mrsa in the workplace: the

1. DOA Risk Management Conference November, 2008

17. Signs/symptoms of CA MRSA infections Pustules, boils, abscesses Redness, swelling Pain Pus, drainage Appearance of �spider bite�

23. How CA MRSA is Spread Skin to skin contact with infected person Contact with a carrier Contact with contaminated personal items (towels, clothing, razors, used bandages)

24. Risk Factors Close skin to skin contact Crowded conditions Compromised skin Contaminated items Cleanliness (lack of)

25. Preventing Spread of CA MRSA Hand and personal hygiene Prevention of injuries to skin Appropriate treatment Exclusion Cleaning/disinfection Management of outbreaks

26. Hygiene Hand hygiene Regular showers, baths No sharing of personal items (razors, towels, equipment, uniforms, water bottles) Do not touch others� wounds Liquid soap dispensers Alcohol gel

27. Prevention of skin injuries Safety equipment Treatment of injuries Clean with soap and water Cover with a bandage or clean, dry dressing

28. Wound care Wear gloves and wash hands after touching wounds or dressing Place bandages/dressings that are saturated with wound drainage in sealed plastic bags and discard into regular trash

29. Appropriate treatment Abscesses and boils are drained Purulent material is cultured Antibiotics may or may not be prescribed clindamycin trimethoprim sulfamethoxazole tetracyclines

30. Exclusion When to stay home from work If wounds cannot be kept covered/wound drainage contained If appropriate hand/personal hygiene cannot be assured Refrain from activities that involve contact with the affected area

31. Environmental cleaning/disinfection Regular, routine cleaning is usually sufficient Disinfect items and surfaces contaminated with wound drainage clean first, then disinfect follow disinfectant manufacturer�s directions for contact time use EPA registered disinfectants http://www.epa.gov/oppad001/chemregindex.htm

32. Managing outbreaks Outbreak: three or more cases of confirmed MRSA among close contacts contact local health department begin active screening for more cases review prevention measures

33. Gymnasiums/health clubs/spas Hand hygiene Liquid soap dispensers/alcohol gel Air dryers or disposable paper towels Protective clothing Cover wounds�do not visit if cannot Shower after exercise Do not share items Clean equipment surfaces Launder towels/linens and dry in hot dryer

34. Day care centers Hand hygiene Standard precautions�wear gloves when touching someone�s wounds Cover lesions/wounds Exclude attendees/staff who cannot contain wound drainage Routine cleaning of environment/shared items

35. Households Hand and personal hygiene Cover wounds Gloving/hand washing when doing wound care Do not touch others� wounds Do not share towels, personal items Launder contaminated items in hot water and dry in hot dryer Clean/disinfect areas contaminated with wound drainage Dispose of soiled dressings in sealed bag

36. Households Use of antibacterial soaps during active infection Tea tree oil 5% solution Decolonization of household members Clinical indications Chronic transmission/recurrent infections

37. Us vs. MRSA

41. Do not share personal items

42. Keep environment clean

45. CDC MRSA Education http://www.cdc.gov/Features/MRSA Infections/