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Best way to stop spread of mrsa in the hospital for nurses
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MRSA stands for methicillin-resistant Staphylococcus aureus and was founded in the 1960’s. It was not recognized until the 1990’s when there was a breakout in the hospitals. Healthcare professionals became frightened of this “Super-Bug” mainly because of the spread from one person to another. It became uncontrollable and staff were not aware of how to prevent the spread and treat the patients. It was then that the hospitals and nursing homes developed infection control measures in order to control and prevent further spread of MRSA.
There are two types of MRSA: Healthcare associated and community associated. Healthcare associated occurs after a patient has been hospitalized, surgical, and frail, of immunosuppressed patients. These types of patients were at higher risk for acquiring bacteria in the blood leading to septicemia. This can become fatal. Community associated is described as individuals who are carriers that have not been hospitalized within the past year. This can include children who attend daycare, people who go to the gyms, and those who live in the community.
MRSA can be spread by self transference or external transference. Self transference is when an individual touches an infected site on their body and then touches other areas of their body spreading the bacteria from one site to another. In external transference occurs when one person touches another by simple touch. An example could be when a healthcare worker touches an infected individual without washing their hands before touching the other individual. The spread MRSA from one individual to another depends on the health status of the individual. This can be affected by the individual’s immune function, illness, and age.
There are several risk factors th...
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...should be aware of certain assessments to obtain in determining MRSA. Some tests/assessments are skin cultures, cultures of drainage, nose swabs, blood culture, urine culture, and sputum cultures. NP should teach licensed and unlicensed personnel prevention strategies such as hand washing, wearing a mask when needed, universal precautions, isolation measures, avoidance of shaking sheets and clothing, and reporting of any abnormalities noted like unusual skin eruptions or open oozing sores.
MRSA is a hospital acquired infection and nursing homes have more of a tendency of spreading the bacteria from one person to another person. MRSA is resistant to antibiotics and highly impossible to cure. Healthcare professionals need to be aware of prevention strategies and control measures to prevent the spread. NP should consider antibiotic therapy towards these individuals.
However, increasing antibiotic resistance patterns among intensive care unit pathogens, cultivated by empiric-broad spectrum antibiotic regimens, characterizes the variable concerns. Recent literature point that antibiotic use before the development of VAP is associated with increased risk for potentially resistant gran-negative infections and Methcillin-resistant Staphylococcus auereus (MRSA)
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.
Nurses should take a leading role in reducing the impact of disease on patients and influence the expansion of evidence based infection prevention practice. Antimicrobial resistance prevention must remain a huge priority. In times of opposing priorities concerning patient safety, progress has been made in undertaking these bacteria’s and infections. The outlook of a near future without helpful antibiotics should not be dismissed, and all us in positions of influence should encourage and educate the conscientious use of antimicrobials seriously and do what we can to stop the situation from spreading.
...ood to above 60 degrees C and storing food below 7.2 degees C are two effective ways of controling S. aureus growth in food. The most important recent epidemiological information concerning this organism involves the increasing resistance to antibiotics. Methicillin-resistant S. aureus (MRSA) is the most common of these antibiotic resistant organisms. The effects of MSRA are the same as any other S. aureus infection, however, MSRA infections are a difficult to treat because there are few effective antibiotics available. MSRA infections are generally not life threatening, however in some extreme cases death can occur.
been previously touched by an infected person, will transmit the disease to the healthy person who
Pathogens are a type of microorganism that spreads viral and bacterial diseases. These diseases when present in human blood and body fluids are known as blood borne pathogens, and can spread from one person to another. (Worcester polytechnic institute) The most serious types of blood borne diseases are the hepatitis B virus (HBV) and hepatitis C virus (HCV), which can cause liver damage; and HIV (human immunodeficiency virus), which is responsible for causing AIDS (acquired immune deficiency syndrome). The blood borne pathogens can be spread when the blood or body fluids (semen, vaginal fluid, breast milk, and amniotic fluid) of an infected individual comes into contact with mucous membranes or an open sore or cut on the skin of another person. Mucus membranes are located in the eyes, nose, mouth, and other areas as well. ("Bloodborne pathogens: MedlinePlus Medical Encyclopedia") Two of the most common ways that pathogens are transmitted is through the exchange of fluids during sexual intercourse or by sharing infected IV needles. (Worcester polytechnic institute)
Other ways hepatitis A can be transmitted from person to person are through direct contact with an infected person, such as sexual contact, and sharing of needles for intravenous drug use. Hepatitis A can also be transmitted by coming in contact with contaminated food or water. Also, foods that are uncooked or undercooked and have been contaminated with Hepatitis A can transmit the virus. Bennett, A. J.,2016; World Health Organization, 2017) Hepatitis A can affect a person of any age group.
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.)
Hospital acquired infections are one of the most common complications of care in the hospital setting. Hospital acquired infections are infections that patients acquired during the stay in the hospital. These infections can cause an increase number of days the patients stay in the hospital. Hospital acquired infections makes the patients worse or even causes death. “In the USA alone, hospital acquired infections cause about 1.7 million infections and 99,000 deaths per year”(secondary).
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.
(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.,
The only way to ensure that sterilization has occurred is to use the biological monitoring methods. This is because these are the only tests done which show whether or not actual microbial life has been killed. Biological methods are the only ones which are recommended by the CDC (Centers for Disease Control and Prevention), the AAMI (Association for the Advancement of Medical Instrumentation), the AMA (American Medical Association), OSHA, and OSAP (Office Safety and Asepsis Procedures Foundation)