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Best way to stop spread of mrsa in the hospital for nurses
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MRSA is a potentially life threatening infections that is most often found in hospitals and in any areas where there is a large number of people. The acronym MRSA stands for Methicillin resistant Staphylococcus aureus. MRSA is nothing more than a Staphylococcus infection that has developed a high resistance to normal antibiotic medication. It is a flesh eating virus that can show on the body as a boil or blister on the skin which could grow to be fairly large. The areas affected with MRSA will have pain an irritation associated with it. The MRSA infection can be transmitted from person to person rather easily. The E-Medicine Health website claims that up to two percent of all people are MRSA carriers. This makes the infection rate higher among athletes or people who participate in activities where there is skin to skin contact. The MRSA virus can survive for many hours without a host to grow on. This allows the virus to be transferred from person to person without physical contact through sharing clothing or by simply not cleaning a piece of gear off at the gym after it is used.
MRSA has been commonly categorized into a couple different subcategories. MRSA that is found in hospitals or around health car facilities is known as HA-MRSA. Another subcategory, CA-MRSA, affects normal healthy people. This would be the type of infection that someone would get from wrestling someone who was infected or touching a piece of gym equipment that has the MRSA virus on it. For these reasons, it is very important to wash thoroughly after using public equipment or swimming pools. According the the Center of Disease Control website, there are normally a little over 80,000 active cases of MRSA nationwide. Amazingly, “two in 100 pe...
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...://www.cdc.gov/mrsa/tracking/index.html
Karriem-Norwood, MD, V. (2013, April 03).Understanding mrsa -- diagnosis & treatment. Retrieved from http://www.webmd.com/skin-problems-and-treatments/understanding-mrsa-detection-treatment
Methicillin-resistant staphylococcus aureus (mrsa). (2009, January). Retrieved from http://www.halton.ca/cms/one.aspx?pageId=9716
Gordon, R., & Franklin, L. (2008). Pathogenesis of methicillin-resistant staphylococcus aureus infection.Clinical Infectious Diseases, 46(5), 350-359. doi: 10.1086/533591
MRSA Research Center. (2014). Frequently asked questions about mrsa. Retrieved from http://mrsa-research-center.bsd.uchicago.edu/patients_families/faq.html
Davis, Charles. "MRSA Infection." eMedicine Health. Eds. Melissa C. Stoppler, et al. 9 Jan. 2009. WebMD, LLC. 19 Oct. 2009 .
According to the Centers for Disease Control and Prevention (2013), MRSA is easily transmitted from person to person or from touching materials or surfaces that had previous contact with the infection. Using the implementation of infection control along with patient education will help in the decrease of the spread and help in the prevention in MRSA as well as get patients involved in their own care. The purpose of this paper is to present the problem of MRSA as well as include the rationale and history, review the proposed solution, integrate an implementation plan, summarize the literature review, establish an implementation plan, use a nursing theory to support the implementation plan, use a change theory to support the implementation plan, discuss how the project will be evaluated, and create a dissemination
United States. Department of Health and Human Services. Pink Book "Tetanus" N.p.: n.p., n.d. Http://www.cdc.gov/vaccines/pubs/pinkbook/downloads/tetanus.pdf. Centers for Disease Control and Prevention. Web.
Acquired antimicrobial resistance generally can be ascribed to one of five mechanisms. These are production of drug-inactivating enzymes, modification of an existing target, acquisition of a target by-pass system, reduced cell permeability and drug removal from the cell. (Sefton) Also a bacterium that was once prone to an antibiotic can gain resistance through alt...
Even though S. aureus is mainly associated with food poisoning, the bacterium can penetrate the skin or other mucous membranes to invade a range of tissues which will cause a variety of infections. Superficial infection of the skin can cause boils, impetigo, styes (infection of the glands or hair follicles of the eyelids), folliculitis, and furnacles. All of these infections are charac...
