For Our Physicians
Sutter Medical Center, Sacramento
After careful evaluation of Sutter Medical Center’s healthcare-acquired infection data and review of the literature, the SMCS Infection Control Committee and the Medical Executive Committee have adopted the recommendation to discontinue the requirements for contact precautions for patients colonized or with a history of MRSA. For years, any patient admitted with a history of MRSA or had a nasal swab positive for MRSA was placed in contact precautions. The evidence is equivocal that this process actually reduces risk of infection to the MRSA+ patient or risk of transmission to other patients or staff. Many organizations are moving towards a more universal approach to infection prevention, adopting what is known as horizontal interventions. These have proven to be more successful. They are:
- Standard Precautions for all patients
- Contact Precautions for patients infected with MRSA used only if:
- The facility has identified a transmission risk at the facility, and/or
- A strain of MRSA presents unusual or serious risks as defined by CDPH, the CDC, or other public health organization.
- MRSA isolated from any infection site including but not limited to wounds, urine, lower respiratory specimens, or abscesses. We will continue to monitor for transmission of MRSA.
- Chlorhexidine (CHG) baths daily for all adult and Pediatric (Not neonatal) ICU patients.
- Pre-operative CHG bathing for 3 days prior to an operative procedure (will need to be done as an outpatient for scheduled procedures).
- SMCS will continue to monitor effectiveness of environmental cleaning.
- SMCS will continue to actively monitor hand hygiene compliance rates.
- SMCS will continue to survey for and have programs to reduce device and procedure/surgical site infections.
Due to state law requirements, we will continue routine screening via nasal swabs for high risk patients as identified in the law. Those patients will still require physician notification and documentation of education.
Questions? After the first of the year we will schedule an open forum in the early evening to meet with Dr. DeFelice, Hospital Epidemiologist, and the Infection Prevention and Control team members. Below are some references if you would like to read further.
The Master Plan office is offering tours of the WCC the 1st and 3rd Thursday of each month from 3:45 - 4:45 p.m. Contact Marin Field-Dodgson to schedule your tour at (916) 454-6883. You can also sign up online if you have access to MySutter Intranet.
If you have an expansion related question, please contact Kristine Wakefield at (916) 454-6955.