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The DH operational guidance on MRSA screening of elective admissions leaves the choice of which sites to screen to the infection control team-so ,do teams recommend screening just the nose( to detect 80%),or always include the groin/perineum(detect 93%-and pick up those who may be heavier shedders of MRSA by virtue of being perineal carriers).
It's a question of cheap and easy(or easier) for nose swabs only,or add a groin swab with all the attendant problems of prolonging the time taken to explain/screen in an out-patient or pre-assessment clinic.
It is assumed that if a wound or skin lesion was present it would be screened also.