Patient education is of paramount importance if MRSA is to be reduced to its lowest minimum. According to Noble 2009, patient’s education stands a critical component of managing MRSA therefore; nurses are expected to be prompt in educating patients on specific measures in limiting and reducing the spread of MRSA by person to person contact. (Noble, 2009) The specific measures includes definition of MRSA, mode of transmission, the damage it can do to the body, specific treatments available and the process of treatment. This is to help the patient take part in the care. Noble 2009 explains that during care giving nurses and all other healthcare provider involve in giving care to a patient should communicate to patient all the precaution that will prevent the transmission of MRSA, and also giving the scientific rationale for the use of any precaution that is been used in the cause of care giving. (Noble, 2009.)
Retrieved November 04, 2017, from https://www.biocote.com/blog/5-facts-about-mrsa/. Antibiotic Resistant Bacteria: 10 of the Worst! n.d. - n.d. - n.d. Retrieved November 04, 2017, from http://www.nesta.org.uk/news/antibiotic-resistant-bacteria-10-most-dangerous.
To get a clear insight of how pathogenic bacteria become resistant to antibiotics, one has to understand first how antibiotics work. Antibiotics are manufactured to interact with a specific target molecule produced by the bacteria. The target molecule performs protoplasm in the bacterium that is the driving cause of cellular growth and survival of the pathogen. Antibiotics hinder the growth and survival of the bacteria so that the bacteria can die. To inhibit the target’s function, an antibiotic must do three things. First, it has to reach the site of the target molecule. Second, the antibiotic has to persist at the site to have its effect. Third, the antibiotic needs to prevent the proper formation of cell walls and stop metabolic processes performed by the bacteria to prevent protein synthesis.
The controversy regarding the sub-therapeutic use of antibiotics in animal feeds is that “super-bugs” are able to evolve. This is a threat to both the health of the animals and humans. What a “super-bug” refers to is a strain of bacteria that has evolved to be resistant to bacteria and lethal to the host organism. These super-bugs account for the death of roughly 48,000 Americans each year (Adams, 2013). These superbugs proliferate in the digestive tracts of hosts. Each dose of antibiotics in the animals’ diets at sub-therapeutic levels increases the likelihood of antibiotic resistance bacteria to evolve. The antibiotics kill the antibiotic sensitive bacteria, but bacteria that are resistant proliferate in the gut of the animals. When these antibiotic resistant bacteria are left to grow in the gut, they can cause infection to the animal or people that consume the animal as food (Falco, 2013, Amachawadl et. al. 2013). Antibiotic-resistance can also be conferred through horizontal gene transfer and other methods, making the mere existence of such bacteria a threat that should not be taken lightly.
Addie Rerecich was an eleven and a half year of girl who was just as normal as any other kid her age. She played sports and was very social. All that changed one night when she woke up complaining of some pain in her hip. Her mother thought it was just a simple softball injury, so she gave her some ibuprofen and sent her back to bed. When the pain didn’t subside, she was taken to the hospital. Initially the doctors said she had symptoms of a virus. The next day she could breath well and they said she now had pneumonia. When at the hospital the disease specialist said Addie had “community-aquired” resistant staphylococcus MRSA from picking her scabs. This infection caused damage in her lungs and was so bad she was then put on ECMO, total life
In the documentary, Hunting the Nightmare Bacteria, reporter David Hoffman investigates this new untreatable infection along two individuals and a bacterial virus within a hospital. The first individual Hoffman investigates is Addie Rerecich of Arizona, she was treated for a staph infection with antibiotics, but other complications arise. Addie had a lung transplant, she was given several different antibiotics, but her body became pan-bacteria, non-resistance to the bacteria. Addie’s life was on the edge, she had to be on life support, and finally she received new lungs. The transplant helped Addie but it would take years before could go back to normal before the infection. The second individual is David Ricci; he had his leg amputated in India after a train accident. The antibiotic treatment he received became toxic to his body increasing problems. While in India, he underwent surgery almost every day because of infections he was developing. Back in Seattle, doctors found the NDM-1 resistance gene in his body; NDM-1 gene is resistance to almost all antib...
...ed in the case of the antibiotic known as vancomycin. In order to treat the vicious bacterium, the drug vancomycin was introduced with hope to provide a therapy for the infection. However, eventually a resistant gene toward this drug emerged and began to spread throughout hospitals. “These strains, known as vancomycin-resistant S. aureus (VRSA), we progeny of MRSA that had acquired a set of five genes that travel together as a “cassette” and confer vancomycin” (Walsh & Fishbach, 2009). Unfortunately, the enzyme located in the resistant gene of the bacteria allows the target to change, which does not permit the binding of vancomycin. Obviously MRSA and VRSA pose a huge dilemma as both bacteria can be spread fairly easily and the resistant gene is so potent that even drugs that would be considered “last resort” develop troubles when it comes to trying to treat them.
