The 4 studies that are using screening methods all show a decline in MRSA transmission. The study in Japanese hospital (Juntendo University Hospital), AC-S was performed on 179 (first phase) and 255 (second phase) patients who had a history of MRSA carriage in the past 5 years. The percentage of MRSA positive patients in phase 1 was 38.0% (68 of 179) and this increased in the second phase to 54.5% (128 of 235) with P<0.001. The average monthly transmission rate of MRSA decreased from 0.35 per 1000 bed-days in phase 1 0.26 in phase 2 (P<0.05). The average monthly use AHR also increased from 10,308 ml in phase 1 to 12,894 ml in phase 2 (Ohkushi et al., 2013). Another study in Tokyo Medical and Dental University hospital, also based in Japan …show more content…
(Marshall et al., 2013)
The study at Sulamaini Plastic Surgery and Burns Hospital in Iraq, a total 654 burn patients obtained positive culture for Staphylococcus aureus and 88% of this was MRSA. In this study nitrofurantoin and vancomycin antibiotics showed least resistance of 0.5% and 2.5 % resistance, respectively. Oxacillin is the least effective (88.9%) (Hastyar et al., 2012). The percentage of primary school children and prisoners in Southwest Ethiopia affected with MRSA were 18.8% (27/144) and 48% (12/25), respectively. Ampicillin, Bacitracin, Erythromycin, Penicillin and Cefoxitin were among those drugs that showed resistance (Kejela et al.,2013). The study in USA was based in 3 medical centres (the Medical University of South Carolina, Memorial Sloan-Kettering Cancer Center, and the Ralph H.Johnson Veterans Affairs Medical Centre). The role of study it to place copper-alloy surfaced objects in ICU rooms. The study included 614 patients and the rate of MRSA reduced in the ICU room with copper alloy surfaces where P=0.020 (Salgado et al., 2013). Ian Barr university (Israel) identified that there were 8-12 colonies of gram-negative bacteria, 2-6 colonies of gram positive cocci and 3-5 gram positive in the gram positive rods found on wheelchairs (Avi et al., 2014) In Germany, the MRSA in 42.1 % (16/38) of the patients was eradicated due to antiseptic washes being used beyond wound in combination with antibiotic
There are several important steps in preventing the spread of MRSA: washing hands before and after patient contact, using gloves appropriately, covering any cuts on the hands, maintaining healthy hands, avoiding overcrowding in hospital departments, maintaining a clean environment, and prudent antibiotic prescribing (3). Hand washing is the most effective way to keep from spreading infections. The CDC recommends that you spend 20 seconds scrubbing your hands with soap while washing your hands (1). You can sing the “Happy Birthday” song twice all the way through also (1). If soap and water are not available, the CDC recommends using an alcohol-based hand sanitizer that is at least 60% alcohol (1). This should not be used as a first line of defense. Hand washing is always the best way to get rid of harmful bacterium. Gloves and gowns are another great way to create a barrier between you and the bacteria. Proper removal of gloves and gown are vitally important. If your gloves are contaminated with MRSA, and you remove them improperly, you have completely defeated the point of even putting the gloves on. Once a surface is contaminated with MRSA, it can live prolonged periods of time unless removed through cleaning (5). For contaminated surfaces, you would want to use a disinfectant. Choosing the proper disinfectant, along with following the directions of use on the packaging, will rid the surface form microbes. It is extremely important to follow the directions on the packaging of the disinfectant because each disinfectant is different. One may need you to keep the surface wet for 2 minutes, while the other requires the surface to be kept wet for 10 minutes. If the surface isn’t kept wet for the allotted time, the surface will not be disinfected and will continue to contaminate
Methicillin-resistant Staphylococcus aureus, or more commonly, MRSA, is an emerging infectious disease affecting many people worldwide. MRSA, in particular, is a very interesting disease because although many people can be carriers of it, it generally only affects those with a depressed immune system; this is why it is so prevalent in places like nursing homes and hospitals. It can be spread though surgeries, artificial joints, tubing, and skin-to-skin contact. Although there is not one specific treatment of this disease, there are ways to test what antibiotics work best and sometimes antibiotics aren’t even necessary.
Health care providers and visitors are required to wear personal protective equipment (PPE) and follow strict hand hygiene procedures. Contaminated rooms, surfaces, and laundry items are properly disinfected to prevent the spread of MRSA. In addition to policy and procedures, patient teaching is also helpful for preventing exposure and spread of MRSA. As aforementioned earlier, hand hygiene is key to prevent exposer or transmission of the bacteria. To properly wash your hand effectively, first scrub hands rapidly for at least 15 seconds. Next, use a disposable towel to dry them and another towel to turn off the faucet. In addition, hand sanitizer that contains 62 percent or more of alcohol may be an adequate substitute when the individual does not have access to soap and water (Mayo Clinic Staff,
Hand hygiene has been stated as the one main element that can prevent the spread of MRSA (Gould 2002). Washing hands is not kid’s stuff – not in the era of MRSA. Once entrenched MRSA can be extremely difficult to treat. If it gets into the blood stream it can be lethal (Belkum, Verbrugh 2001). Simor and Andrew (2001) also emphasise that hand washing is the most important control practice. It is essential because personal contact is the primary mode of MRSA transmission. Therefore good hand washing technique is vital to ensure that the decontamination is effective, as no soap will be effective if the technique is poor.
