MethicillinResistant Staphylococcus aureus MRSA Information provided by the

Methicillin-Resistant Staphylococcus aureus (MRSA) Information provided by the Pickaway County General Health District

WELCOME

OBJECTIVES n Determine the prevalence of MRSA infections in Pickaway County Schools n Investigate which athletic program sectors are affected (ex. ( – football, wrestling, etc. ) n Develop protocol(s)

IMPORTANT FACTS n Staphylococcus • • • aureus (Staph) Common bacteria Acquired mainly through direct contact (individuals and objects) Asymptomatic carriers

IMPORTANT FACTS Cont. n Staphylococcus • • aureus (Staph) Found in nose, armpit, groin, and other similar areas Causes soft tissue infections such as boils and impetigo

IMPORTANT FACTS Cont. n Staphylococcus • • aureus (Staph) Can cause pneumonia and bloodstream infections Treatable with antibiotics

IMPORTANT FACTS Cont. n Staphylococcus • aureus (Staph) Staph infections commonly affect healthy people and healthy skin – Approximately 3 in 10 people have bacteria living on (colonizing) skin

IMPORTANT FACTS Cont. n Staphylococcus • aureus (Staph) Staphylococcus aureus is the leading cause of human infections in the skin and soft tissues, bones and joints, abscesses and normal heart valves.

IMPORTANT FACTS Cont. http: //www. indstate. edu/thcme/micro/staph/sld 018. htm

METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) n MRSA • • Cannot be treated with common penicillin-like antibiotics In the past confined to hospitals, nursing homes, long-term care facilities

METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) n MRSA • • Most common form - skin infections such as abscesses and boils Usually starts out as small bump resembling pimple or spider bite, which becomes redder and often develops pus drainage

METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) n MRSA • Sometimes gets into bloodstream and travels to internal body parts causing more serious infections

MRSA Cont. n CA-MRSA = Community. Associated MRSA • Movement into the community • Affecting athletes (esp. contact sports) (

METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) n MRSA • According to CDC, there appears to be at least three different strains of staph that can cause CA-MRSA infections in U. S.

ARE YOU SURE IT’S ONLY A SPIDER BITE? If you think you have a spider bite, it might actually be a bacterial infection that needs medical attention. Did you see the spider? If in doubt, check it out. eensy weensy spider bacteria… Clip Art ©Microsoft Corporation

If you think you have a spider bite, it might actually be a bacterial infection that needs medical attention. Did you see the spider? If in doubt, check it out. eensy weensy spider bacteria…

HISTORY - STAPH & MRSA in ATHLETES n 1984 - Rugby team in London n 1986 - outbreak of boils in football and basketball in Kentucky n 1993 - 1 st case of MRSA in a wrestling team in Vermont

HISTORY Cont. n 2002 - 03 – MRSA boom!!! Los Angeles county: athletes & county jail n Colorado, Indiana, and Pennsylvania – fencers, football, & wrestlers n 2004 - 05 – high school, college, professional football and basketball

WHAT DOES IT LOOK LIKE?

MRSA on CHEEK

MRSA on ARM

MRSA on ANKLE

MRSA on BACK

MRSA on BACK

MRSA on UNDERARM

MRSA on ARM •

MRSA on WRIST •

MRSA on FACE http: //www. indstate. edu/thcme/micro/staph/sld 015. htm

MRSA http: //www. indstate. edu/thcme/micro/staph/sld 017. htm

RECOMMENDATIONS TO PREVENT MRSA INFECTIONS n For • • All Adults and Students: Stress the importance of HAND WASHING and hygiene Keep wounds covered and dispose of bandages properly

RECOMMENDATIONS Cont. n For • • All Adults and Students Eliminate SHARING of equipment and personal items Stress clean facilities

RECOMMENDATIONS Cont. For All Adults and Students n • • Stress clean facilities Report any suspicious skin sore or boil to your healthcare provider and school nurse immediately

For more information at Teays Valley – Contact Tina Bobek, R. N. , Terri Richards, R. N. , Trina Ream, BHS Athletic Trainer

THANK YOU!