MRSA in the Community
Information for Adults
Heather Walzel Ph.D. Student
Walden University
PUBH 6165
Instructor: Dr. Saran Wilkins
Spring 2013
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Introduce objectives
Review objectives
Answer questions
Leave everyone feeling knowledgeable
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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
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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
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Why do I need to know this information?
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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
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Redness
Warmness
Swelling
Skin tenderness
Boils
Blisters
Infection may look like a pimple and grow
bigger
Infections from CA-MRSA in 3 Communities
Variable
Atlanta Baltimore Minnesota
Total
Invasive infections - no. (%)
Bacteremia
30 (2)
7 (6)
6 (2)
43 (3)
Meningitis
1 (<1)
1 (1)
0
2 (<1)
Osteomyelitis
11 (1)
6 (5)
7 (3)
24 (1)
Bursitis
12 (1)
0
7(3)
15 (1)
Arthritis
13(1)
0
2(1)
15(1)
Other infections
Skin and soft tissue
973 (77)
95 (83)
198 (75)
1266 (77)
Wound
136 (11)
8 (7)
13 (5)
157 (10)
Pneumonia
23 (2)
4 (3)
4 (2)
31 (2)
Urinary tract
57 (4)
4 (3)
3 (1)
64 (4)
Sinus
60 (5)
0
1 (<1)
61 (4)
Underlying illness - no (%)
594 (47)
70 (61)
80 (30)
744 (45)
Number hospitalized
339 (27)
72 (63)
95 (36)
506 (31)
Number hospitalized for MRSA infection 251/339 (74) 41/72 (57) 79/95 (83) 370/506 (73)
Number in intensive care unit
26/339 (8) 7/72(10)
4/95 (4)
37/506(7)
Number discharged
323/339 (95) 71/72 (99) 86/95 (91) 480/506 (95)
Average stay
5
5
3
4
Fridkin et al., 2005
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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
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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
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Mayo Clinic
Center for Disease Control and Prevention
Local Health Departments
Primary Care and Infectious Disease
Practitioners
MRSA IN THE COMMUNITY
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://mrsaresearch-center.bsd.uchicago.edu/patients_families/faq.html
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Slide 1:
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DC Metro Theater Arts (2013). Mimes. Retrieved August 2, 2013 from
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Slide 5:
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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:
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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
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Hubpages Inc. (2013). MRSA. Retrieved August 2, 2013 from:
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http://celebrateusa.hubpages.com/hub/Ozone-Water-MRSA
Hubpages Inc. (2013). MRSA Rash. Retrieved August 2, 2013 from
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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:
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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
Slide 7:
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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-teenpeople-luncheon-2006-photo
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People (2012). Michelle Kwan. Retrieved from August 2, 2013 from
http://www.people.com/people/article/0,,20628947,00.html
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PricewaterhouseCoopers LLP (2013). Black lady in orange shirt. Retrieved August 2, 2013
from http://www.pwc.com/us/en/careers/campus/index.jhtml
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Think Geek (2013). Man. Retrieved August 2, 2013 from
http://www.thinkgeek.com/product/5aa9/
Slide 13:
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MRSA Research Center (n.d.). Mr. and Mrs. MRSA. Retrieved August 2, 2013 from
www.mrsa-research-center.bsd.uchicago.edu