Amador County Health Department 1003 Broadway, Suite 203 Jackson, California 95642 Phone (209) 223-6407 Fax (209) 223-1562 publichealth@co.amador.ca.us MRSA 101 For Immediate Release Contact: Angel LeSage, PHN Date: February 5, 2016 Title: Public Information Officer/Director of Public Health alesage@co.amamdor.ca.us Methicillin-resistant Staphylococcus aureus (MRSA) is making news across the nation and raising many questions locally in Amador County communities. MRSA has been around for a number of years but with the recent news headlines it has become alarming to many people. “We have been receiving many phone calls from local residents about MRSA,” reports Dr. Bob Hartmann, Amador County Health Officer. “Public Health, Environmental Health and the Amador County Unified School District have been working together to respond to these concerns. We want to clarify information about this infection and provide information on how to protect yourself. “ Staphylococcus aureus, often referred to simply as “staph,” is a type of bacteria commonly carried on the skin or in the nose of healthy people. Approximately 1/4 to 1/3 of people in the general population have staph living in their nose. It does not make them sick but it can be passed on to other people by rubbing their nose, getting it on their hands, and then touching other people or surfaces. MRSA is a type of staph infection that is resistant to commonly used antibiotics, including methicillin. Until recently, most people who got MRSA infections were in hospitals and other healthcare settings. Over the past several years, MRSA has become a common cause of community-acquired skin infections. Most of these infections are minor boils or abscesses and can start from broken skin areas such as cuts, abrasions and scratches. Occasionally, more serious infections can occur. Transmission is usually by direct skin-to-skin contact or contact with shared items or surfaces that have been contaminated with the drainage of bacteria from uncovered or poorly covered wounds. These skin infections often heal on their own, while some require medical treatment and antibiotics. Even though an organism is resistant to Methicillin, there are still many other antibiotics that can be used. It is very important to take all the antibiotics prescribed. The best way to prevent exposure to the staph organism is to wash your hands before and after touching your face, nose, eyes, and mouth. Basically, wash… wash… wash. This is the best prevention method available. Alcohol based hand gels work well when soap and water are not available. The following are a questions and answers about staph and MRSA. What are staph and MRSA? Staphylococcus aureus, often referred to simply as "staph," is a type of bacteria commonly carried on the skin or in the nose of healthy people. Sometimes, staph can cause an infection. Staph bacteria are one of the most common causes of skin infections in the United States. Staph or MRSA infections in the community are usually manifested as skin infections, such as pimples, boils, or abscesses, and occur in otherwise healthy people. Methicillin-resistant Staphylococcus aureus (MRSA) refers to types of staph that are not killed (resistant to) by the Methicillin antibiotic. Can I get MRSA from someone at work or school? MRSA is transmitted most frequently by direct skin-to-skin contact or contact with shared items or surfaces that have come into contact with someone else's infection (e.g., from surfaces, towels, used bandages). MRSA skin infections can occur anywhere. However, some settings have factors that make it easier for MRSA to be transmitted. These factors, referred to as the 5 C's, are as follows: Crowding, frequent skin-to-skin Contact, Compromised skin (i.e., cuts or abrasions), Contaminated items and surfaces, and lack of Cleanliness. Locations where the 5 C's are common include schools, dormitories, military barracks, households, correctional facilities, and daycare centers. If I have MRSA, can I go to work or school? Unless directed by a healthcare provider, workers and students with MRSA infections should not be routinely excluded from going to work or school. Exclusions from work/school should be reserved for those with wound drainage ("pus") that cannot be covered and contained with a clean, dry bandage and for those who cannot maintain good hygiene practices. Workers/students with active infections should be excluded from physical activity or sports that involve skin-to-skin contact until approval is obtained from a healthcare provider. Why wouldn’t the school or workplace be closed for cleaning? Health Officials do not recommend closing facilities for cleaning. Closing and cleaning gives people a false sense of security that they are safe from staph. Once people return, so does the staph. MRSA is spread by direct skin-to-skin contact or contact with shared items or surfaces that your hands touch and move around. Rather, it is best to have policies and procedures in place to clean surfaces and equipment regularly. If I have staph or a MRSA skin infection, what can I do to prevent the spread of MRSA at work, at school, and at home? You can prevent spreading staph or MRSA skin infections to others by following these steps: Cover your wound. Keep wounds that are draining or have pus covered with clean, dry bandages. Follow your healthcare provider's instructions on proper care of the wound. Pus from infected wounds can contain staph bacteria and MRSA, so keeping the infection covered will help prevent the spread to others. Bandages or tape can be discarded with the regular trash. Clean your hands. You, your family, and others in close contact should wash their hands frequently with soap and warm water or use an alcoholbased hand sanitizer, especially after changing the bandage or touching the infected wound. Do not share personal items. Avoid sharing personal items such as uniforms, clothing, towels, washcloths, or razors that may have had contact with the infected wound or bandage. What should I do if my clothing, equipment, or workstation becomes contaminated with MRSA? Wash clothing, sheets, and towels that become soiled with hot water and laundry detergent. Dry clothes in a hot dryer, rather than air-drying. Clean contaminated equipment and surfaces with detergent-based cleaners. What does a staph or MRSA infection look like? Staph bacteria, including MRSA, can cause skin infections that may look like a spider bite, pimple, or boil and can be red, swollen, painful, or have pus or other drainage. More serious infections may cause pneumonia, bloodstream infections, or surgical wound infection How can I prevent staph or MRSA skin infections? Practice good hygiene Keep your hands clean by washing thoroughly with soap and water or using an alcohol-based hand sanitizer Keep cuts and scrapes clean and covered with a bandage until healed. Avoid contact with other people's wounds or bandages Avoid sharing personal items such as uniforms and personal protective equipment How are staph and MRSA infections treated? Some staph skin infections do not need treatment; others are treated with antibiotics. If the doctor gives you antibiotics, make sure you take all of the medicine, even if the infection is getting better. Call your doctor back if the infection does not get better after a few days. If other people you know or live with get the same infection, tell them to go to their doctor.