1. Acknowledgements
2. Guide Overview
3. MRSA Risk Assessment
4. MRSA Surveillance Cultures
5. Collection and Laboratory Considerations: Resident MRSA Surveillance Culture
6. Management of MRSA-Positive Residents: Resident Placement
7. Standard Precautions
8. Transmission-Based Precautions: Contact Precautions
9. Environmental and Equipment Cleaning and Disinfection
10. Antimicrobial Management and Stewardship in LTC
11. Colonization and Decolonization
12. Case Studies
i) Admission of MRSA-Colonized Resident
ii) Dementia Unit Resident with MRSA Wound Infection
iii) Surveillance Shows a Unit-Specific Increase in MRSA Urinary Tract Infections
iv) Appropriate Use of PPE
v) Resident Known to Have MRSA Nasal Colonization with New Onset Respiratory Symptoms
Appendix A: Surveillance and Data Collection
Appendix B: Definitions and Outcome Measurements
Appendix C: Example of a Risk Assessment Scoring Tool
Appendix D: Reports, Plans, Communication
Appendix E: Example of a Hand Hygiene Monitoring Tool
Appendix F: Environmental Services Checklist Audit: Daily Cleaning of Resident Room
Appendix G: Environmental Services Checklist Audit: Terminal Cleaning (Resident Discharge)