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Use of PPE for MRSA prevention

MRSA in healthcare setting

How is it spread?

  • Direct contact with infected wound, fluids of contaminated hands.
  • Diagnosed by culture

Ways to prevent the spread of MRSA

  • Good hand hygiene
  • Keep contaminated cuts, scrapes or wounds covered
  • Avoid sharing of personal items
  • Early treatment if think infected

MRSA Precautions

  • Place the patient in their own room(or with another patient who has MRSA)
  • Gown and gloves
  • Perform hand hygiene every time
  • Maintain clean environment

Sources:

  • Whelan, Amanda, and Donna Moralejo. MRSA: A Resource Manual for Nurses and Other Healthcare Workers in Acute Care Setting. Provincial Infection Control , 2011.
  • “Healthcare Settings | MRSA | CDC.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 2019, www.cdc.gov/mrsa/healthcare/index.html.
  • “Methicillin-Resistant Staphylococcus Aureus.” Oregon Health & Science University, www.ohsu.edu/xd/health/for-healthcare-professionals/infection-control/resources-for-staff/specific-organisms-and-diseases/mrsa-info.cfm.
  • Sampathkumar, Priya. “Methicillin-Resistant Staphylococcus Aureus: The Latest Health Scare.” Mayo Clinic Proceedings, vol. 82, no. 12, 2007, pp. 1463–1467., doi:10.1016/s0025-6196(11)61088-4.
  • Sannazzaro, Anthony. “MRSA: The Superbug Poised to Cost Hospitals Super Sums.” Infection Control Today, 22 Nov. 2017, www.infectioncontroltoday.com/bacterial/mrsa-superbug-poised-cost-hospitals-super-sums.

Should MRSA be airborne precautions?

  • MRSA can travel through the air and takes a while to finally drop. It can drop into spots not commonly cleaned and can cause new infections.
  • HVAC is only good with large particles
  • PCO(Photocatalytic Oxidation) is good with small particles

PCO Photocatalytic Oxidation

  • Destroys small particles in the air by changing them into oxygen and carbon dioxide.
  • Studies were found to eliminate 99.9% of MRSA and other particles
  • Decrease infection rates

Why is it important?

  • Treatment of MRSA is also very expensive.
  • Can cost for some patients up to $60,000 and 9.7 billion yearly.
  • A immuno-compromised patient acquiring MRSA can cause pneumonia, sepsis or endocarditis.
  • This can increase length stay, cause financial worries and stress and missed work.

MRSA is very resistant to antibiotics:

  • oxacillin
  • penicillin
  • amoxicillin
  • clindamycin erythromycin tetracycline
  • cephalosporins
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