Isolation Signs

North Carolina Consensus Guideline for Management of Suspected Community-Acquired Staphylococcus aureus (CA-MRSA) Skin and Soft Tissue Infections (STIs)

This consensus guideline was developed by the NC Statewide Program for Infection Control and Epidemiology (SPICE) in conjunction with the Public Health and Institutional Task Force for Best Practices, North Carolina, December 2005. In addition, it is supported by the North Carolina Public Health Department, the Association for Professionals in Infection Control and Epidemiology – North Carolina Chapter, and the North Carolina Infectious Disease Society. It was modified from “Interim Guidelines for Management of Suspected Staphylococcus aureus Skin and Soft Tissue Infections” from the Infectious Diseases Society of Washington, Tacoma/Pierce County Health Department, Public Health-Seattle and King County, and Washington State Department of Health, September 2004.

The Public Health and Institutional Task Force for Best Practices, North Carolina, reviewed additional documents about CA-MRSA from Washington State and Wisconsin and agreed to provide them as references. These are the documents from Washington State:

For Patients and Families:

Living with MRSA

For Medical Personnel:

Wound Culture

Wound Irrigation

Infection Control Wound Care Procedures

Conservative Sharp Debridement of Wounds

Molecular Identification and Strain Typing of MRSA

Management of the Surgical Patient with a Multi-Resistant Organism

Management of the Patient with a Multi-Resistant Organism (MRO)

Anesthesia Department Management of Surgical Patient with a MRO

Admission Assessment and Screening for Referrals for Adult Patients

Wisconsin’s information is entitled “Community Associated Methicillin Resistant Staphylococcus Aureus (CA MRSA): Guidelines for Clinical Management and Control of Transmission.”


Additional information about CA-MRSA

From UNC Healthcare:

Patient Guide to Infection Control of Community-associated MRSA – a printable brochure; click here for the brochure in Spanish

From the North Carolina Division of Public Health:

NC DPH Community-Associated MRSA

From Washington State:

Spokane Regional Health District: Living With MRSA Brochure, February 2012

Department of Health: Living with MRSA Brochure, March 2006 – in Spanish