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.htmlSlide 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 ReferencesSlide 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