MRSA Infections: Causes and Impacts

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What Is MRSA?
Staphylococcus aureus (Staph)
Common cause of infection in the
community
Methicillin-Resistant Staph (MRSA)
Increasingly important cause of health care
associated infections since 1970s
In 1990s, emerged as cause of infection
in the community
How do you get MRSA?
Outbreaks of MRSA in the Community
Often first detected as abscesses or
“spider bites”
Various Settings
Sports participants
Inmates
Military recruits
Daycare attendees
Hurricane evacuees in shelters
Types
Disease Syndrome (%)
Skin/soft tissue 1,266 (77%)
Wound (Traumatic) 157 (10%)
Urinary Tract Infection 64 (4%)
Sinusitis 61 (4%)
Bacteremia 43 (3%)
Pneumonia 31 (2%)
People
Affected
The estimated number of people developing a serious MRSA
infection (i.e., invasive) in 2005 was about 94,360
Approximately 18,650 persons died during a hospital stay
related to these serious MRSA infections
Overall rates of disease were consistently highest
 
among older persons (age >65), blacks, and males
Most Invasive MRSA Infections
are Healthcare-Associated
Community-Associated 14%
Healthcare-Associated 86%
Staphylococcus aureus (staph)
Bacteria commonly carried on the skin or
in the nose of healthy people
Bacteria may be present without causing
infection
25% to 30% of the population is “colonized”
Staph bacteria are some of the most
common causes of skin infections in the U.S.
Pimples and boils
Bloodstream infections
Pneumonia
Methicillin-resistant
Staphylococcus aureus (MRSA)
Staph bacteria that are resistant to certain antibiotics
Methicillin
Penicillin
Amoxicillin
Occur most frequently among persons in hospitals and
healthcare facilities who have weakened immune systems
May also cause illness in persons outside of hospitals and
healthcare facilities
“community-associated” if acquired by a person who has
not been recently (within the past year) hospitalized or
has not had an invasive procedure
What does a MRSA infection
look like?
MRSA can cause skin infections that may look like
a pimple or boil
Can be red, swollen, painful or have pus or other
drainage
Skin monitoring important for persons returning
from hospitals
People with skin infections should see a healthcare
provider
More serious infections may cause pneumonia,
bloodstream infections or surgical wound infections
Risk Factors
Clusters of MRSA skin infections have been investigated among:
Athletes
Military recruits
Men who have sex with men
Prisoners
Factors associated with the spread of MRSA skin infections
include:
Close skin-to-skin contact
Crowded living conditions
Cuts or abrasions of the skin
Contaminated items and surfaces
Poor hygiene
Prevention
Keep hands clean by washing thoroughly with soap
and water or using an alcohol-based hand sanitizer
Keep cuts and scrapes clean and covered with a
bandage until healed
Avoid contact with other people’s wounds or bandages
Avoid sharing personal items such as towels or razors
If skin is dry, use a moisturizer to prevent cracking.
Treatment
Most MRSA infections are treatable with antibiotics
Take all doses, even if the infection is getting better, unless
your doctor tells you otherwise
Do not share antibiotics with other people
Some staph infections may be treated by draining the
abscess or boil and may not require antibiotics
Drainage should only be done by a healthcare provider
If the infection does not get better after a few days, contact your
healthcare provider again
If other people you know or live with get the same infection, tell them
to go to their healthcare provider
Control
If MRSA is identified, follow these steps…
Cover the wound
Pus from infected wounds can contain staph and
MRSA, so keeping the infection covered will help
prevent the spread to others
Keep wounds that are draining or have pus
covered with clean, dry bandages
Follow your healthcare provider’s instructions on
proper care of the wound
Bandages or tape can be discarded with the
regular trash
Control
Clean your hands
Persons with MRSA, and others in close contact,
should wash hands frequently with soap and warm
water or use an alcohol-based hand sanitizer
Especially important after changing the bandage or touching the
infected wound
Do not share personal items
such as towels, washcloths, razors, clothing, or athletic
equipment that may have had contact with the infected wound
or bandage
Wash sheets, towels, and clothes that become soiled
with water and laundry detergent
Drying clothes in a hot dryer, rather than air-drying, also
helps kill bacteria in clothes
Should Students with MRSA Skin Infections Be
Excluded From Attending School?
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Exclusion from school and sports activities should be
reserved for those with wound drainage ("pus") that
cannot be covered and contained with a clean, dry
bandage and for those who cannot maintain good
personal hygiene
Environmental Control
The 5 “C”s of Community Associated MRSA
CLEANLINESS:
Hand hygiene, bathing, laundering of clothing/uniforms
COMPROMISED:
Skin integrity - Keep wound(s) clean and covered
CONTACT:
Avoid contact with other people’s wounds or bandages
CONTAMINATION:
Avoid sharing personal items (water bottles, towels, etc. Clean and disinfect
environment
CROWDING:
Implement measures to avoid overcrowding, as appropriate
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Staphylococcus aureus, commonly known as Staph, can lead to Methicillin-Resistant Staph (MRSA) infections, both in the community and healthcare settings. MRSA outbreaks are often detected in various populations like sports participants, inmates, and military recruits. The types of MRSA infections vary, with skin/soft tissue being the most common. Invasive MRSA infections have resulted in significant impacts, with older persons, blacks, and males being most affected. The prevalence of MRSA is substantial, as it can be community-associated and healthcare-associated, affecting both healthy individuals and those with weakened immune systems. Proper understanding and prevention measures are crucial in combating MRSA infections.

