Staph and MRSA Education What You Need to Rush Memorial

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					          MRSA

What You Need To Know
WHAT IS MRSA?

   Methicillin                 (antibiotic)

   Resistant                   (doesn’t affect)

   Staphylococcus
                               (a common bacteria)
   Aureus.
   Pronounced M-R-S-A or “Mursa”
FACTS

  • Staphylococcus aureus is one of
    many species of staph.
  • Staph is found on healthy
    people’s skin.
  • Staph infections are common and
    include acne, impetigo, boils,
    styes, swimmer’s ear, and wound
    infections
Does staph
always make
people sick?

 Many people live with staph bacteria
  in their nose and on their skin
  without getting sick.

 Not all staphylococcus aureus are
  resistant to Methicillin.

 A staph infection does not equal
   MRSA
FACTS


  Staphylococcus Aureus is found on
  the skin of 32.4% of Americans


  MRSA is found on the skin of 0.8%
  Americans
MRSA History

• Methicillin was introduced in 1959 to treat
  infections caused by penicillin-resistant
  Staphylococcus aureus. In 1961 there were
  reports from the United Kingdom of S. aureus
  isolates that had acquired resistance to
  methicillin.

• MRSA has been around for over 45 years
  – We have become better at diagnosing MRSA, but
    have not developed many drugs to treat MRSA
How does staph
make people
sick?

  A staph infection can start when
  there is an opening in the skin-a
  paper cut, scrape, nick while
  shaving, even a bruise may
  allow staph bacteria to enter the
  body and start an infection.
What does a
staph infection
look like?
Staph can vary
   considerably in
   appearance.
It may start out looking
   like a pimple, boil, or
   rash.
The infection often
   contains exudate
   (pus). It may be
   swollen or red.
What does a
staph infection
look like?
What does a
staph infection
look like?

  More serious
 infections may
 cause pneumonia,
 bloodstream
 infections, or
 surgical wound
 infections
How does staph
spread?

   People spread
   staph by direct
   skin-to-skin
   contact.
How else does
staph spread?

   Staph also lives on
   surfaces and
   spreads when you
   touch contaminated
   objects or surfaces
   and then touch
   something else.
Staph can live on cotton fabrics
for 3 weeks
How do I protect
myself?


 Wash your hands
 with soap and water
 as often as possible
 to break the cycle
 of contamination.
How to wash
your hands:

 1. Wet your hands with warm water.
 2. Apply a generous amount of soap.
 3. Wash palms, backs of hands, wrists, fingers and
   under fingernails. Rub hands for 20 seconds.
    (20 seconds is singing Happy Birthday)
 4. Rinse hands.
 5. Dry hands with a new paper towel.
 6. Use a new paper towel to turn off the faucet and
   open the door.
What else will
protect me from
staph?

  Don’t share your
  personal care products

  Wear gloves
  when appropriate

  Cover scrapes and
  wounds
What else will
protect me from
staph?

   Bathe or shower every day
     – This will reduce the
       amount of bacteria
       on your skin.
   Keep your fingernails cut
    short
     – Less bacteria can
       grow under short
       nails.
How do I
protect myself?

Wash your Hands as often as possible.

                Wash Your Hands

Wash your Hands



Yes, I know I said this already, but there may be a
  test----Wash your hands
I think I have a
staph infection…

 Minor staph infections (boils) may
  clear up without medical
  intervention…but
See your Doctor
Immediately if you
have:

   Swelling

   Pain

   Redness  or red streaks
   radiating from the
   wound site
   Fever

   General    ill feeling
   Warmth     at the site
I have a staph
infection…..

 Can I work?
      Whether or not you can
      continue to work depends
      on where the sore is and
           where you work.

     Let your supervisor know
            immediately.
I Have a staph
infection
    If your hand, wrist, or face is infected
   with staph you should NOT work in


  Food Service
  Laundry
  Direct Patient Care
I Have a Staph
Infection

If the sore is at a site
 other than the
 hand/wrist or face, you
 may continue to work if
 the sore is bandaged so
 that it does not leak.
If you have a
staph infection…

Keep your staph
 infection covered with
 a clean, dry bandage.

Change the bandage at
 least twice a day or
 when or if it becomes
 wet.
Wash Your
Hands

            Before and after
            changing bandages

            Before eating

            After using the
            bathroom

            Whenever you feel
            the need
REMEMBER




      Hand washing is the most
      effective way to stop the
      spread of infectious disease.
Stay Clean-
Laundry
Wash for at least   Load clothes
 twenty minutes       loosely in the
                      washer and dryer
                      so that they can
The amount of         move freely
 motion and the       during the wash
 length of            cycle.
 washing time
 both help          Drying clothes in a
 remove               hot clothes dryer
 bacteria from        kills more
 clothing at any      bacteria than line
 water                drying.
 temperature.
Disinfecting
Bathrooms &
Work Surfaces
  Cleaning should be done with a
   bleach solution or an
   Environmental Protection Agency
   (EPA)-registered disinfectant
   according to the manufacturer’s
   instructions.

  (10% Bleach Water)
Remember

 Keep your hands clean by washing with soap and
   warm water or using an alcohol hand gel.

 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 make-up,
   towels or razors.
STAPH

 Don’t share it with others.
    References


Enright, M., Robinson, A., Randle, G., Feil, E., Grundman, H.,
  & Spratt, B. (2002). The evolutionary history of methicillin-
  resistant staphylococcus aureus. National Academy of
  Sciences. 99(11): 7687–7692
Environmental Protection Agency (2007). List H of EPA’s
  registered products against methicillin resistant
  staphylococcus aureus and vancomycin resistant
  enterococcusfaecalis. Retrieved October 15, 2007 from
  http://www.epa.gov/oppad001/list_h_mrsa_vre.pdf
Greene Ink. (2007). Staph. Retrieved November 10, 2007 from
  http://www.drgreene.org/body.cfm?id=21&action=detail&ref=
  1193
/
References



Kuehnert, M., Kruszon-Moran, D., Hill, H., McQuillan, G.,
  McAllister, S., Fosheim, G., McDougal, L.,Chaitram, J.,
  Jensen, B., Fridkin, S., Killgore, G., Tenover, F. (2006).
  Prevalence of Staphylococcus aureus nasal colonization in
  the United States, 2001-2002. Journal of Infectious
  Diseases, Jan 15;193(2): 169-71.
Texas Department of State Health Services Infectious Disease
  Control Unit. (n.d.). Retrieved November 26, 2007 from
  http://www.dshs.state.tx.us/idcu/health/antibiotic%5Fresistan
  ce/mrsa/

				
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