Methicillin-resistant Staphylococcus Aureus - MRSA - - PowerPoint PPT Presentation

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  1. Methicillin-resistant Staphylococcus Aureus- MRSA - Sharon Walker, RN, BPS Ingham County Health Department

  2. MRSA • Bacteria staphylococcus aureus (staph) • Resistant to certain antibiotics • Methicillin • Oxacillin • Penicillin • Amoxicillin • Very common occurrence 2

  3. Nosocomial Community Acquired • Nosocomial • Acquired in a healthcare setting • Community Acquired • Non-hospitalized persons • No recent medical procedures • Otherwise healthy 3

  4. Colonization • Organisms are found but not causing • infection • In general – colonization is not treated

  5. Determinants of Resistance • Organism • Infection Control Practices • Antimicrobial Use 6

  6. Optimizing Antimicrobial Use • Decreases Resistance • Reduces Costs • Decreases Antimicrobial Adverse Events

  7. Current Antimicrobial Use • 20-50% of pharmaceutical costs • $1.2 billion spent in hospitals • Broad spectrum antibiotic use is increasing • 100 million courses of Antibiotics prescribed • annually – up to 80% are viruses

  8. Treatment of MRSA Infection • Sometimes no treatment is the best treatment • Removal of a devise (tube) • Appropriate antibiotic selection • Will treating the infection help the patients quality of life?

  9. Infection Control Practices Standard Universal Precautions is sufficient unless it is an outbreak situation or there is evidence of transmission via HCW.

  10. Contact Precautions • 1. Hand washing • 2. Patient placement • 3. Hand washing • 4. Barrier protection • Hand washing • Environmental cleaning • Hand washing

  11. Housekeeping • 1. Routine terminal cleaning • detergent/disinfectant • Discard water when done and wash the • bucket • Trash is not regulated medical waste • Environment is not routinely cultured

  12. Laundry - Dietary • Gown and glove for dirty linen as usual • Launder items as usual • No need for red bags • 4. Regular food trays can be used

  13. Collecting Lab Specimens In General • Collect specimens before starting antibiotic • 2. Don't culture during antibiotic therapy • 3. If follow up cultures are needed - wait 72 hours after treatment completion

  14. Strategic Goals • Prevent Infections • Diagnosis and treat infections effectively • Use Antimicrobials wisely • 4. Prevent transmission

  15. Other Resistant Pathogens 1. Escherichia coli 2. Coagulase-negative staphylococcus 3. Enterococci 4. Pseudomonas aeruginosa 5. Enterbacter 6. Klebsiella pneumoniae

  16. Resources Centers for Disease Control and Prevention www.cdc.gov select “index a – z” select first letter of condition 18