  • MRSA infections
  • Staphylococcus aureus
  • healthcare
  • community
  • prevention

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Presentation Transcript


  1. MRSA MRSA

  2. What Is MRSA? Staphylococcus aureus (Staph) Common cause of infection in the community Methicillin-Resistant Staph (MRSA) Increasingly important cause of health care associated infections since 1970s In 1990s, emerged as cause of infection in the community

  3. How do you get MRSA? Outbreaks of MRSA in the Community Often first detected as abscesses or spider bites Various Settings Sports participants Inmates Military recruits Daycare attendees Hurricane evacuees in shelters

  4. Types Disease Syndrome (%) Skin/soft tissue 1,266 (77%) Wound (Traumatic) 157 (10%) Urinary Tract Infection 64 (4%) Sinusitis 61 (4%) Bacteremia 43 (3%) Pneumonia 31 (2%)

  5. People Affected The estimated number of people developing a serious MRSA infection (i.e., invasive) in 2005 was about 94,360 Approximately 18,650 persons died during a hospital stay related to these serious MRSA infections Overall rates of disease were consistently highest among older persons (age >65), blacks, and males

  6. Most Invasive MRSA Infections are Healthcare-Associated Community-Associated 14% Healthcare-Associated 86%

  7. Staphylococcus aureus (staph) Bacteria commonly carried on the skin or in the nose of healthy people Bacteria may be present without causing infection 25% to 30% of the population is colonized Staph bacteria are some of the most common causes of skin infections in the U.S. Pimples and boils Bloodstream infections Pneumonia

  8. Methicillin-resistant Staphylococcus aureus (MRSA) Staph bacteria that are resistant to certain antibiotics Methicillin Penicillin Amoxicillin Occur most frequently among persons in hospitals and healthcare facilities who have weakened immune systems May also cause illness in persons outside of hospitals and healthcare facilities community-associated if acquired by a person who has not been recently (within the past year) hospitalized or has not had an invasive procedure

  9. What does a MRSA infection look like? MRSA can cause skin infections that may look like a pimple or boil Can be red, swollen, painful or have pus or other drainage Skin monitoring important for persons returning from hospitals People with skin infections should see a healthcare provider More serious infections may cause pneumonia, bloodstream infections or surgical wound infections

  10. Risk Factors Clusters of MRSA skin infections have been investigated among: Athletes Military recruits Men who have sex with men Prisoners Factors associated with the spread of MRSA skin infections include: Close skin-to-skin contact Crowded living conditions Cuts or abrasions of the skin Contaminated items and surfaces Poor hygiene

  11. Prevention Keep hands clean by washing thoroughly with soap and water or using an alcohol-based hand sanitizer Keep cuts and scrapes clean and covered with a bandage until healed Avoid contact with other people s wounds or bandages Avoid sharing personal items such as towels or razors If skin is dry, use a moisturizer to prevent cracking.

  12. Treatment Most MRSA infections are treatable with antibiotics Take all doses, even if the infection is getting better, unless your doctor tells you otherwise Do not share antibiotics with other people Some staph infections may be treated by draining the abscess or boil and may not require antibiotics Drainage should only be done by a healthcare provider If the infection does not get better after a few days, contact your healthcare provider again If other people you know or live with get the same infection, tell them to go to their healthcare provider

  13. Control If MRSA is identified, follow these steps Cover the wound http://t2.gstatic.com/images?q=tbn:Q3qGXTcTgR9yKM:http://home.netscape.ca/~stubby/img/SuperBug.jpg Pus from infected wounds can contain staph and MRSA, so keeping the infection covered will help prevent the spread to others Keep wounds that are draining or have pus covered with clean, dry bandages Follow your healthcare provider s instructions on proper care of the wound Bandages or tape can be discarded with the regular trash

  14. http://t3.gstatic.com/images?q=tbn:YWcbQxMnfksWSM:http://www.altham.com/assets/images/Hospital-Wash-Hands-Cartoon.jpghttp://t3.gstatic.com/images?q=tbn:YWcbQxMnfksWSM:http://www.altham.com/assets/images/Hospital-Wash-Hands-Cartoon.jpg Control Clean your hands Persons with MRSA, and others in close contact, should wash hands frequently with soap and warm water or use an alcohol-based hand sanitizer Especially important after changing the bandage or touching the infected wound Do not share personal items such as towels, washcloths, razors, clothing, or athletic equipment that may have had contact with the infected wound or bandage Wash sheets, towels, and clothes that become soiled with water and laundry detergent Drying clothes in a hot dryer, rather than air-drying, also helps kill bacteria in clothes

  15. Should Students with MRSA Skin Infections Be Excluded From Attending School? Unless directed by a physician, students with MRSA infections should not be excluded fromattending school Exclusion from school and sports activities should be reserved for those with wound drainage ("pus") that cannot be covered and contained with a clean, dry bandage and for those who cannot maintain good personal hygiene

  16. Environmental Control The 5 C s of Community Associated MRSA CLEANLINESS: Hand hygiene, bathing, laundering of clothing/uniforms COMPROMISED: Skin integrity - Keep wound(s) clean and covered CONTACT: Avoid contact with other people s wounds or bandages CONTAMINATION: Avoid sharing personal items (water bottles, towels, etc. Clean and disinfect environment CROWDING: Implement measures to avoid overcrowding, as appropriate

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