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mrsa in the workplace: the

Disclaimer. The reference to brand names in this presentation does not constitute endorsement by the Wisconsin Division of Public Health . Abbreviations/Definitions . MRSA = methicillin resistant Staphylococcus aureusMSSA = methicillin sensitive S. aureusHA = healthcare associatedCA = community associatedColonization = organism is on or in the body but not causing diseaseInfection = organism is present and causing signs and symptoms of disease.

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mrsa in the workplace: the

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    1. DOA Risk Management Conference November, 2008

    17. Signs/symptoms of CA MRSA infections Pustules, boils, abscesses Redness, swelling Pain Pus, drainage Appearance of spider bite

    23. How CA MRSA is Spread Skin to skin contact with infected person Contact with a carrier Contact with contaminated personal items (towels, clothing, razors, used bandages)

    24. Risk Factors Close skin to skin contact Crowded conditions Compromised skin Contaminated items Cleanliness (lack of)

    25. Preventing Spread of CA MRSA Hand and personal hygiene Prevention of injuries to skin Appropriate treatment Exclusion Cleaning/disinfection Management of outbreaks

    26. Hygiene Hand hygiene Regular showers, baths No sharing of personal items (razors, towels, equipment, uniforms, water bottles) Do not touch others wounds Liquid soap dispensers Alcohol gel

    27. Prevention of skin injuries Safety equipment Treatment of injuries Clean with soap and water Cover with a bandage or clean, dry dressing

    28. Wound care Wear gloves and wash hands after touching wounds or dressing Place bandages/dressings that are saturated with wound drainage in sealed plastic bags and discard into regular trash

    29. Appropriate treatment Abscesses and boils are drained Purulent material is cultured Antibiotics may or may not be prescribed clindamycin trimethoprim sulfamethoxazole tetracyclines

    30. Exclusion When to stay home from work If wounds cannot be kept covered/wound drainage contained If appropriate hand/personal hygiene cannot be assured Refrain from activities that involve contact with the affected area

    31. Environmental cleaning/disinfection Regular, routine cleaning is usually sufficient Disinfect items and surfaces contaminated with wound drainage clean first, then disinfect follow disinfectant manufacturers directions for contact time use EPA registered disinfectants http://www.epa.gov/oppad001/chemregindex.htm

    32. Managing outbreaks Outbreak: three or more cases of confirmed MRSA among close contacts contact local health department begin active screening for more cases review prevention measures

    33. Gymnasiums/health clubs/spas Hand hygiene Liquid soap dispensers/alcohol gel Air dryers or disposable paper towels Protective clothing Cover woundsdo not visit if cannot Shower after exercise Do not share items Clean equipment surfaces Launder towels/linens and dry in hot dryer

    34. Day care centers Hand hygiene Standard precautionswear gloves when touching someones wounds Cover lesions/wounds Exclude attendees/staff who cannot contain wound drainage Routine cleaning of environment/shared items

    35. Households Hand and personal hygiene Cover wounds Gloving/hand washing when doing wound care Do not touch others wounds Do not share towels, personal items Launder contaminated items in hot water and dry in hot dryer Clean/disinfect areas contaminated with wound drainage Dispose of soiled dressings in sealed bag

    36. Households Use of antibacterial soaps during active infection Tea tree oil 5% solution Decolonization of household members Clinical indications Chronic transmission/recurrent infections

    37. Us vs. MRSA

    41. Do not share personal items

    42. Keep environment clean

    45. CDC MRSA Education http://www.cdc.gov/Features/MRSA Infections/

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