Stephanie Ardito, after learning about three MRSA infections in her neighbor, decides to research on hospital infections. She found alarming high numbers of HAIs spread. For example, in 2009, of 1.8 million people that acquired HAIs, 100,000 of them died. HAIs also place an additional burden on hospitals. A research in 2010 estimated a $4.4 billion of additional hospital care resulting from treating HAIs. Quoting from an article titled “Staying Safe in the Hospital,” Ardito lists actions that patients can take in order to prevent HAIs. Patients should monitor their medication intake, medical test results, follow-up treatment plans; look for coordinated care from multiple caregivers; follow methods to prevent infections, specially washing hand; speak up to physician when there is a concern about HAIs; and to insist on discharging to prevent hospital readmission. This article is a great combination of many statistics from many researches, providing evidences for a growing issue of HAIs. Lastly, the author also compiles
ICUs have complex patient populaces, which can act as vessels for breeding and disseminating MRSA throughout the rest of the hospital. Daily chlorhexidine bathing has been proven through multiple studies as an effective method to prevent or reduce the prevalence of MRSA and other hospital acquired infections in ICUs; however, there is not consistent buy-in by nursing staff in some ICUs. In an effort to better utilize the evidence-based research and increase patient health-outcomes hospitals should educated and train staff on proper bathing protocols to optimized
Methicillin-resistant Staphylococcus aureus, or MRSA is a source of major concern for public health. MRSA is no longer a sole property of inpatients’ infections, but spreads quickly in the community, responsible for more deaths in the US than AIDS. It demonstrates increasing prevalence not only among people with weak immune systems, but also among those who we consider to be the healthiest.
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.
My organization is currently using targeted MRSA surveillance of only those patients who meet the predetermined criteria such as screening those patients who are from the nursing home, ICU patients, and patients who have a history of MRSA. The practice of universal MRSA surveillance presents a great opportunity for decreasing the incidence and risk of MRSA transmission and hospital acquired infection. It is a great tool to improve and implement measures designed at providing a higher quality of care and improving patients’ outcome. I believe that these types of evidence should prompt hospitals or healthcare organizations to take the opportunity and take advantage of the data that was gathered to utilize the use of universal MRSA screening.
The occurrence of hospital acquired infections has become a norm in the health care system. Patients’ experiences of being infected with MRSA at a hospital and subsequently isolated follows 6 patients in their experiences after becoming infected with methicillin- resistant staphylococcus aureus (MRSA) in an outbreak in Sweden. MRSA this is a staphylococcus bacteria that has become resistant to antibiotics such as penicillin, which was traditionally used to treat it (Vyas, 2015).
According to the Centers for Disease Control and Prevention [CDC] (2016) "MRSA can cause severe problems such as bloodstream infections, pneumonia and surgical site infections. If not treated quickly, MRSA infections can cause sepsis and death” (para. 1). Elderly and individuals with depleted immunity (Mayo Clinic, 2016), patients in intensive care units (ICUs) where the antibiotic resistance and antibiotic use are the highest (Ma et al., 2015, p. 1), nursing home (NH) residents, and patients with indwelling devices are the most vulnerable population for the MRSA infection (Mayo Clinic, 2016). MRSA infections can put financial and physical strains to the healthcare system as observed by Hanna (2011), “MRSA costs the US healthcare system up to $34 billion a year and accounts for over 8 million additional hospital
MRSA is no longer solely transmitted throughout the health care setting, it is within the community. The risk factors of MRSA within the health care setting is being hospitalized because patient are more vulnerable, having an invasive medical device implanted because it allows MRSA easier access into the body and staying in a long-term care facility because even carriers of MRSA may spread the disease(Methicillin Resistant Staphyloccus aureus (MRSA), 2016). The risk factors within the community is partaking in contact activities because of the skin to skin contact and the cuts and abrasion which MRSA can get into and living in a crowded area or unsanitary conditions because MRSA can easily be spread (Methicillin Resistant Staphyloccus aureus (MRSA),
“Methicillin-resistant Staphylococcus aureus (MRSA) is a major cause of preventable nosocomial infections and is endemic in hospitals worldwide” (Sadsad, Sintchenko, McDonnell, Gilbert, p.1, 2013). MRSA is a bacterial infection that is resistant to antibiotics that are usually used to treat staphylococcus infections. MRSA is mostly found on the skin, but can also be seen in wound or sputum. Nurses and other healthcare workers can help prevent the spread of MRSA by maintaining a good hand washing hygiene, putting patients in isolated rooms. However, patients with a history of MRSA should have an indicator on the door to inform staff of the infection. Nurses and other staff that will have physical contact with patients should be meticulous about using standard precautions, such as wearing protective equipment like gowns and gloves when handling patients with
MRSA screening, consulting and treatment in-services held on September 8, 2017 at the Bakersfield Heart Hospital educational room. The educators are Karen Huntington and Anita Tripp. The topic is about the proper management of patients with and without history of MRSA (Methicillin-resistant Staphylococcus aureus). With the incidence and prevalence of patients coming from various places such as long-term care facilities, MRSA are becoming an increase health concerns among the patients and the community in general. MRSA is proven to cause mortality rate if not given proper treatment and early prevention.
Madison Community Hospital is having to address infection control prevention. It seems as though hospitals around the country are seeing an increase in methicillin resistant staphylococcus aureus, or MRSA, which can be a deadly disease for patients (Buchbinder & Shanks, 2012). In order to prevent a spread of MRSA infection, the hospital must first find out if their employees are following hand sanitizing procedures and then find a way to enforce safety procedures among the employees.