Ward Class

An Online Resource Site For Student Nurses

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Ward Class is an online resource for student nurses. Created with the aim of helping student nurses cope with the demands of nursing school and clinicals, it offers free downloads, notes, sample NCPs, sample drug studies, study aids, news and updates, and practical tips to its users.

Site Announcement

The December 2012 PRC Nursing Board Exam Result is already available here at Ward Class and at Pinoy R.N.




Microbiology: Methicillin-resistant Staphylococcus Aureus (MRSA)

Methicillin-resistant Staphylococcus Aureus (MRSA)
  • a strain of Staphylococcus Aureus, a gram-positive coccus
  • a very dangerous and easily transmitted nosocomial pathogen-->transmitted from healthcare worker to healthcare worker, healthcare worker to patient, and patient to patient
  • accounts for 40% of nosocomial staphyloccus aureus infections (note: resistant strains develop esp. in hospitals due to the large amounts of antibiotics given to patients)
  • spread by contact, usually by the hands of healthcare workers (25% of healthcare workers are suspected to be carriers of MRSA)
  • colonizes in the anterior nares, axilla, perineum, and inguinal area
  • community-acquired MRSA--> not as aggressive as hospital-acquired MRSA; susceptible to many antibiotics
High-Risk Groups for Methicillin-resistant Staphylococcus Aureus (MRSA) Infections
  • Newborns
  • Elderly clients
  • Breast-feeding women (may develop mastitis)
  • Clients with skin disorders
  • Clients with surgical incisions
  • Clients with a poor immune system
  • Clients with chronic medical illness
  • Clients with invasive, in-dwelling devices (foley catheters, IV catheters)
  • Clients in the ICU
  • Clients on prolonged hospitalisation
  • Clients on prolonged antibiotic therapy
  • Clients exposed to MRSA carriers

Tests for Methicillin-resistant Staphylococcus Aureus (MRSA)
  • urine culture
  • wound culture
  • sputum culture
  • blood culture
  • CSF culture
Clinical Presentations of Methicillin-resistant Staphyloccus Aureus (MRSA) Infections
  • Pneumonia
  • Surgical site infections
  • Line sepsis
  • Intra-abdominal infections
  • Osteomyelitis
  • Toxic shock syndrome
  • Septic Arthritis
  • Meningitis
  • Endocarditis
Medical Management for Methicillin-resistant Staphylococcus Aureus (MRSA) Infections
  • Vancomycin (drug of choice)
  • Teicoplanin (if strain is resistant to Vancomycin)
  • Bactrim, minocycline, and clindamycin
Infection Control and Prevention for Methicillin-resistant Staphylococcus Aureus (MRSA)
  • screening of patients and staff
  • isolation of patients infected with MRSA
  • use of contact precautions
  • wearing gloves at all times esp. when caring for patients with MRSA
  • meticulous handwashing after gloves are removed
  • use of dedicated stethoscope, bp cuffs, and thermometers
  • environmental cleaning
Related Nursing Download:
Mode of Transmission of Common Communicable Diseases

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