MRSA Decolonization

• Topical treatments used to eliminate methicillin-resistant Staphylococcus aureus (MRSA).
• Involves antiseptic body wash and antibiotic nasal ointment for 5 days.

Why am I having Decolonisation Treatment?

• MRSA detected in a recent specimen.
• To reduce risk of recurrent infection and spread to others.
• Recommended if:
  • Increased risk due to medical conditions like cancer, diabetes, weakened immune system.
  • Planning an operation.
  • Healthcare worker or carer.

Important Points about Decolonisation Treatment

• Heal skin infections before starting treatment.
• All household members should start treatment on the same day.
• Report any infections during or after treatment to your doctor.
• Stop treatment after 5 days; repeat only if instructed by a doctor.
• Consult doctor if you have eczema or psoriasis.
• Do not use on newborns (less than 2 months old).

Skin Care

• Stop treatment if skin irritation or redness occurs.
• To prevent dryness or skin tears:
  • Gently pat dry with a towel.
  • Use non-perfumed sorbolene-based cream for itchy or dry areas.

Before Starting Decolonisation Treatment

• Discard old toothbrush, razor, and deodorant rollers; buy new ones.
• Wash hairbrush and comb with soap and hot water.
• Remove body piercings for the treatment duration.
• Ensure each household member has their own towels.

Decolonisation Treatment Instructions

• Regular household cleaning and laundry:
  • Vacuum floors and fabric chairs.
  • Clean frequently touched surfaces, especially in bedroom and bathroom.
  • Wash clothes, bed linen, and towels with detergent and hot water if possible.

TWO PART TREATMENT

• Nasal Ointment: Mupirocin 2% (Bactroban) – Prescription required.
• Antiseptic Body Wash: Triclosan 1% or Chlorhexidine 4% – Over-the-counter.

How to Use Nasal Ointment

1. Wash hands with soap or hand sanitiser before use.
2. Apply a small amount with a cotton bud inside each nostril.
3. Press nostrils together and massage for 15 seconds.
4. Avoid getting ointment in eyes; rinse with cool water if needed.
5. Wash hands after application.
6. Do not use other nasal ointments or sprays during the treatment period.

How to Use Body Wash

1. Apply wash to all body areas with a washcloth or hands.
2. Leave on skin for 2 minutes.
3. Shampoo hair with body wash on days 1, 3, and 5; normal conditioner can be used.
4. Rinse off thoroughly; do not use other soap during the treatment period.
5. Close eyes and mouth while washing face or shampooing.
6. Dry with a clean towel and wear clean clothes.
7. Remove and clean dentures before bed; soak overnight in a denture cleaning product.