Methicillin-resistant Staphylococcus Aureus Clinical Trial
Official title:
Randomized Controlled Trial of Chlorhexidine Gluconate, Intranasal Mupirocin, Rifampin and Doxycycline Versus Chlorhexidine Gluconate and Intranasal Mupirocin Alone for the Eradication of Methicillin-resistant Staphylococcus Aureus Among an Ambulatory Patient Population
MRSA decolonization may reduce the risk of subsequent MRSA infection and further
transmission. A recent randomized controlled trial demonstrated that systemic decolonization
may be safe and effective among hospitalized patients when compared to no treatment. As a
large number of the investigators patients require re-admission and further transmission may
take place in the community, the investigators are comparing the standard decolonization
protocol for MRSA eradication to the systemic decolonization protocol among an ambulatory
population.
Standard decolonization protocols, which use only topical agents, are limited in efficacy.
The method of systemic decolonization to be studied here appears to have greater efficacy
than the standard approach using only topical agents. However, concerns have been raised that
the increased use of systemic antibiotics may lead to increased levels of drug resistance
adverse effects, without sustained decolonization. This study seeks to provide further data
to help answer these questions and provide guidance for further policy development and
implementation.
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