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MRSA in the Community Information for Adults
Heather Walzel Ph.D. StudentWalden University
PUBH 6165Instructor: Dr. Saran Wilkins
Spring 2013
Agenda
Introduce objectives Review objectives Answer questions Leave everyone feeling knowledgeable
Learning Objectives
To identify what MRSA is Identify side effects of MRSA Identify how MRSA is transmitted Identify how to prevent MRSA
transmission Identify who has MRSA Community statistics of MRSA infection How to identify treatment options How to find further information on MRSA
Purpose and Audience
To educate the general and at risk population on MRSA
MRSA is present in 1 out of 3 people Found on the skin and in the nose of most
individuals
MRSA Awareness
Why do I need to know this information?
What is MRSA
How is MRSA Transmitted
Via contact sports that involve skin to skin contact
In crowded conditions such as nursing homes, child care centers, military camps or jails
By sharing towels or personal items Via men who have sex with other men
Who has MRSA
Symptoms of MRSA
Redness Warmness Swelling Skin tenderness Boils Blisters Infection may look like a pimple and grow
bigger
Community Statistics Variable Atlanta Baltimore Minnesota Total Invasive infections - no. (%)
30 (2) 7 (6) 6 (2) 43 (3) 1 (<1) 1 (1) 0 2 (<1)11 (1) 6 (5) 7 (3) 24 (1)12 (1) 0 7(3) 15 (1)13(1) 0 2(1) 15(1)
Other infections973 (77) 95 (83) 198 (75) 1266 (77)136 (11) 8 (7) 13 (5) 157 (10)
23 (2) 4 (3) 4 (2) 31 (2)57 (4) 4 (3) 3 (1) 64 (4)60 (5) 0 1 (<1) 61 (4)
594 (47) 70 (61) 80 (30) 744 (45)339 (27) 72 (63) 95 (36) 506 (31)
251/339 (74) 41/72 (57) 79/95 (83) 370/506 (73)26/339 (8) 7/72(10) 4/95 (4) 37/506(7)
323/339 (95) 71/72 (99) 86/95 (91) 480/506 (95)5 5 3 4
Number hospitalized Number hospitalized for MRSA infectionNumber in intensive care unit Number discharged Average stay
Skin and soft tissueWound Pneumonia Urinary tract Sinus Underlying illness - no (%)
Infections from CA-MRSA in 3 Communities
Bacteremia MeningitisOsteomyelitis Bursitis Arthritis
Fridkin et al., 2005
Prevention
Good Hygiene Hand washing with soap and water Alcohol based hand rubs Keep cuts and scrapes covered until
healed Avoid contact with soiled bandages and
wounds Avoid sharing personal hygiene products
like razors and towels
If you have it
Prevent spreading it Cover your wounds Clean your hands Do not share personal items Keep your environment clean Talk to your doctor Finish your antibiotic to prevent further
resistance
Conclusion
Resources for further information
Mayo Clinic Center for Disease Control and Prevention Local Health Departments Primary Care and Infectious Disease
Practitioners
References MRSA IN THE COMMUNITY 1
Center for Disease Control and Prevention. (2010b). Symptoms of MRSA. Retrieved from
http://www.cdc.gov/mrsa/symptoms/index.html
Fridkin, S. K., Hageman, J. C., Morrison, M., Sanza, L., Como-Sabetti, K., Jernigan, J. A.,
Farley, M. M. (2005, April 7). Methicillin-resistant staphylococcus aureus disease in
three communities . New England Journal of Medicine, 352, 1436-1444.
http://dx.doi.org/10.1056/NEJMoa043252
Mayo Clinic . (2012). MRSA Infection. Retrieved from
http://www.mayoclinic.com/print/mrsa/DS00735/Method=print&DSECTION=all
Mayo Clinic. (2013). MRSA infection. Retrieved from http://www.mayoclinic.org/mrsa/
University of Chicago Medicine . (2013). MRSA Research Center. Retrieved from http://mrsa-
research-center.bsd.uchicago.edu/patients_families/faq.html
Image References Slide 1:
DC Metro Theater Arts (2013). Mimes. Retrieved August 2, 2013 from
http://www.dcmetrotheaterarts.com/2013/04/19/the-voca-people-at-the-music-center-at-strathmore-by-nicole-cusick/
Slide 5: MRSAid (2013). MRSA awareness logo. Retrieved August 2, 2013 from:
http://www.mrsaidblog.com/wp-content/uploads/2011/09/MRSA-Only-Logo1.jpg
Center for Disease Control (2011). A child’s first line of defense. Retrieved August 2, 2013 from http://www.cdc.gov/HAI/widgets/widgets.html
Slide 6:
About.com (2010). MRSA on child’s finger. Retrieved August 2, 2013 from:
http://firstaid.about.com/u/sty/infections/10_MRSA_Pictures/MRSA-on-Child-s-Finger.htm Hubpages Inc. (2013). MRSA. Retrieved August 2, 2013 from:
http://celebrateusa.hubpages.com/hub/Ozone-Water-MRSA Hubpages Inc. (2013). MRSA Rash. Retrieved August 2, 2013 from
http://ralphdeeds.hubpages.com/hub/MRSA-Warning-Signs-and-Preventive-Measures Never Event Collaborate (n.d.). MRSA on lower lip. Retrieved August 2, 2013 from:
http://www.neverevents.org/infections/mrsa-lip.htm WebMD (2013). MRSA picture weeping hand. Retrieved August 2, 2013 from:
http://www.webmd.com/skin-problems-and-treatments/ss/slideshow-closer-look-at-mrsa
Image References
Slide 7: Fanpop (2013). Middle picture – Girl with long brown hair. Retrieved August 2, 2013 from
http://www.fanpop.com/clubs/mackenzie-rosman/images/28338512/title/8th-annual-teen-people-luncheon-2006-photo
People (2012). Michelle Kwan. Retrieved from August 2, 2013 from http://www.people.com/people/article/0,,20628947,00.html
PricewaterhouseCoopers LLP (2013). Black lady in orange shirt. Retrieved August 2, 2013 from http://www.pwc.com/us/en/careers/campus/index.jhtml
Think Geek (2013). Man. Retrieved August 2, 2013 from http://www.thinkgeek.com/product/5aa9/
Slide 13: MRSA Research Center (n.d.). Mr. and Mrs. MRSA. Retrieved August 2, 2013 from
www.mrsa-research-center.bsd.uchicago.edu