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information on . . .
MRSA! |
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Who is MR. SA . . .what
you need to know about Methicillin-Resistant Staph aureus
Media coverage of Methicillin-resistant Staphylococcus aureus, or
MRSA (pronounced Mursa or Mr. SA) splashes the newspapers and is a
buzzword on network news. But, what is MRSA, and how do you get MRSA? MRSA
is a bacterium which causes Staph infections. There are 2 types of MRSA,
community -acquired MRSA and hospital-acquired MRSA. The community
-acquired MRSA, CA-MRSA, has been traced to gymnasiums, workplaces,
ambulances, police cars, artificial turf, and sports equipment.
Hospital-aquired MRSA, or HA-MRSA, is transmitted at hospitals.
Treatments for
community environments include topical sanitizing by alcohol and
chlorine bleach and can be used in combination with quaternary ammonium
to increase the effective sanitized time. Sporting goods can be
effectively sanitized by ozone gas, and should be thoroughly cleaned
regularly to prevent cross-contamination. |
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The US Centers for
Disease Control and Prevention provides
"Guidelines for Infection Control in Health Care Personnel" to
prevent the spread of MRSA in health care workers. There are no
requirements that workers with MRSA in non-healthcare settings should be
excluded from work. Employers should provide and encourage good
personal hygiene to prevent an outbreak.
An early
indication of MRSA is a spider-bite like wound. Symptoms of MRSA are
pus filled boils and sometimes rashes. Testing for MRSA includes
isolation of the bacterium from nostril swabs. Immunocompromised
individuals such as recent surgery patients, AIDS patients, cancer
patients, and people with open wounds are at an increased risk of
infection. However, there have been reports of infection among healthy
athletes. |
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There are a
limited number of treatments for this type of infection. The strains of
this bacterium are resistant and change often which can prevent use of
common antibiotics. Drugs available for treatment of MRSA are
vancomycin, teicoplanin, and glycopeptide antibiotics. A second tier
set of prescriptions includes linezloid, quinupristin/dalfopristin,
daptomycin, and tigecycline, rifampicin+fusidic acid, doxicycline,
minocycline, and clindamycin. Some of the treatments are administered
orally, others intraveinously. A last resort treatment for MRSA is
maggot therapy. Phage therapy is also a promising treatment for MRSA
and is still in a research phase.
The best practices
for prevention of MRSA are good personal hygiene, proper sanitation of
surfaces, and regular cleaning of sporting goods.
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