The aim of this study is to investigate the optimal way to treat MRSA throat carriers.
Who can participate
Age range18 Years
SexALL
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Inclusion Criteria:
* Age ≥ 18 years
* MRSA carriage in the throat after first topical decolonization treatment (regardless of previous swab results)
* Has completed one standard topical decolonization treatment
Exclusion Criteria:
* Pregnant or lactating woman
* Sexually active women in the reproductive age that do not use approved contraceptives (appendix 4)
* Cannot read or speak Danish (the written participant information is in Danish)
* Skin infection or other active infections
* Activity in skin diseases such as eczema or psoriasis.
* MRSA isolate resistant to clindamycin (defined by inhibition zone size \< 22 mm using disk diffusion methodology) or resistant to mupirocin
* Allergy to clindamycin, chlorhexidine or mupirocin
* Taking medications that interact with clindamycin according to the medicine information leaflet.
* MRSA active antibiotic treatment within 7 days before inclusion in the study or during study period
* Followed by specialist due to liver disease
* Severe overweight (BMI \> 35) or weight \< 50 kg
* Indwelling percutaneous permanent devices such as intravenous catheters or urinary tract catheters
* Daily contact with pigs or minks (decolonization therapy is generally not offered, according to The National Board of Health)
* Nursing home resident or health care worker (they have a more frequent control swab regime)
* Not being capable of completing another treatment successfully
* MRSA positive household members younger than 2 years (MRSA positive c…