In Gloucester/Cheltenham our policy seems quite generous (and practically very useful),
It’s 18 weeks – I have double checked with Pre Assessment and infection control.
Gloucestershire Hospitals NHS Foundation Trust
Our current practice is 6 weeks but many of us think this is too short.
The BOA blue book on THA does actually state preop should be done within 6 weeks of surgery and that MRSA
is part of preop.
It would be good to have some more up to date guidance from the BOA on this as when I asked our microbiologist
he referred me to the BOA guidelines (which were used to write our own local ones).
In the absence of evidence based medicine we can still seemingly rely on eminence based medicine.
Lower Limb CD, Wrightington.
Sudhi, I am as surprised and fascinated as anybody else. I am struggling to convince my Micro colleagues to
extend the present 4 week period, but in vain. The evidence now is so variable that it is worth exploring further through BOA route.
Thanks everybody, but keep replying as & when possible.
This discussion has been really fascinating. Amazed to know that there is no consensus or
guidelines nationally. I have pasted below the response to my question from our consultant microbiologist and infection control lead.
Huddersfield Royal Infirmary
For practical purposes we decided that we would accept a
pre-assessment result taken within an 18 week window (thinking along the lines of 18 week referral to treatment target). This would only be valid if the
patient had had no in-patient healthcare contact in that period, at which point we would prefer a re-screen.
This is clearly quite a bit longer than other trusts below: what we are seeing locally
is that by and large that vast majority of MRSA positive screens are coming from patients who are already known positives for MRSA. It can be a transient
coloniser so we will inevitably miss some, hence why we tried to be pragmatic as opposed to imposing rigid, difficult to achieve deadlines with no evidence of
Swindon: 8 weeks
All patients are re-swabbed on discharge too
We have a 12 week limit on Pre-op tests across the board
but our patients also do a repeat MRSA swab two week before admission once date confirmed.