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MRSA

Discussion in 'General Issues and Discussion Forum' started by John Spina, Nov 29, 2005.

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  1. John Spina

    John Spina Active Member


    Members do not see these Ads. Sign Up.
    I saw a patient today in my office.I had drained 2 abcesses in July and they healed up uneventfully.Out of curiousity,I looked at the C&S results......Heavy amounts of coag negative staph.....RESISTANT TO METHICILLIN!This is an office pt.He is doing well,however MRSA in an office setting strikes me as rare.How prevalent is this?Does anyone have any anecdotes about this?Are there studies on it?Any information is greatly appreciated.
     
  2. DAVOhorn

    DAVOhorn Well-Known Member

    re MRSA

    Dear John,

    I take it by Office you mean your practice clinic.

    MRSA pts are not the exclusive domain of Hospitals and NHS clinics.

    Anybody who sees members of the public for what ever reason will be exposed to people who are MRSA positive.

    The reasons are many.

    They have MRSA as a commensal on their body. usually nose mouth giblets.

    They have a family member who is MRSA positive and so has cross infected the wound just by sharing the same environment at home.

    Many people who have leg ulcers will be MRSA positive so if any pts with leg ulcers visit your premises they will bring MRSA into your working environment.

    As an NHS podiatrist with responsibility for Diabetes and wound care in my trust, MRSA and now VRSA is a routine occurrence.

    So one does the best one can to limit cross infection to others by Good Basic Infection Controls and patient management.

    Dont forget the other nasties such as Pseudomonas.

    Basically the human body is a walking talking Bug Factory so any visitor to your clinic should be considered as such.

    Oh yeah dont forget everyones favourite!

    A nice fresh pile of Doggy Doo on a pts shoes as they walk in from outside onto your loverly clean reception area , waiting area and then into your loverly shiny clinic

    Yummy.

    Even worse in the NHS!!!

    It is not Doggy Doo

    But Human

    YEEEEEEUUUUCCCHHH



    regards David
     
  3. Felicity Prentice

    Felicity Prentice Active Member

    Speaking of microbes, here are a few facts to entertain you as you go about your daily business:

    There are more microbial cells in our bodies than there are human cells! In fact 95% of all the cells in the body are bacteria, mainly living in the digestive tract.

    There are more bacteria in the colon than the total number of people who have ever lived.

    Everyone has about 1 kg in weight of bacteria in their gut. Each gram of faeces contains 100,000,000,000 microbes.

    Human adults excrete their own weight in faecal bacteria every year.

    And we wonder where infections come from? Remember, we can live with these microbial friends if we are healthy, drop the immune system's function, or change the micro-environment just a tad, and the pathogens are out in force. Our patients' overall health is such an important factor in infection control, yet I believe one we tend to overlook.

    cheers,

    Felicity
     
  4. Admin2

    Admin2 Administrator Staff Member

    This just appeared in the Journal of Clinical Microbiology

    Characterization of a Strain of Community-Associated Methicillin-Resistant Staphylococcus aureus Widely Disseminated in the United States
    Journal of Clinical Microbiology, January 2006, p. 108-118, Vol. 44, No. 1
     
  5. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Methicillin-resistant Staphylococcus aureus (MRSA)

    Free full text from the Canadian Medical Journal:
    Community-acquired MRSA: a practitioner's guide
    Full article
     
  6. John Spina

    John Spina Active Member

    I read an article today.We as pods should be up on what strains of infection are present in the communities we practice in.Is there any way to find out if there is an outbreak of a particular "bug" in a particular community?
     
  7. HJM41

    HJM41 Member

    hI JOHN
    JUST A POINT IF IT WAS COAG - THEN THEY WHERE NICELY LETTING YOU KNOW THAT THIS WAS STAPH EPI. THIS IS A USUAL FLORA ON THE SKIN. THE REPORT READ HEAVY GROWTH CLEANING THE SKIN AND A LITTLE TOPICAL LIKE GOOD OLD SSD AND YOUR OKAY IF IT COMES FROM THE BONE AND IS A HEAVY GROWTH GET ID TO HELP. IF YOU DO A C&S ALWAYS LOOK AT IT ON A TIMLEY BASIS
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The BBC are reporting:
    MRSA strain kills two in hospital
     
  9. Admin2

    Admin2 Administrator Staff Member

  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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  11. NewsBot

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    Articles:
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    New antimicrobial agents as therapy for resistant gram-positive cocci.
    Lentino JR, Narita M, Yu VL.
    Eur J Clin Microbiol Infect Dis. 2007 Sep 26; [Epub ahead of print]
     
  12. Cameron

    Cameron Well-Known Member

  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
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    ScienceDaily are reporting:
    Overcrowding And Understaffing In Hospitals Increases Levels Of MRSA Infections
    Full story
     
  14. NewsBot

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    Press Release:
    MRSA strain gained dominance with help from skin bacteria
     
  15. NewsBot

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    Articles:
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    Press Release:
    Researchers launch Phase 1 clinical trial of potential MRSA treatment
    Drug represents a novel class of antibiotics
     
  16. NewsBot

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    Articles:
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    Press Release:
    New MRSA superbug emerges in Brazil
     
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