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