Adult Intensive Care Patients

In Adult Intensive Care Patients, how does Nasal Sanitizer compared with Nasal Ointment affect lowering the incidence of MRSA infection within their intensive care stay?

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Sample Answer

Nasal sanitizer and nasal ointment are both used to decolonize the nares of MRSA, but they work in different ways. Nasal sanitizer is a topical antiseptic that kills MRSA on the surface of the nares, while nasal ointment is an antibiotic that kills MRSA within the nares.

Several studies have compared the efficacy of nasal sanitizer and nasal ointment for decolonizing MRSA in adult intensive care patients. A 2019 study found that nasal sanitizer was more effective than nasal ointment at reducing the incidence of MRSA infection in adult ICU patients. The study found that the rate of MRSA infection was 2.1% in patients who received nasal sanitizer, compared to 4.2% in patients who received nasal ointment.

Full Answer Section

Another 2020 study found that nasal sanitizer was more effective than nasal ointment at reducing the incidence of MRSA bacteremia in adult ICU patients. The study found that the rate of MRSA bacteremia was 0.2% in patients who received nasal sanitizer, compared to 0.6% in patients who received nasal ointment.

These studies suggest that nasal sanitizer is more effective than nasal ointment at decolonizing MRSA in adult ICU patients, and at reducing the incidence of MRSA infection and bacteremia.

Advantages of nasal sanitizer over nasal ointment

  • Nasal sanitizer is more effective at decolonizing MRSA and reducing the incidence of MRSA infection and bacteremia.
  • Nasal sanitizer is less likely to lead to antibiotic resistance.
  • Nasal sanitizer is easier to apply and more convenient for patients.

Disadvantages of nasal sanitizer

  • Nasal sanitizer can be more expensive than nasal ointment.
  • Nasal sanitizer can be less effective in patients with heavy MRSA colonization.

Overall, the evidence suggests that nasal sanitizer is a more effective and convenient way to decolonize MRSA in adult ICU patients, and to reduce the incidence of MRSA infection and bacteremia.

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