TABLE 1.
Comparison of Standard Precaution to Potential MRSA Transmission Prevention Strategies in Community-Based Nursing Homes
| Type of Carea/High-Risk Careb | Frequently Done Together | Standard Precautions for All Residents (Current Standard of Care) | Gown and Gloves for High-Risk Carec |
|---|---|---|---|
| Hygiene (brushing of teeth, etc)b | Yes | Gown & gloves | |
| Toilet assist/diaper changeb | Yes | Gown & gloves | Gown & gloves |
| Dressing of residentb | Yes | Gown & gloves | |
| Transfer of residentb | Yes | Gown & gloves | |
| Changing linensb | Yes | Gown & gloves | |
| Wound dressing change | Gloves | Gloves | |
| Glucose monitoring | Gloves | Gloves | |
| Speech therapy | Gloves | Gloves | |
| Respiratory care | Gown & gloves & mask | Gown & gloves & mask | |
| Ostomy care or use | Gown & gloves | Gown & gloves | |
| Medical device care or use: | |||
| Foley/J-tube/ PICC/ dialysis catheter | Gloves | Gloves | |
| Trach | Gown & gloves & mask | Gown & gloves & mask |
a
We assumed that neither gowns nor gloves would be worn for bathing and showering, medications, physical exam, physical, or occupational therapy under any scenario.
b
High-risk care.
c
For (1) residents with MRSA colonization or (2) residents with chronic skin breakdown or (3) all residents.