The Time Is Now: AHRQ MRSA Prevention Toolkit

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Publicado en:AORN Journal vol. 122, no. 5 (Nov 2025), p. 282-285
Autor principal: Gordon, Patrick S, DNP, RN, CIC
Otros Autores: Mehrotra, Preeti, MD, MPH
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John Wiley & Sons, Inc.
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100 1 |a Gordon, Patrick S, DNP, RN, CIC 
245 1 |a The Time Is Now: AHRQ MRSA Prevention Toolkit 
260 |b John Wiley & Sons, Inc.  |c Nov 2025 
513 |a Editorial 
520 3 |a In the most recent report from the Centers for Disease Control and Prevention's National Healthcare Safety Network in 2019, which reviewed data across the United States from 2015 to 2017, S aureus was the most common organism implicated in surgical site infections (5515), serving as the causative agent in 17.5% of all reported SSIs.3 This number was even more staggering in orthopedic and cardiac surgeries, with S aureus causing 38.6% of all reported orthopedic infections and 27% of all cardiac surgery infections.3 Although 5 aureus continues to cause a significant number of SSIs both in the United States and internationally, the best targeted infection prevention interventions have been debated in the literature. In the 2014 updates to the SHEA/IDSA guidelines, screening for 5 aureus in orthopedic and cardiothoracic surgery patients and decolonizing those patients who screened positive was listed as moderate-quality evidence.4 In the 2022 update to the SHEA/IDSA guidelines, the level of evidence for decolonizing patients undergoing orthopedic and cardiothoracic procedures was upgraded to high-quality evidence, and was even added to the list of essential practices in their guidelines for SSI prevention.5 As the evidence continues to support S aureus as the most common cause of SSIs and the quality of evidence for decolonization continues to increase, hospitals across the country must ensure they have a program in place that supports best practices and reduces the risk of S aureus SSIs in all orthopedic and cardiothoracic surgery patients. To help support hospitals in implementing these best practices, the Agency for Healthcare Research and Quality (AHRQ) released its MRSA Prevention Toolkit: Targeting SSI (https:/www.ahrq.gov/hai/tools/mrsa-prevention/surge ry/index.html) in April 2025.6 TOOLKIT OVERVIEW Similar to the recommendations in the SHEA/IDSA guidelines, the AHRQ MRSA Prevention Toolkit focuses on interventions in cardiothoracic surgery, orthopedic joint replacements, and spine surgery.6 The AHRQ toolkit breaks down MRSA SSI prevention into four key strategies. Preeti Mehrotra, MD, MPH, senior medical director, Infection Control/Hospital Epidemiology Division of Infectious Diseases, Silverman Institute for Health Care Quality and Safety, Beth Israel Deaconess Medical Center, Boston, MA. 
610 4 |a Agency for Healthcare Research & Quality Centers for Disease Control & Prevention--CDC 
651 4 |a United States--US 
653 |a Infectious diseases 
653 |a Best practice 
653 |a Patient safety 
653 |a Prevention programs 
653 |a Heart surgery 
653 |a Safety programs 
653 |a Epidemiology 
653 |a Health care 
653 |a Antibiotics 
653 |a Staphylococcus infections 
653 |a Quality improvement 
653 |a Hospitals 
653 |a Surgical site infections 
653 |a Conflicts of interest 
653 |a Disease prevention 
653 |a Orthopedics 
653 |a Back surgery 
653 |a Disease control 
700 1 |a Mehrotra, Preeti, MD, MPH 
773 0 |t AORN Journal  |g vol. 122, no. 5 (Nov 2025), p. 282-285 
786 0 |d ProQuest  |t Health & Medical Collection 
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856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3269934809/fulltext/embedded/75I98GEZK8WCJMPQ?source=fedsrch 
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