Carrie "Shellie" Cobbs
Public and Community Health
HCS 457
Dee Martinez
April 08, 2014
Week 3 PP Speaker Notes
• What additional suggestions for treatment or resolution did you find?
There are no additional suggestions for the treatment of Methicillin-resistant Staphylococcus Aureus (MRSA). There are no alternative treatments. Antibiotic treatment is the only way to treat MRSA. A surgical procedure called an incision and drainage (I&D) is when a surgeon cleans out a lesion to help the healing process. Decolonizing MRSA is an important process in treating MRSA. The University of Washington recommends treatment for decolonizing MRSA patients to include nasal decolonization treatments. In addition, “topical body decolonization with a skin antiseptic solution (e.g. chlorhexidine) for 5 to 14 days or dilute bleach baths (1 teaspoon of bleach per gallon of water or 1/4 cup per 1/4 tub of water) used for 15 minutes twice weekly x 3 months” ("MRSA ," n.d., p. 1). The patients need to vigorously scrub the axilla and perineal areas.
• Include how the model served as a guide to understand the cause.
Problem- “In a healthcare setting, such as a hospital or nursing home, MRSA can cause severe problems such as bloodstream infections, pneumonia and surgical site infections” ("MRSA in healthcare facilities," 2014, p. 1).
Etiology- MRSA is caused by Staphylococcus aureus germs on the skin that start an infection in a surgical wound or open wound. Unnecessary use of antibiotics have, over time, increased the resistance of the germs to the antibiotics used to treat them.
Recommendations- Identification of MRSA positive patients and at-risk patients. Isolation of identified MRSA positive patients. Strict hand hygiene enforcement. Monitor MRSA trends in the hospital.
Implementation-Prevention of MRSA is the best implementation technique to keep patient from acquiring MRSA. Hygiene, hand washing, decontamination, and isolation of patients
References: Dermatologic Manifestations. (n.d.). Retrieved from https://depts.washington.edu/hivaids/derm/case6/discussion.html General Information About MRSA in Healthcare Settings. (2014). Retrieved from http://www.cdc.gov/mrsa/healthcare/