Bacterial cells, like plant cells, are surrounded by a cell wall. However, bacterial cell walls are made up of polysaccharide chains linked to amino acids, while plant cell walls are made up of cellulose, which contains no amino acids. Many bacteria secrete a slimy capsule around the outside of the cell wall. The capsule provides additional protection for the cell. Many of the bacteria that cause diseases in animals are surrounded by a capsule. The capsule prevents the white blood cells and antibodies from destroying the invading bacterium. Inside the capsule and the cell wall is the cell membrane. In aerobic bacteria, the reactions of cellular respiration take place on fingerlike infoldings of the cell membrane. Ribosomes are scattered throughout the cytoplasm, and the DNA is generally found in the center of the cell. Many bacilli and spirilla have flagella, which are used for locomotion in water. A few types of bacteria that lack flagella move by gliding on a surface. However, the mechanism of this gliding motion is unknown. Most bacteria are aerobic, they require free oxygen to carry on cellular respiration. Some bacteria, called facultatibe anaerobes can live in either the presence or absence of free oxygen. They obtain energy either by aerobic respiration when oxygen is present or by fermentation when oxygen is absent. Still other bacteria cannot live in the presence of oxygen. These are called obligate anaerobes. Such bacteria obtain energy only fermentation. Through fermentation, different groups of bacteria produce a wide variety of organic compounds. Besides ethyl alcohol and lactic acid, bacterial fermentation can produce acetic acid, acetone, butyl alcohol, glycol, butyric acid, propionic acid, and methane, the main component of natural gas. Most bacteria are heterotrophic bacteria are either saprophytes or parasites. Saprophytes feed on the remains of dead plants and animals, and ordinarily do not cause disease. They release digestive enzymes onto the organic matter. The enzymes breakdown the large food molecules into smaller molecules, which are absorbed by the bacterial cells. Parasites live on or in living organisms, and may cause disease. A few types of bacteria are Autotrophic, they can synthesize the organic nutrients they require from inorganic substances. Autotrophic bacteria are either photosynthetic or Chemosynthetic. The photosynthetic bacteria contain chlorophyll that are different from the plant chlorophyll. In bacterial photosynthesis, hydrogen is obtained by the splitting of compounds other than water.
Infection control is very important in the health care profession. Health care professionals, who do not practice proper infection control, allow themselves to become susceptible to a number of infections. Among the most dreaded of these infections are: hepatitis B (HBV), hepatitis C (HCV), and human immunodeficiency virus (HIV). Another infection which has more recently increased in prevalence is methicillin-resistant Staphylococcus aureus (MRSA). These infections are all treated differently. Each infection has its own symptoms, classifications, and incubation periods. These infections are transmitted in very similar fashions, but they do not all target the same population.
There are many types of recreational water illnesses such as diarrhea, cryptosporidium, giardia, hot tub rash, legionella, swimmers ear, methicillin-resistant staphylococcus aureus MRSA, and pinworm. Contributors to recreational water illnesses include, feces, unfiltered water, diaper-aged children (newborns through at least age 4), sewage spills, animal waste, water runoff (following a rainfall), and swallowing recreational water (Centers for Disease Control and Prevention). This mainly affects children, pregnant women and people with a compromised immune system.
MRSA is a major source of healthcare associated diseases, increased hospital mortality, and leading surgical site infection (Jennings, Bennett, Fisher, & Cook, 2014, p. 83). With the implementation of active surveillance screening and contact isolations program, an overall decrease in hospital associated MRSA infections has been observed (Jennings, Bennett, Fisher, & Cook, 2014, p. 83). The author of this paper will identify a theory that can be used to support the proposed intervention i.e., reduce the transmission of MRSA by active screening in patients at high-risk for MRSA on admission. This paper will then describe the selected theory, and rational for the selection, and how this theory will support the proposed solution and how to incorporate this theory in this project.