MRSA Surveillance Culture

Test Name MRSA Surveillance Culture
Alternate Name(s) Methicillin Resistant Staphylococcus  aureus 
Laboratory Module Microbiology
Ordering Mnemonic MRSA
Specimen Type
  • Nasal / Rectal combo
  • Nasal
  • Nasal - Right/Left MRSA
  • Rectal
  • Umbilicus (Neonatal only)
Collection Container Amies Transport Media 
Container Information

Amies Transport media swab

Amies Transport Media

Collection Information The nurse or physician will take a swab of the area in question. The swab is then quickly transferred to the transport media.

Nasal Swab: Insert swab into nostril, until white cotton tip is inside the nose, Gently rotate the swab so that all surfaces of the mucosa are touched twice. Repeat in the other nostril, using the same swab. Place swab into transport media tube and label with the lab-generated label containing patient information and marked nasal.

Rectal Swab: Swab around the rectal area, Insert the swab into rectum enough to fecally stain the swab, Place swab into transport media tube and label with the lab-generated label containing patient information and marked rectal.

Nasal/Rectal Combo swab for Admissions/Point Prevelance:

Insert into nostril, until white cotton tip is inside the nose, Gently rotate the swab so that all surfaces of the mucosa are touched twice. Repeat in the other nostril, using the same swab. Proceed with swabbing around the rectal area, Insert the swab into rectum enough to fecally stain the swab, Place swab into transport media tube and label with the lab-generated label containing patient information and marked nasal/rectal.

Test Schedule

Daily

Routine Turnaround Time Preliminary: 24 hours Final: 48 hours
Critical Values As growth is detected and identified the information is made available to the health care provider.
Lab Process Notes If MRSA is detected notify as per DOCS # 10155 Microbiology Critical and Urgent Result Communication. 
Storage and Transport

The swab should be maintained at room temperature until transport to the lab.

Once in the lab the specimen will be stored at room temperature in the microbiology rack.

Test Referred To On site, BGH laboratory

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