Because of the rates of community-acquired MRSA being on the rise, our 
hospital has a house-wide admission standard of care that screens all hospital 
admissions for MRSA and susequently places all MRSA positive patients on 
contact precautions until treatment completed. We’ve have had this policy for 
several years, but OB clients were the last to be phased into the screening.  
As of the last few months all OB admissions fall under this same admission 
contact precautions until shown to be MRSA negative. Now all pregnant 
women are screened during the last trimester (and treated before admission 
when possible). Up to this point we’ve only had term babies who could stay in 
room with mom and breastfeeding didn’t’ come into anyone’s concern. However 
today we have a 34 weeker. “Someone” had told her she couldn’t pump 
because of the MRSA. She can’t recall who it was. Before we approach the 
neonatologist, I’d like to have others practices in hand. 

Does any one else screen all hospital admits for MRSA and if positive do you do 
mom/baby care differently with them?…  or NICU admissions from these 
mothers differently? Milk collection, handling and storage differently?

Thanks for your input,
Rachel Miller
South Carolina

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