Methicillin-Resistant Staphylococcus Aureus (MRSA)

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Background

  • suspect MRSA infection/carrier in patients who present with:



  • multiple skin sites
  • recurrent infection
  • pt who has been in close contact of person with Hx of MRSA
  • infection showing early necrosis
  • two kinds: hospital acquired and community acquired
==Treatment==




  • Antibiotics
  • Keflex + Bactrim DS + rifampin
  • doxycycline
  • clindamycin
  • Vancomycin IV if severe infection/sepsis
  • I&D if abscess (antibiotics not needed if no e/o cellulitis)



==Prevention==



  • good hand hygiene
  • avoid sharing personal items with carriers
  • wash common household items with bleach and hot water
  • wash soiled sheets, towels, clothes in hot water with bleach and dry in hot dryer
  • Eradicate carriers:
  • mupirocin 2%: apply to each nostril TID x 5days
  • Hibiclens wash daily x 5 days
  • consider oral antibiotics
 ==Source==


Adapted from Donaldson



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