LITERATURE REVIEW
MRSA (Meticillin-Resistant staphylococcus aureus) is a bacterial infection that infected different parts of the body, for example, the nares and throats, skin as well as wounds. It carried in the nares of 30% of healthy adults. In hospitalized patients, this infection can colonize different parts of the body, depending on the site infection, it can be mild such as having sores or boils on the skin or life threatening, like blood poisoning. It is also known as a superbug due to the fact that it becomes resistant to the antibiotics commonly used to treat ordinary staphylococcus infections. It can be classified as community acquired or health care acquired infection where the latter is becoming the important cause of infection. It is transmitted directly from person to person by direct contact with the skin, clothing or the surrounding area that had recent physical contact with the infected person. In the hospital, it can be found in catheter like urinary as well as feeding tube, or surgical wounds. MRSA can be diagnosed by culture and antibiotic sensitivity by taking a sample of swab from the infected area. If the bacteria grows, different antibiotic swill be used to treat the bacteria to see if the bacteria develop any resistance or sensitivity to antibiotic.
With current practice right now in the ICU settings, when a patient is newly admitted and before any surgical procedures, patients will be screened for MRSA infections. Since 2008, in Riyadh, the capital of Saudi Arabia, it was noted that the number of MRSA cases are increasing according to the policy established by the infection control nationwide that requires every patients to be MRSA screen systematically prior to admission. Specimen sample will be ta...
... middle of paper ...
... drug dosage pertaining to the antibiotic being used to treat MRSA. Patients with MRSA infection prior to being admitted had a higher rate of longer hospitalization and were probably on antimicrobial therapy (Crossley et al and Hershow et al). The proof between the use of previous antibiotic and colonization or infection related to the antibiotic resistance pathogen has been reported for various pathogens including vancomycin-resistant enterococci. The use of excessive antibiotic therapy are frequently unnecessary to prevent nosocomial MRSA and VRE infection (Society for Healthcare Epidemiology of America (SHEA) guidelines, 2003). Studies revealed that countries that have higher rate of antibiotic used often accompanied with a higher incidence of MRSA, which suggested that poor quality infection control is not the only factor that contributes to this epidemic.
Many countries in Europe collect data on the locations of antimicrobial resistance occurrences, the number of incidences , who uses antibiotics, and the health practitioners who may overusing the antibiotics so as to address the problem of anti-microbial resistance.
Al-Momany NH, Al-Bakri AG, Makahleh ZM, Wazaify MM (2009) Adherence to international antimicrobial prophylaxis guidelines in cardiac surgery: a Jordanian study demonstrates need for quality improvement. J Manag Care Pharm. 15:262-71.
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)
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
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.
Life History and Characteristics: Staphylococcus aureus is a gram positive bacterium that is usually found in the nasal passages and on the skin of 15 to 40% of healthy humans, but can also survive in a wide variety of locations in the body. This bacterium is spread from person to person or to fomite by direct contact. Colonies of S. aureus appear in pairs, chains, or clusters. S. aureus is not an organism that is contained to one region of the world and is a universal health concern, specifically in the food handling industries.
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
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.)
CLABSIs are not confined to one unit of nursing care and there are many precipitating factors that may contribute to the development of a CLABSI. Often times these lines are placed in emergent situations in the emergency department (ED) and there may be a break in sterile technique. However a study conducted by Smith, Egger, Franklin, Harbrecht, and Richardson (2011) found a higher incidence of CLABSIs among intensive care unit (ICU) patients compared to those patients whose CLs were placed either in the ED or operating room (OR). This indicates further education for ICU s...
, prevention and control in our hospitals, have left South Africa, like the rest of the international community, on the brink of a return to an era of stubbornly resistant pathogenic bacteria towards antibiotics.
Hospital acquired infections are spread by numerous routes including contact, intravenous routes, air, water, oral routes, and through surgery. The most common types of infections in hospitals include urinary tract infections (32%), surgical site infections (22%), pneumonia (15%), and bloodstream infections (14%). ( book). The most common microorganisms associated with the types of infections are Esherichila coli, Enterococcus species, Staphylococcus auerus, Coagulase-negative staphylococci, or Pseudomonas aeruginosa.(secondary) Urinary tract infections occur when one or more of microorganisms enter the urinary system and affect the bladder and/or the kidneys. These infections are often associated improper catheterization technique. Surgical site infections occur after surgery in the part of the body where the surgery took place. These infections may involve the top of the skin, the tissue under the skin, organs, or blood vessels. Surgical site infections sometimes take days or months after surgery to develop. The infections can be cause by improper hand washing, dressing change technique, or improper surgery procedure. Pneumonia can also become a hospital acquired infection. Ventilator-associated pneumonia is a type of lung in...
In the last decade, the number of prescriptions for antibiotics has increases. Even though, antibiotics are helpful, an excess amount of antibiotics can be dangerous. Quite often antibiotics are wrongly prescribed to cure viruses when they are meant to target bacteria. Antibiotics are a type of medicine that is prone to kill microorganisms, or bacteria. By examining the PBS documentary Hunting the Nightmare Bacteria and the article “U.S. government taps GlaxoSmithKline for New Antibiotics” by Ben Hirschler as well as a few other articles can help depict the problem that is of doctors prescribing antibiotics wrongly or excessively, which can led to becoming harmful to the body.
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.
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.