Transcript COMMUNITY ACQUIRED MRSA

COMMUNITY ACQUIRED
MRSA
MARGARET TEITELBAUM RN,BSN,CSN
SCHOOL NURSE/HEALTH EDUCATOR
WESTFIELD HIGH SCHOOL
TOPICS TO BE COVERED
• INTRODUCTION—WHAT IS MRSA
• RISK FACTORS AND TRANSMISSION OF CA—MRSA
• SCHOOL NURSE’S ROLE IN ASSESSMENT OF CA
MRSA
• INFECTION CONTROL IS KEY
• PROTECTING YOURSELF
• PROTOCOL FOR COMMUNICABLE DISEASE IN
SCHOOLS
• COMMUNICATION BETWEEN HOME AND
SCHOOL
INTRODUCTION
• STAPHLOCOCCUS AUREUS BACTERIA IDENTIFIED IN
THE 1880’S
• PENICILLIN DISCOVERED 1941 USED TREAT
• 1960’S BACTERIA BECAME RESISTANT TO PENICILLIN
• 1960 METHICILLIN USED TREAT STAPH
• 1961 METHICILLIN RESISTANT STAPHLOCOCCUS
AUREUS WAS IDENTIFIED IN HOSPITAL SETTING
• NOT RESPONDING TO TREATMENT USING COMMON
ANTIBIOTICS LIKE PENICILLIN AND CEPHLOSPORINS
LATE 1990’S
• MRSA EMERGED IN THE COMMUNITY
SETTING
CA-MRSA
MOST INFECTIONS CAUSED BY STAPH ARE SKIN
AND SOFT TISSUE INFECTIONS
RISK FACTORS AND TRANSMISSION OF
CA-MRSA
•
OFTEN CA-MRSA IS TRANSMITTED BY CONTAMINATED HANDS
(skin to skin contact)
• CONTACT WITH CONTAMINATED OBJECTS
( CONTAMINATED WITH BODILIY FLUIDS)
FOR EX:, SHARING TOWELS, PERSONAL ATHLETIC EQUIPMENT,
COMMONLY SHARED SURFACES
• INDIVIDUALS WITH LOSS OF SKIN INTEGRITY ie, CUTS, SCRAPES,
OPEN WOUNDS, NICKS TO SKIN
OR TURF BURNS
OTHER FACTORS ASSOCIATED WITH
INFECTION
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CROWED LIVING CONDITIONS
POOR HYGIENE
HISTORY OF DERMATOLOGIC CONDITIONS
FAMILY MEMBERS WHO WORK IN HEALTH
CARE SETTING
• STUDENT ATHLETES CONTACT SPORTS
• PHYSICAL CONTACT WITH PERSON DRAINING
WOUND
• SHARING EQUIPMENT
INFECTION CONTROL IS KEY
• SCHOOL NURSE CONSULT WITH LOCAL HEALTH DEPARTMENT
INQUIRE RE: CASES
• SCHOOL NURSE ENGAGE IN CAREFUL SURVEILLANCE OF STUDENTS
WITH OPEN WOUNDS AND FOLLOW EXISTING POLICY
LESIONS AS A RESULT OF SPIDER BITE, INFECTED BOIL OR PIMPLE,
OR ANY SKIN INFECTION RED, SWOLLEN, WITH PURULENT
DISCHARGE
FOLLOW UP WITH ANY STUDENTS WHO HAVE COME IN CONTACT
WITH STUDENTS WITH CA-MRSA
PROTECTING YOURSELF
• HAND WASHING and the use of alcohol based hand rubs have been shown
to reduce the transmission of resistant bacteria(visibly soiiled –soap and
water--- alcohol bsed hand rubs less soiled fast acting
• SCHOOL ATHLETES SHOULD SHOWER AFTER PARTICIPATING IN CONTACT
SPORTS
• WASH SCRAPES, CUTS, AND ABRASIONS WITH SOAP AND WATER
• AVOID SHARING PERSONAL ITEMS
• LINENS AND CLOTHING NOT CONTAMINATED WITH BODILY FLUIDS WASH
WITH FAMILY LAUNDRY
• REPORT ANY SUSPICIOUS SKIN INFECTION TO THE SCHOOL NURSE AND
THE TRAINER
• KEEP LESIONS CLEAN AND DRY AND COVER WITH BANDAGES UNTIL
WOUND IS DRY AND HEALED
• DO NOT SHARE PERSONAL ITEMS, IE, SOAPS, CLOTHING, RAZORS
• REGULARLY CLEAN COMMONLY TOUCHED SURFACES IN HOME AND
SCHOOL
PROTOCOL FOR INFECTION CONTROL
IN SCHOOLS
• PARENT IS TO NOTIFY SCHOOL IF CHILD
ABSENT DUE TO SERIOUS ILLNESS OR
COMMUNICABLE DISEASE
• PHYSICIAN’S NOTE IS REQUIRED FOR A
STUDENT WHO HAS RECOVERED
• SCHOOL NURSE IS TO SEE THE STUDENT ON
RETURN TO SCHOOL
• DRAINING SORES MUST BE COVERED
EARLY DETECTION AND TREATMENT IS
KEY
• PROACTIVE EDUCATION
• AGGRESSIVE DIAGNOSTIC EFFORTS
• COMMUNICATION BETWEEN PATIENT, FAMILY
AND HEALTH CARE PROVIDERS IMPORTANT
• ENCOURAGED STUDENTS REPORT SUSPICIOUS
• SKIN LESIONS
RESOURCES FOR MORE INFORMATION
• CENTER FOR DISEASE CONTROL
• www.cdc.gov/ncidod/dhqp/ar_mrsa_ca_