MRSA

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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.

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