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"METHICILLIN RESISTANT STAPHYLOCOCCUS AUREUS"

Methicillin-resistantStaphylococcus aureus(MRSA) is

a bacteria that is resistant to many antibiotics. In the


community, most MRSA infections are skin infections. In
medical facilities, MRSA causes life-threatening bloodstream
infections, pneumonia and surgical site infections.
(penicillin, amoxicillin, oxacillin & methicillin)
Tougher to treat than most strains of STAPHYLOCOCCUS

AUREUS or STAPH

What does an MRSA infection look like?


An MRSA skin infection looks like a boil, pimple or spider
bite that may be:
Red
Swollen
Painful
Pus-filled and oozing
These infections most commonly occur at sites
where the skin has been broken by cuts or scrapes,
or on areas of the skin covered by hair, such as the:
Back of the neck
Groin
Buttock
Armpit
Beard area on men

Incidence/Prevalence:
Common among people who have weak IMMUNE

SYSTEMS & people in the hospitals, Nursing home


& other Health Care Centers.
invasive health care-associated MRSA infections

declined 54% between 2005 and 2011, with


30,800 fewer severe MRSA infections and 9,000
fewer deaths.9

Etiology:

Etiologic agent: MRSA is the

result of decades often


unnecessary antibiotic use
S.Aureus

Mode of Transmission
Transmitted through contact (skin to

skin contact)
Touching another persons skin who is

infected or the objects that have the


bacteria on them.

Incubation period
From 30mins to 8 Hours

S.Aureus
Normal bacteria flora lives harmlessly on the skin & nose
Colonization
Bacteria colonize body parts & crowd out other normal flora
Infection
Occurs when ATB-resistant bacteria begin to cause damage or colonize sterile
body site
Bacteria Multiples
(produce toxins)
DAMAGE CELLS
(s/sx: boils, abscesses, cellulitis, chills, joint pain, severee headache,
impetigo)

FEVER
(pathognomonic sign)

Signs & Symptoms:


Boils
Abscesses
Cellulitis
Fever
Chills
Decrease BP
Joint pains
Severe headache
Impetigo

Complications
Brain Damage
Endocarditis
Sepsis
Pneumonia
Osteomyelitis
Septicbursitis(small fluid-filled sacs under

the skin)
DEATH

Priority Nursing Diagnosis


Impaired skin integrity
Altered boy temp.
Pain
Knowledge deficit
Risk for infection
Risk fro decreased mobility

Isolation Precaution
Contact Isolation

Diagnostic Tests:
Complete Physical & History exam
Test of nasal secretions
Swab Test
Culture & Sensitivity Test
Tissue Sample

Medical Management:
Treatment Plan will depend on several factors
type of infection
Site of infection
Severity of symptoms
Antibiotics that specific strain of mrsa
Colonization if found to be colonized w/MRSA
Anti bacteria body wash or powder can be
used
Anti bacterial shampoo to remove from scalp

Skin & Soft Tissue Infections


Like boils or abscesses, treatment incision and
drainage
Cellulitis 5 to 10 day course of antibiotic
tablets

Nursing Intervention:
reduced the risk of bacteria by having isolation

room
Wash hands Before and after contact w/patient
PPE

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