MRSA Prevention Toolkit: Targeting SSI

Presentation: The Evidence for MRSA Decolonization

After reviewing the content of this presentation, viewers will be able to—

• Discuss the evidence for MRSA decolonization as it applies to MRSA and SSI prevention for surgeries for which MRSA infection is especially harmful (cardiac, hip and knee joint  replacement, and spinal fusion)

Documents:

• The Evidence for MRSA Decolonization – Slides (PPTX, 6 MB)
• The Evidence for MRSA Decolonization – Facilitator Guide (DOCX, 3 MB)

Presentation: Use of Preoperative Chlorhexidine Antisepsis

After reviewing the content of this presentation, viewers will be able to—

• Review the purpose and process of preoperative CHG bathing​
• Review using CHG as part of preoperative decolonization​
• Recognize the importance of teaching patients how and when to bathe themselves with CHG​
• Explain the correct technique for patients to use when using CHG bathing

Documents: 

• Use of Preoperative Chlorhexidine Antisepsis – Slides (PPTX, 12 MB)
• Use of Preoperative Chlorhexidine Antisepsis – Facilitator Guide (DOCX, 5 MB)

Presentation: Decolonization Strategies

After reviewing the content of this presentation, viewers will be able to—

• Discuss the evidence for MRSA decolonization as it applies to different nasal decolonization agents​
• Discuss the approaches of universal and targeted MRSA decolonization

Documents: 

• Decolonization Strategies – Slides (PPTX, 4 MB)
• Decolonization Strategies – Facilitator Guide (DOCX, 3 MB)

Presentation: Decolonization Implementation

After reviewing the content of this presentation, viewers will be able to—

• Review the evidence for MRSA decolonization as it applies to MRSA and SSIs for cardiac, hip and knee joint replacement, and spinal fusion surgeries
• Identify key strategies for MRSA decolonization ​
• Identify challenges and operational issues in the implementation of decolonization
• Explore effective strategies for implementing  decolonization strategies

Documents: 

• Decolonization Implementation – Slides (PPTX, 4 MB)
• Decolonization Implementation – Facilitator Guide (DOCX, 2.6 MB)

One-Pager: The Evidence for MRSA Decolonization One-Pager (DOCX, 346 KB)

This one-page document provides a concise summary of the studies and evidence discussed in the presentation that support nasal decolonization and preoperative skin antisepsis with CHG to prevent MRSA and SSI.

One-Pager: Products Used for S. aureus Nasal Decolonization One-Pager (DOCX, 361 KB)

This one-page document provides a concise summary of available nasal decolonization products to assist staff in selection of the best agent for preoperative decolonization for their service.

One-Pager: Universal and Targeted Decolonization Strategies One-Pager (DOCX, 285 KB)

This document defines the types of decolonization strategies and what is needed to implement either approach. Mid- to high-level administrative management and leadership who are interested in implementing decolonization programs at their site may use this document to compare the advantages and disadvantages of both approaches.

Tools and Resources for Decolonization (Main)

Visit the Tools & Resources for Decolonization page to explore guides, protocols, staff training materials, and patient educational resources. Links to individual sections are provided below.

• Decolonization First Steps, Readiness, and Prelaunch
  This section covers readiness and prelaunch. It is recommended to start here. The guides provided in this section walk you through key early decisions and the preparatory steps for launch.
• Decolonization Protocols
  Access sample unit and nursing protocols for bathing with CHG and conducting nasal decolonization.
• Decolonization Staff Training Materials
  Access training materials designed to help staff with implementation.
• Decolonization Patient Educational Resources
  Find resources designed to educate patients about decolonization.