Methicillin-resistant Staphylococcus aureus
Part 1: Person, Place, Time Inside the U.S.
Disease/Condition Topic Selection
Research by Pantosti and Venditti (2009) supports that Methicillin-resistant Staphylococcus aureus or better known as MRSA, is an infectious disease that is spread through skin-to-skin contact (touching). It is highly spread within a hospital environment in which most patients that are susceptible to the “staph” germ have come to seek treatment for something else or for the infection itself. In which the Doctors, nurses or other health care providers that can touch an infected patient and then handle an uninfected patient might assist in the transfer of MRSA. Or cross contamination from sheets pillows blankets anything that the infected open wound or skin cells can rub against and then come into contact with a open wound on an uninfected person (Venditti & Pantosti, 2009).
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During this era, S. aureus infection commonly caused painful skin and soft tissue conditions such as boils, scalded-skin syndrome, impetigo” (p.49). In the 1940’s with the introduction of Penicillin which is an antibiotic that could treat MRSA medical treatment of the infection became routine. The first human case of MRSA was reported in 1968 and since then as MRSA (which it is known for) has become resistant to almost all of the traditional antibiotics used such as penicillin (Holm, Norrby, Bergholm & Norgrenin, 1992, p.36). Over the years we have noticed that MRSA is the highest danger because the “staph” germ naturally goes through bacterial evolution and the overuse of antibiotics has helped the microbes become resistant to drugs designed to help these infections (Fluit et al., 2013,
Facts of the victim’s case are laid out one by one, as if clues to a whodunit game where the culprit is ubiquitous MRSA. Descriptions are lengthy and vivid, describing everything from the patient’s painful symptoms to gruesome surgical procedures that will upset even the toughest of stomachs. This is definitely not the book to read before a large meal. The book reads like an episode of Frontline, keeping the reader on the edge of their seat until the end.
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
It is undeniable that the recent discovery of antibiotics and disinfectants in the past century is leading to the creation of increasingly dangerous antibiotic-resistant bacteria. Super bugs like Methicillin-resistant Staphylococcus have begun breaking out in hospital areas, killing more and more patients due to the lack of people following through with simple safety measures. In order to stop the creation and spread of antibiotic-resistant super bugs, proper precautions must be taken such as avoiding antibacterial cleaners, following through with instructions when taking prescriptions and maintaining adequate hand hygiene. Through adhering to basic safety rules, the creation and spread of super bugs can be minimized and all together discontinued from occurring at such a rapid rate.
Antibiotic resistance is one of the most important issues facing health care today, with wide reaching future implications if abuse continues. In the United States alone, antibiotic resistance is responsible for over two million illnesses and 23,000 deaths per year. Providers need to be judicious in the disbursement of these life saving pharmacological agents, while being informative of why antibiotics are not always the answer (Talkington, Cairns, Dolen, & Mothershed, 2014). In the case listed below, several issues need to be addressed including perception, knowledge deficit, and the caregiver’s role. This paper will focus on whether a prescription for antibiotics is appropriate and other courses of action that may be taken instead.
The Centers for Disease Control and Prevention (CDC), describes antibiotic resistance is the ability of bacteria or other microbes to resist the effects of antibiotic treatment. () So instead of being destroyed by the medications, the bacteria survives and continues to reproduce, resultant in new communicable diseases that even more difficult to treat.
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...
One of the many growing concerns in the world today is antibiotic resistance. Antibiotic resistance happens when the bacteria that an antibiotic is made to treat learns how to fight the treatment, and develops a strain of DNA that resists the antibiotic. The resistance is then spread from generation to generation and from one bacteria to another bacteria. The article “Antibiotic Resistance Is Worrisome, but Not Hopeless” states that the misuse and overuse of antibiotics by humans is one of the reasons for the development of resistance but not the only reason. All in all, antibiotics are important to our country's public health. Education is one way that our country could aid the misuse and overuse of antibiotics that leads to resistance. The
“Antibiotics" is the name given to the group of chemicals, particularly in medicine, that stop or inhibit the growth of, microorganisms such as fungi, bacteria, and parasites, or that kill the microorganism. They are, however, completely ineffective against viruses. There are two kinds of antibiotics, namely; bactericides, which interfere with the cell wall or contents of the bacteria, thereby killing it, and bacteriostatics, which prevent the bacteria from reproducing. They are used to treat bacterial infections in humans and animals. Bacteria are microorganisms consisting of single cells, and reproduce by mitosis. They usually live in colonies. Some bacteria and other microorganisms produce antibiotics to kill off other species, making more resources available for the organism making the chemicals. Ironically, it was this that led to the discovery of antibiotics in 1928, when Alexander Fleming noticed that the fungus Penicillium notatum, which had contaminated a sample of pathogenic bacteria, had killed the bacterial colonies in a petri dish.
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.)
Resistant strains are no joke, for years my mother has been dealing with MRSA (methicillin-resistant staphylococcus aureus). My mother has had MRSA so bad that at one time she was covered in MRSA sores much like when a person breaks out in hives. Watching her suffer the way she has worries me as I am also a healthcare worker and know what these resistant strains are capable of. I know these strains exist because of a lack of proper patient education. Proper patient education is key to the use of antibiotics and prevention of resistance-bacteria strains.
Biological evolution is defined as any genetic change in a population that is inherited over several, successive generations. (R.Bailey, 2014) The changes accumulate and over time a new species is created. One of the basic mechanisms of evolution is Natural Selection. Natural Selection is random genetic variation occurring within an organisms DNA and the beneficial mutations being preserved because they aid survival. (C.Darwin, 1859) Two notable scientists associated with the theory of evolution include Charles Darwin and Jean-Baptiste Lamarck.
(2014) shed light on two key components for infection control, which includes protecting patients from acquiring infections and protecting health care workers from becoming infected (Curchoe et al., 2014). The techniques that are used to protect patients also provide protection for nurses and other health care workers alike. In order to prevent the spread of infections, it is important for health care workers to be meticulous and attentive when providing care to already vulnerable patients (Curchoe et al., 2014). If a health care worker is aware they may contaminate the surroundings of a patient, they must properly clean, disinfect, and sterilize any contaminated objects in order to reduce or eliminate microorganisms (Curchoe et al., 2014). It is also ideal to change gloves after contact with contaminated secretions and before leaving a patient’s room (Curchoe, 2014). Research suggests that due to standard precaution, gloves must be worn as a single-use item for each invasive procedure, contact with sterile sites, and non-intact skin or mucous membranes (Curchoe et al., 2014). Hence, it is critical that health care workers change gloves during any activity that has been assessed as carrying a risk of exposure to body substances, secretions, excretions, and blood (Curchoe et al.,
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.
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.