The longitudinal prevalence of MRSA in care home residents and the effectiveness of improving infection prevention knowledge and practice on colonisation using a stepped wedge study design.

The small increase in MRSA prevalence following the intervention is unlikely to relate to the extent of MRSA infection in LTHT as during the period of the study, there was a decreasing trend in the MRSA bacteraemia rates reported by LTHT. 3 Other studies have used a similar intervention strategy in care homes. 29–31 A study based in Taiwan introduced a programme of hand hygiene training into three care homes and identified significant improvements in scores for staff knowledge and beha

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