Transcript Community Acquired MRSA

Community Acquired MRSA
CA-MRSA
Margaret Teitelbaum
School Nurse/Health Educator
Westfield High School
Staphylococcus Aureus
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Staphylococcus Aureus Bacteria identified in the 1800’s
It has always been the most serious of infections
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“Granddaddy of all Antibiotics”
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PENICILLIN was discovered in 1941 –drug of choice
for Staph Infections
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1960’s Bacteria became resistant to penicillin
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Methicillin used to treat Staph infection
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1961 Staph became resistant to methicillin and MRSA was identified in the
hospital setting
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MRSA can cause serious, sometimes fatal, infections—with early detection,
several antibiotics continue to be effective against MRSA
Community Acquired MRSA
• In the 1990’s, MRSA started showing up outside the
hospital setting
• In October, 2007, the American Medical Assoc.
suggested that MRSA infections are more prevalent than
previously thought
Student staph infections and deaths were reported by
the media
• Dr. Gerberdine head of the Center for Disease Control
and Prevention told members of Congress recently, “It
takes close contact. MRSA is preventable largely by
common sense hygiene”.
Risk Factors and Transmission of
Community Acquired MRSA
• Community MRSA is transmitted by contaminated hands
(skin to skin contact)
• Contact with contaminated objects with bodily
fluids(examples sharing towels, athletic equipment)
• Open wounds, nicks to skin, turf burns put
an individual at risk for infection
• Increasing numbers of cases are being identified
among certain groups of people—children attending day
care, athletes, military recruits, and people with weak
immune systems
Infection Control
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Encourage proper HAND WASHING- 20sec w/ soap and water
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Utilize alcohol based hand sanitizers when soap and water not
available
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Cover open wounds- ex small cuts, pimples, boils
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Launder athletic uniforms and other athletic clothing in hot water
and dry them in hot dryer
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Avoid sharing personal items, soap towels,
razors, clothing, uniforms
Protocol For Infection
Control in the Schools
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School Nurses are carefully assessing students who sign into the
nurses’ office with open wounds. If there are signs of infection
including redness, swelling, warmth, tenderness, fever and/or
purulent drainage
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Parents are contacted and encouraged to make a MD appointment
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Antibiotic regime may be necessary
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Medical clearance is needed from a physician to return to school—a
note is required
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School Nurse will inform athletic trainer when necessary
Protocol For Infection Control in
the Schools Continued
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Aggressive plans for cleaning and sanitizing have been
Implemented in the schools
•
Single cases of MRSA are not reportable but if there is a cluster of
two or more laboratory confirmed cases within the school, the
local health department will be notified
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School Nurses in Westfield have been in communication with the
health department and according to them there are no reported
cases in Westfield
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At this time, there are no reported cases in the schools
Steps Westfield Public
Schools are Taking
• Educating the School Community regarding CA-MRSA
• Proper Hand Washing ”Common Sense Hygiene” Keep
personal items personal.
• Encouraging communication between all students,
parents and healthcare providers
• Encourage students to report suspicious skin lesions to
the school nurse and keep open wounds covered
Examples of MRSA
BOIL
BOIL 2
Cellulitis
LESION
ACKNOWLEDGEMENTS
• Aniltta Alex, MSN, CNP; and Marilo Letizia, PhD, CNP “CAMRSA: Considerations for School Nurses” The Journal of
School Nursing. August 2007
• Westfield Health Department
• New Jersey Department of Health and Senior Services
website at www.nj.gov/health
• Center for Disease Control website
www.cdc.gov/ncidod/hip/Aresist/ca mrsa