Methicillin-resistant staphylococcus aureus (MRSA), is a gram positive bacterial that is normally found on the skin and in the throat, and is a life threatening staphylococcal infection that may arise within hospitals, and “is frequently responsible for abscesses, endocarditis, impetigo, osteomyelitis, pneumonia, and septicemia.” Treatment usually includes bed rest, analgesics, and an anti-microbial drug that is resistant to penicillinase, an enzyme secreted by many species of staphylococcus. This writer will discuss the history of MRSA, article reviewed, community described in article, means to address the problem, and ethical issues resulting from not addressing this issue. Furthermore, this writer will use Orem’s nursing model and theories to propose nursing intervention to address the community health concern.
History of MRSA According to Stanhope and Lancaster, (2008), infectious diseases are the number one cause of death worldwide, and in the United States, infectious diseases account for 25% of all physician visits each year, organisms once susceptible to antibiotics are becoming increasingly drug resistant, and results in vulnerability to diseases thought no longer to be a threat. According to an article published by USA Today, methicillin resistant staphylococcus aureus (MRSA) became evident after two decades of using penicillin, the germs began to change to resist the antibiotics, and by the 1990s, MRSA was common in hospitals and was spreading to our communities (p.861). Furthermore, Stanhope and Lancaster advises that according to the Center for Disease Control (2002), “Community associated MRSA has caused outbreaks in several states and is now the target of a public health awareness campaign to prevent antimicrobial resistance (p.1063).”
Article Reviewed This writer reviewed an article titled, “Etiology and treatment of
References: Herman, R., Kee, V., Moores, K., Ross, M. (2008, Feb 1). Etiology and treatment of community-associated methicillin-resistant staphylococcus aureus. American Journal of Health-System Pharmacy (65) 219. .Mosby’s Medical, Nursing & Allied Health Dictionary (6th ed.). ( 2002). St. Louis MO: Mosby. Orem, D. (2001). Nursing concepts of practice (6th ed.). St. Louis M0: Mosby. Stanhope, M., Lancaster, J. (2008). Public health nursing: Population-centered health care in the community. (7th ed.). St. Louis MO: Mosby.