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MRSA Presented By: South Texas Cost Containment. M ethicillin R esistant S taphylococcus A ureus. What is Staph?. Staph bacteria are normally found on the skin or in the nose of about one-third of the population.
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What is Staph? Staph bacteria are normally found on the skin or in the nose of about one-third of the population. Staph bacteria are generally harmless unless they enter the body through a cut or other wound. If you have staph on your skin or in your nose but aren't sick, you are said to be "colonized" but not infected. (However, you can pass the germ to others.)
What is MRSA? A strain of staph that is resistant to a broad range of commonly used antibiotics such as methicillin, oxacillin, penicillin and amoxicillin. (1% of population colonized)
Why is MRSA resistant? Unnecessary antibiotic use Antibiotics in food and water Germ mutation
Two Types Health Care Associated MRSA (HA-MRSA) Community Associated MRSA (CA-MRSA)
CA-MRSA Otherwise healthy individuals Have not been hospitalized or had surgery within the past year
Symptoms Staph skin infections, including MRSA, generally start as small red bumps that resemble pimples, boils or spider bites. These can quickly turn into deep, painful abscesses.
Boil Brown Recluse MRSA Lesion
Symptoms Skin abscess Wound Drainage Warmth around wound Rash Shortness of breath Fever Chills Chest pain Fatigue Muscle aches Headache
Infection Complications Boils, Abscesses or Cellulitis Pneumonia Urinary Tract Infections Blood Poisoning Endocarditis Necrotizing Fasciitis (Rare) Death (19,000 per year)
Tests and Diagnosis Blood culture Culture of the drainage (fluid) from the infection Skin culture from the infected site Sputum culture Urine culture
Tests and Diagnosis Bacteria sample is grown in Lab Sample is tested against atibiotics to determine Susceptibility/Resistance Test may take 48 hrs or more New quick test cleared by FDA
MRSA Treatments Depending on the severity of the infection treatment may consist of wound drainage, oral antibiotics, intravenous antibiotics or hospitalization.
MRSA Treatments • Vancomycin • Tetracycline • Doxycycline • Bactrim • Septra • Clindamycin Antibiotics that MRSA bacteria are currently susceptibile to include:
Who’s at Risk? EVERYONE!
Risk Factors Children and Young Adults Participation in Contact Sports Sharing Towels, Linens or Toiletries Sharing Equipment Weakened Immune Systems Living in Crowded and/or Unsanitary Conditions
How is MRSA Spread? CONTACT Skin on Skin Contact Contact with Contaminated Objects Can be spread through the air if a person with MRSA Pneumonia is coughing
Industry Specific Risk Factors Sharing Towels, Linens or Toiletries *Staph and MRSA has been found to survive on cotton fabric for 3 months.
Industry Specific Risk Factors Sharing Equipment Community PPE
Industry Specific Risk Factors Living in Crowded and/or Unsanitary Conditions
Prevention Measures Wash your hands. Careful hand washing remains your best defense against germs. Carry a small bottle of hand sanitizer containing at least 60 percent alcohol. Keep personal items personal. Avoid sharing personal items such as towels, sheets, razors, clothing and PPE. Keep wounds covered. Keep cuts and abrasions clean and covered with sterile, dry bandages until they heal. Sanitize linens. Wash towels and bed linens in a washing machine set to the "hot" water setting (with added bleach, if possible) and dry them in a hot dryer. Wash work clothes after each wearing.
Prevention Measures Ensure proper sanitation.Living quarters, change houses and restrooms should be kept clean and sanitized on a routine basis. Get tested. If you have a skin infection that requires treatment, ask your doctor if you should be tested for MRSA. Use antibiotics appropriately. When you're prescribed an antibiotic, take all of the doses, even if the infection is getting better. If your infection isn't improving after a few days of taking an antibiotic, contact your doctor. Universal Precautions. Universal infection control procedures and barriers should always be adhered to.
Prevention Measures EDUCATION
MRSA Rising Researchers at Chicago’s Rush University saw a 7-fold increase over a five year period. Cases per 100,000 patients increased from 24 to 164.
MRSA Rising Two year study of children in South Texas found a 14-fold increase in MRSA infections. Over 60% of reported cases of Staph infections are MRSA in parts of Alaska, California, Georgia and Texas now resistant
CDC Center for Disease control and prevention South Texas Cost Containment