcus Aureus. MRSA is a bacteria that has developed resistance to a group of antibiotics called Meticillin, although it can still be treated with other groups of antibiotics. Commonly found in the nose or on the skin, MRSA can be found in approximately one third of the population. People may be either colonised or infected with MRSA. Colonised people are those who will have no effects from the bacteria and often do not know that it is present. Infected people will have signs of infection which can include: raised temperature, pain, swelling or pus coming from an infected site. MRSA is spread from person to person via direct contact or from contact with a contaminated piece of equipment.

3 WHY DO PATIENTS NEED TO BE SCREENED? We ask that all of our patients who are to be admitted to our hospital are screened to ensure that we can remove/suppress the bacteria before you are admitted for your procedure. This needs to be done between 5 and 21 days prior to your admission to ensure that we have the results before the date of your procedure. This will help to reduce the risk of you developing an MRSA infection in your wound or passing MRSA on to other patients in the hospital. WHAT DOES SCREENING INVOLVE? MRSA screening is a painless intervention that is performed by taking swabs from your nose, perineum (the area between the anus and the external genitalia), axilla (armpit), operation sites that are less than one year old and any broken areas of skin. If you have a urinary catheter, a urine sample will also be sent for screening. The process takes less than a minute to complete and is pain free. Your MRSA screening can be carried out by our outpatient nurses once your procedure is confirmed. This can be done following consultation with your specialist. Book an appointment

4 WHAT HAPPENS IF MY RESULTS ARE POSITIVE? Should your results show that you have MRSA you will be contacted by the hospital and asked to undergo an eradication/suppression treatment process. This will involve daily washes and two hair washes with an antimicrobial solution, alongside the use of an ointment. On some occasions your specialist may also prescribe the use of oral antibiotics. Whilst using the eradication/suppression treatment you are also advised to change your clothes and bed linen daily. These will not require any special laundry treatment. Following completion of the treatment process, you will be required to undergo further screening to ensure that the MRSA has cleared. We require 3 negative screens to be assured the treatment has worked sufficiently. It is important to remember that just because you are found to have MRSA, it does not mean you will get ill or that you are a health risk to those around you. There is no requirement for you to make any other changes to your normal daily lifestyle. on

5 WHAT HAPPENS NEXT? Once you have been cleared of MRSA by our screening process, you can undergo your treatment as arranged with your specialist. If your stay with us is over one week, we will routinely screen you on each consecutive week. All of our long stay patients will be nursed in a single occupancy room with the exception of the Critical Care Units. This significantly reduces the risks of your coming into contact with other patients and therefore reduces the risk of cross infection. For further information or help please ask to speak to the Infection Control Nurse on

6 London Bridge Hospital Tooley Street, London SE1 2PR T E info.lbh@hcahealthcare.co.uk HCA Healthcare UK at The Shard St Thomas Street, London SE1 9BS T E theshard@hcahealthcare.co.uk 31 Old Broad Street London EC2N 1HT T E 31oldbroadstreetlbh@hcahealthcare.co.uk 120 Old Broad Street London EC2N 1AR T E 120obs@hcahealthcare.co.uk City of London Medical Centre Crosswall, London EC3N 2JY T E info.colmc@hcahealthcare.co.uk Docklands Healthcare 2 Upper Bank Street, Canary Wharf, London E14 5EE T E info@docklandshealthcare.com London Bridge V2/09/16

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